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Our review builds upon the 2023 findings by formally establishing this approach, offering a practical guide for clinicians treating newly diagnosed IGS patients

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In osteoarthritis, the amount and quality of hyaluronic acid in the joint often decrease, leading to increased pain and stiffness

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The condition is more prevalent in males and presents as insidious onset pain at the proximal insertion site of the quadriceps tendon over the patella (20% of cases), pain at the inferior pole of the patella (70% of cases), or less commonly, pain at the tibial tuberosity (10%), which may increase during physical activity and digital pressure [4,5,6]