A complete examination of the knee, including a careful assessment of the patellofemoral joint, should be performed (Table 312,13). The examination should aim to identify features that may alter patellofemoral mechanics.
Inspection. Patients initially should be examined “from the ground up” while standing in shorts. Although the clinical utility of static measurements of lower extremity alignment appears to be limited, such measurements may be performed at this point in the examination.Observation of the patient’s gait may reveal excessivesubtalar pronation.