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风湿病学:14. 膝前疼痛的诊断与管理

Rheumatology: 14. Diagnosis and management of anterior knee pain.

作者信息

Taunton J E, Wilkinson M

机构信息

Allan McGavin Sports Medicine Centre, University of British Columbia.

出版信息

CMAJ. 2001 May 29;164(11):1595-601.

PMID:11402802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC81118/
Abstract

A 32-year-old male runner visits his family physician in late spring complaining of pain in his knees over the past month. The pain is mostly anterior but is not well localized. It is aggravated by running, especially on hills, but subsides after the patient stops running. The patient has kept fit during the winter by swimming and occasional cross-country skiing. He has no history of obvious trauma or a noticeable injury.

摘要

一名32岁的男性跑步爱好者在春末拜访了他的家庭医生,抱怨在过去一个月里膝盖疼痛。疼痛主要在膝盖前方,但位置不太明确。跑步时疼痛会加剧,尤其是在爬坡时,但患者停止跑步后疼痛会缓解。该患者在冬季通过游泳和偶尔的越野滑雪保持身体健康。他没有明显的外伤史或值得注意的损伤。

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An unusual cause for anterior knee pain: strangulated intra-articular lipoma.膝前疼痛的一种罕见病因:绞窄性关节内脂肪瘤。
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Don't forget anserine bursitis.别忘了鹅足滑囊炎。
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本文引用的文献

1
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2
Patellofemoral pain: let the physical exam define treatment.髌股关节疼痛:让体格检查指导治疗。
Phys Sportsmed. 1998 Jan;26(1):68-78. doi: 10.3810/psm.1998.01.977.
3
Results of isolated patellar debridement for patellofemoral pain in patients with normal patellar alignment.
Am J Sports Med. 1997 Sep-Oct;25(5):663-9. doi: 10.1177/036354659702500513.