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if (window.onload && window.onload != null)
	DHTMLNavBarTemponload = window.onload;

function DHTMLFullyLoaded() {
	if (DHTMLNavBarTemponload != null) 
		DHTMLNavBarTemponload();
		DHTML_preloadImages('images/btn_physicians.gif','images/btn_physicians_on.gif','images/btn_hospitals.gif','images/btn_hospitals_on.gif','images/btn_departments.gif','images/btn_departments_on.gif','images/btn_offices.gif','images/btn_offices_on.gif','images/btn_services.gif','images/btn_services_on.gif');
	DHTMLrunMouseOvers = true;
	return true;
}	
function DHTMLNavBarMouseOutTimer() {
	if(DHTMLTimerID) 
		clearTimeout(DHTMLTimerID); 
	DHTMLTimerID = setTimeout("DHTMLNavBarLayerRestore()",5000);
}	
function DHTMLRestoreParent(layername) {
	for(var i=0;i < aryDHTMLLayerNames.length;i++)
	{
		if(!aryDHTMLNavBarLayerInfo[aryDHTMLLayerNames[i]].isDefault)
		{			
			if(!(aryDHTMLLayerNames[i] == layername) && aryDHTMLLayerNames[i].indexOf("grand") == -1) 
				DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);			
		}
	}
}	
function DHTMLRestoreAll() {
	DHTMLNavBarMouseoverRestore();
	DHTMLNavBarLayerRestore();
}	
function DHTMLNavBarMouseoverRestore() {
	var i = 0;
	var o = null;
	if (DHTMLrunMouseOvers)
	{
		for (var i=0; i < DHTMLimageList.length; i++)
		{
			if (aryDHTMLMoImages[imageList[i]].Moused && (o = aryDHTMLMoImages[imageList[i]].ptrImage)) {
				o.src = aryDHTMLMoImages[imageList[i]].OriginalSrc;
				aryDHTMLMoImages[imageList[i]].Moused = false;
			}
		}
	}
	return true;
}	
function DHTMLNavBarLayerRestore() {
	for(var i=0;i < aryDHTMLLayerNames.length;i++)
	{
		if(!aryDHTMLNavBarLayerInfo[aryDHTMLLayerNames[i]].isDefault) 
			DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);		
	}
}	
function DHTMLNavBarArrayPushUnique(aryArray, varNewElement){
	//only pushes if unique value
	var pushIt = true;
	for (var i=0;i < aryArray.length && pushIt;i++) 
	{
		pushIt = (varNewElement!=aryArray[i]);
	}
	if(pushIt) 
		DHTMLNavBarArrayPush(aryArray, varNewElement);	
	
	return pushIt;
}
function DHTMLNavBarArrayPush(aryArray, varNewElement) {
	//Implement Array Push 'cause IE cant handle it
	aryArray[aryArray.length]=varNewElement;
}	
function DHTMLNavBarArrayPop(aryArray) {
	//Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
	if(aryArray[aryArray.length-1]) {
		varItemToPop = aryArray[aryArray.length-1];
		aryArray[aryArray.length]=null;
	}
	return varItemToPop;
}
	
var registeredObjects = new Array();
//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function DHTMLNavBarMM_findObj(n, d) {
	x = document.getElementById(n);
	return x;
}
	
var DHTMLNavBarTime         = 100;
var DHTMLNavBarTimes        = 2;
var DHTMLNavBarmoveDistance = 1;
var DHTMLNavBarThisLoc      = 325;
var aryDHTMLLayerNames      = new Array();
var aryDHTMLNavBarLayerInfo = new Array();
var aryDHTMLNavBarLayers    = new Array();
	
function DHTMLNavBarArrayContains()	{
	var a = DHTMLNavBarArrayContains.arguments;
	var foundit = false;
	for(var i=0; i < a[0].length && !foundit; i++) 
	{
		foundit = (a[1]==a[0][i]);
	}
	return foundit;
}
	
function DHTMLNavBarRegisterLayer()	{
	var a = DHTMLNavBarRegisterLayer.arguments;
	var n = a[0];
	var d = a[1];
	if(a[2] && a[2] == 'MOutLayer')
		var mo = true;
	else 
		var mo = false;	
	
	if(!(DHTMLNavBarArrayContains(aryDHTMLLayerNames,n)))
	{
		if(o = DHTMLNavBarMM_findObj(n))
		{
			aryDHTMLNavBarLayers[n] = o;
			DHTMLNavBarArrayPushUnique(aryDHTMLLayerNames,n);
			aryDHTMLNavBarLayerInfo[n] = new DHTMLNavBarLayer(n,d,mo);
		}
	}
}
	
// v3.0 name changed, this function complements of MM Dreamweaver with customizations
function DHTMLNavBarMM_showHideLayers()	{
	var i,p,v,x,obj,args = DHTMLNavBarMM_showHideLayers.arguments;
	if(args[args.length-1] != "menu") 
		DHTMLNavBarMouseOutTimer(); 
	for (var i=0; i<(args.length-2); i+=3)
	{
		if(!aryDHTMLNavBarLayers[args[i]]) {
			x = (args[i+2]=='show')?'hide':'show';
			DHTMLNavBarRegisterLayer(args[i],x);
		}
	 	if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
		{
			v = args[i+2];
			aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	 		if(args[args.length-1] == "restore") 
				v = (v=='show')?'hide':'show';			
			if (obj.style)
				obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
			else 
				obj.visibility = v;			
		}
	}
}
	
// v3.0 name changed, this function complements of MM Dreamweaver with customizations
function DHTMLNavBarMM_showHideGrandLayers() {
	var i,p,v,x,obj,args = DHTMLNavBarMM_showHideGrandLayers.arguments;
	if(args[args.length-1] != "menu") 
		DHTMLNavBarMouseOutTimer();
	for (var i=0; i < (args.length-2); i+=3)
	{
		if(!aryDHTMLNavBarLayers[args[i]]) {
			x = (args[i+2]=='show')?'hide':'show';
			DHTMLNavBarRegisterLayer(args[i],x);
		}
	 	if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
		{
			v = args[i+2];
			aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	 			if(args[args.length-1] == "restore"){
				v = (v=='show')?'hide':'show';		
			}
			if (obj.style)
				obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
			else 
	 			obj.visibility = v;			
		}
	}
}
function DHTMLNavBarRestoreLayers()	{
	var i,p,v,obj,args = DHTMLNavBarRestoreLayers.arguments;
	for (var i=0; i < (args.length); i++)
	{		
	 	if (obj = aryDHTMLNavBarLayers[args[i]])
		{
			v = aryDHTMLNavBarLayerInfo[args[i]].defaultVisibility;
			var strobjid = obj.id;
			if (obj.style)
			{
				obj=obj.style;				
				v=(v=='show')?'visible':(v='hide')?'hidden':v;
			}
			obj.visibility = v;
			if (!aryDHTMLNavBarLayerInfo[args[i]].MOutLayer) 
				aryDHTMLNavBarLayerInfo[args[i]].isDefault=true;			
		}
	}
}
function DHTMLNavBarLayer()	{
	var a = DHTMLNavBarLayer.arguments;
	this.defaultVisibility = a[1];
	this.isDefault = true;
	this.MOutLayer = a[2];
}
	
var viz = "hide";
function DHTMLNavBarNavMove() {
	if(thisl==DHTMLNavBarMM_findObj("DHTMLNavBarScrollLayer"))	
	{
		if(thisl.style)
		{
			thisl=thisl.style;
			viz="hidden";
		}
		thisl.top = DHTMLNavBarThisLoc -= 3;
		if(DHTMLNavBarThisLoc < -750)
		{
			DHTMLNavBarThisLoc=325;
			DHTMLNavBarTimes--;
		}
	}
	if (DHTMLNavBarTimes<=0)
	{
		otherl=DHTMLNavBarMM_findObj("DHTMLNavBarLayer");
		otherl.visibility=viz;
	}
	else setTimeout("DHTMLNavBarNavMove()",DHTMLNavBarTime);	
}
function DHTML_swapImgRestore()	{ 	
 	var i,x,a=document.Sliding_sr;
 	for(var i=0; a && i < a.length && (x=a[i]) && x.oSrc; i++) 
	{			
		x.src = x.oSrc;
	}
}
function DHTML_preloadImages() { 
 	var d=document;
 	if(d.images)
 	{
 		if(!d.Sliding_p) 
			d.Sliding_p=new Array();	
		var i,j=d.Sliding_p.length,a=DHTML_preloadImages.arguments;
		for(var i=0; i < a.length; i++)
		{
	 		if (a[i].indexOf("#")!=0)
			{
				d.Sliding_p[j]=new Image;
				d.Sliding_p[j++].src=a[i];
			}
		}
	}
}
function DHTML_findObj(n, d) { 
	var p,i,x;
	if(!d) 
		d=document;	
	if((p=n.indexOf("?")) > 0 && parent.frames.length)
	{
	 	d=parent.frames[n.substring(p+1)].document;
		n=n.substring(0,p);
	}
	if(!(x=d[n]) && d.all) 
		x=d.all[n];
	for (var i=0; !x && i < d.forms.length; i++) 
	{
		x = d.forms[i][n];	
	}
	for(var i=0; !x && d.layers && i < d.layers.length; i++) 
	{
		x = DHTML_findObj(n,d.layers[i].document);
	}
	 if(!x && d.getElementById) 
		x=d.getElementById(n);	
		
	return x;
}
function DHTML_swapImage() { 
	var i,j=0,x,a=DHTML_swapImage.arguments;
	document.Sliding_sr=new Array;
	for(var i=0; i < (a.length-2); i+=3)
	{
		if ((x=DHTML_findObj(a[i]))!=null)
		{
			document.Sliding_sr[j++] = x;
			if(!x.oSrc)
				x.oSrc=x.src;			
			x.src = a[i+2];
		}
	}
}
function DHTMLNavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "images/" + swapimage;
		else
			document.getElementById(imageID).src = "images/" + defaultimage;		
	}
}
window.onload = DHTMLFullyLoaded;
			

//-->
</script>
			
	
<table border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td valign="top">
		<div id="lryParentmain54" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTML_swapImage('btn_physicians_1_54','','images/btn_physicians_on.gif',54);DHTMLNavBarMM_showHideLayers('lyr54','','show','lyrTopMO1','','show','lyrLeftMO1','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('54');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow54" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink54"><a href="body.cfm?id=54" target="" class="clMain1"><img src="images/btn_physicians.gif" border="0" id="btn_physicians_1_54" alt="UCLA Physicians" ></a></td>
				</tr>
			</table>
			<div id="lyr54" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow54_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_1"><a href="body.cfm?id=479" target="" class="clSubb1">Physician Directory</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_2"><a href="body.cfm?id=308" target="" class="clSubb1">Physician Referral Service</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_3"><a href="body.cfm?id=1087" target="" class="clSubb1">Cancer Specialists</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_4"><a href="http://www.uclahealth.org/body_mattel.cfm?id=956&amp;oTopID=956" target="" class="clSubb1">Pediatric Physicians</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_5" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_5"><a href="body.cfm?xyzpdqabc=0&amp;id=479&amp;action=list&amp;subaction=specialty&amp;searchaction=simple&amp;specialtygroups=family%20medicine,internal%20medicine,pediatrics,obstetrics%20&amp;%20gynecology" target="" class="clSubb1">Primary Care Physicians by Specialty</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_6" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_6"><a href="body.cfm?xyzpdqabc=0&amp;id=479&amp;action=list&amp;subaction=location&amp;searchaction=simple" target="" class="clSubb1">Primary Care Physicians by Location</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_7" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_7"><a href="body.cfm?id=932" target="" class="clSubb1">Voted Best Doctors</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow54_8" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink54_8"><a href="body.cfm?id=1162" target="" class="clSubb1">Voted Super Doctors</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
				</table>
				<!--[if lte IE 6.5]>
				<div id="endTablelyr54" style="height:1px;overflow:hidden;"></div><iframe id="Framelyr54" frameborder="0" style="background-color:transparent;left:0px;position:absolute;top:0px;width:100%;height:120;z-index:-1;filter:mask();"></iframe>
				<![endif]-->
			</div>
		</div>
		</td>
		<td valign="top">
		<div id="lryParentmain56" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTML_swapImage('btn_hospitals_1_56','','images/btn_hospitals_on.gif',56);DHTMLNavBarMM_showHideLayers('lyr56','','show','lyrTopMO1','','show','lyrLeftMO1','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('56');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow56" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink56"><a href="body.cfm?id=56" target="" class="clMain1"><img src="images/btn_hospitals.gif" border="0" id="btn_hospitals_1_56" alt="UCLA Hospitals" ></a></td>
				</tr>
			</table>
			<div id="lyr56" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow56_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink56_1"><a href="homepage_med.cfm?id=264" target="" class="clSubb1">Ronald Reagan UCLA Medical Center</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow56_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink56_2"><a href="homepage_sanmon.cfm?id=265" target="" class="clSubb1">Santa Monica UCLA Medical Center and Orthopaedic Hospital</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow56_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink56_3"><a href="homepage_mattel.cfm?id=266" target="" class="clSubb1">Mattel Children's Hospital UCLA</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow56_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink56_4"><a href="homepage_neuro.cfm?id=267" target="" class="clSubb1">Resnick Neuropsychiatric Hospital at UCLA</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
				</table>
				<!--[if lte IE 6.5]>
				<div id="endTablelyr56" style="height:1px;overflow:hidden;"></div><iframe id="Framelyr56" frameborder="0" style="background-color:transparent;left:0px;position:absolute;top:0px;width:100%;height:60;z-index:-1;filter:mask();"></iframe>
				<![endif]-->
			</div>
		</div>
		</td>
		<td valign="top">
		<div id="lryParentmain977" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTML_swapImage('btn_departments_1_977','','images/btn_departments_on.gif',977);DHTMLNavBarMM_showHideLayers('lyr977','','show','lyrTopMO1','','show','lyrLeftMO1','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('977');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow977" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink977"><a href="body.cfm?id=977" target="" class="clMain1"><img src="images/btn_departments.gif" border="0" id="btn_departments_1_977" alt="Departments" ></a></td>
				</tr>
			</table>
			<div id="lyr977" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow977_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_1"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=10" target="" class="clSubb1">Anesthesiology</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_2"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=12" target="" class="clSubb1">Dental Services</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_3"><a href="http://clinicaltrials.ucla.edu" target="" class="clSubb1">Clinical Trials</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_4"><a href="http://www.donatedbodyprogram.ucla.edu" target="" class="clSubb1">Donated Body Program</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_5" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_5"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=31" target="" class="clSubb1">Emergency Medicine</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_6" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_6"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=14" target="" class="clSubb1">Family Medicine</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_7" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_7"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=15" target="" class="clSubb1">Medicine</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_8" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_8"><a href="body.cfm?xyzpdqabc=0&amp;id=453&amp;action=detail&amp;ref=16" target="" class="clSubb1">Neurology</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
					</tr>
					<tr id="cRow977_9" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink977_9"><a href="http://neurosurgery.ucla.edu/default.cfm" target="" class="clSubb1">Neurosurgery</a></td>
					</tr>
					<tr>
						<td valign="top"><img src='images/c_btwn.gif' alt=""></td>
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		<table width="100%" border="0" cellspacing="0" cellpadding="0" class="adam_117"><tr class="adam_117"><td class="adam_117"><table width="100%" height="800" border="0" cellpadding="0" cellspacing="0" class="adam_117"><tr class="adam_117"><td valign="top" align="left" width="80%" class="adam_117"><table width="100%" border="0" class="adam_117"><tr class="adam_117"><td width="100%" valign="top" align="left" class="adam_117"><table width="100%" border="0" class="adam_117"><tr align="left" valign="top" class="adam_117"><td valign="top" height="15" class="adam_117"></td></tr><tr class="adam_117"><td align="left" class="adam_117"><TABLE width="100%" border="0" class="adam_117"><tr class="adam_117"></tr></table></td></tr><tr class="adam_117"><td class="adam_117"><hr class="adam_117"><h2 class="adam_117">Anterior knee pain</h2><b class="adam_117">Definition:</b> <p>Anterior knee pain is pain that occurs at the front of the knee.</p><BR><BR><div id="AEAdamdiv1" class="adam_117"><b class="adam_117">Alternative Names:</b> Runner's knee<BR><BR></div><div id="AEAdamdiv2" class="adam_117"><b class="adam_117">Considerations:</b> <p>The health care provider will perform a <a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_117&amp;AEArticleID=002274&amp;AEProductID=Adam2004_117&amp;AEProjectTypeIDURL=APT_1">physical examination</a>  of the knee to confirm and assess the pain.</p><p>Tests that may be performed to rule out possible structural damage to the knee or connective tissue include the following:</p><ul><li>Joint <a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_117&amp;AEArticleID=003330&amp;AEProductID=Adam2004_117&amp;AEProjectTypeIDURL=APT_1">CT</a>  scan</li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_117&amp;AEArticleID=003810&amp;AEProductID=Adam2004_117&amp;AEProjectTypeIDURL=APT_1">Joint x-ray</a> </li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_117&amp;AEArticleID=003335&amp;AEProductID=Adam2004_117&amp;AEProjectTypeIDURL=APT_1">MRI</a>  scan of the knee</li></ul><BR><BR></div><div id="AEAdamdiv3" class="adam_117"><b class="adam_117">Causes:</b> <p>Common causes of runner's knee include rotation (pronation) and <a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_117&amp;AEArticleID=002244&amp;AEProductID=Adam2004_117&amp;AEProjectTypeIDURL=APT_1">lateral</a>  (away from the middle) pulling of the kneecap. This causes the kneecap to become misaligned with the connective tissues and muscles involved with knee movement.</p><p>Anterior knee pain may also be caused by:</p><ul><li>Arthritis</li><li>Cartilage injury</li><li>Pinching of the inner lining of the knee with knee motion (synovial impingement, or plica syndrome)</li><li>Poor alignment of the patellofemeral joint (where the kneecap rubs against the lower portion of the thigh bone)</li><li>Softening of the cartilage under the kneecap (<a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_117&amp;AEArticleID=000452&amp;AEProductID=Adam2004_117&amp;AEProjectTypeIDURL=APT_1">chondromalacia patellae</a> )</li><li><a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_117&amp;AEArticleID=001229&amp;AEProductID=Adam2004_117&amp;AEProjectTypeIDURL=APT_1">Tendinitis</a>  of the quadriceps tendon (where the thigh muscles attach to the top of the kneecap) or patellar tendon (where the kneecap attaches to the shin bone)</li></ul><BR><BR></div><div id="AEAdamdiv4" class="adam_117"><b class="adam_117">Symptoms:</b> <p>Symptoms include <a href="http://www.uclahealth.org/body.cfm?xyzpdqabc=0&amp;id=477&amp;action=detail&amp;AEProductIDSRC=Adam2004_117&amp;AEArticleID=003187&amp;AEProductID=Adam2004_117&amp;AEProjectTypeIDURL=APT_1">knee pain</a>  below the kneecap and on the sides of the kneecap, particularly with deep knee bends or prolonged sitting.</p><p>In cases of runner's knee, pain occurs first when running downhill then gets worse and occurs with all running. Finally, pain is present even when you do not run.</p><BR><BR></div><div id="AEAdamdiv5" class="adam_117"><b class="adam_117">First Aid:</b> <p>Treatment of anterior knee pain involves resting the knee and not running until you can do it without pain.</p><p>A sports medicine specialist or physical therapist may prescribe stretching exercises for the hamstrings and quadriceps, and strengthening exercises for the muscle that pulls the kneecap toward the center of the body. You can substitute bicycling for other exercise if you can do it without pain.</p><p>Special shoe inserts and orthotics (support devices) may help prevent further injury after healing.</p><BR><BR></div><div id="AEAdamdiv6" class="adam_117"><b class="adam_117">Do Not:</b> <p>Do not perform deep knee bends or overuse the knee until your symptoms improve.</p><BR><BR></div><div id="AEAdamdiv7" class="adam_117"><b class="adam_117">Call immediately for emergency medical assistance if:</b> <p>Call your health care provider if knee pain persists in spite of resting the joint.</p><BR><BR></div><div id="AEAdamdiv8" class="adam_117"><b class="adam_117">Prevention:</b> <p>To help prevent sports injuries:</p><ul><li>Warm up properly before exercise</li><li>Stretch after warm-up or exercise</li><li>Cool down after exercise</li></ul><BR><BR></div><div id="AEAdamdiv10" class="adam_117"><b class="adam_117">References:</b> <p>Dixit S, DiFiori JP, Burton M, Mines B. Management of patellofemoral pain syndrome. <em>Am Fam Physician</em>. 2007;75:194-202.</p><p>May TJ. Persistent anterior knee pain. <em>Am Fam Physician</em>. 2007;76:277-278.</p><BR><BR></div></td></tr><tr class="adam_117"><td class="adam_117"><hr class="adam_117"></td></tr><tr class="adam_117"><td class="adam_117">Review Date: 5/5/2008<br class="adam_117">Reviewed By: Andrew L. Chen, MD, MS, Orthopedic Surgery and Sports Medicine, The Alpine Clinic, Littleton, NH. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.<br class="adam_117"></td></tr><tr class="adam_117"><td align="left" valign="top" width="470" class="adam_117"><br class="adam_117"><font size="1" class="adam_117">
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