Morelli Vincent, Rowe Robert H
Family Practice Residency Program, Louisiana State University Health Sciences Center, 200 West Esplanade Avenue, Suite 412, Kenner, LA 70065, USA.
Prim Care. 2004 Dec;31(4):909-24, viii-ix. doi: 10.1016/j.pop.2004.07.003.
Common sports injuries, such as patellar tendonitis and patellar dislocation, can be treated either surgically or with rehabilitation and physical therapy. Most patients with patellar tendonitis will respond well to conservative measures; however, some recalcitrant cases will require surgical intervention. To date, the literature is not able objectively to identify the patients best suited to surgery. Likewise, in the case of patellar dislocations, it is still unclear which patients respond best to conservative therapy and which respond best to surgical treatment, although evidence continues to accumulate. A practical approach to this problem can be deduced from the available evidence, but more well-designed clinical trials are needed for the establishment of definitive treatment protocols.
常见的运动损伤，如髌腱炎和髌骨脱位，可以通过手术治疗，也可以通过康复和物理治疗来治疗。大多数髌腱炎患者对保守治疗反应良好；然而，一些顽固病例需要手术干预。迄今为止，文献尚无法客观地确定最适合手术的患者。同样，在髌骨脱位的情况下，尽管证据不断积累，但仍不清楚哪些患者对保守治疗反应最佳，哪些患者对手术治疗反应最佳。从现有证据中可以推断出解决这个问题的实用方法，但需要更多设计良好的临床试验来制定明确的治疗方案。
