LaBella Cynthia
Department of Pediatrics, Feinberg School of Medicine, Northwestern University, 303 East Chicago Avenue, Chicago, IL 60611, USA.
Prim Care. 2004 Dec;31(4):977-1003. doi: 10.1016/j.pop.2004.07.006.
Patellofemoral pain syndrome is common among athletes and non-athletes. It results from an imbalance of forces acting on the patellofemoral joint, which leads to increased strain on the peripatellar soft tissues, increased patellofemoral joint stress, or both. The most important risk factors are overuse, quadriceps weakness, and soft-tissue tightness. In most cases, the etiology is multifactorial. A careful history and targeted physical examination will confirm the diagnosis and determine the most appropriate treatment. A physical therapy program that employs quadriceps strengthening, manual stretching of the lateral patellar soft-tissue structures, patellar taping, and biofeedback is successful in the majority of cases. Surgery maybe required for the few patients who do not respond to nonoperative management.
髌股疼痛综合征在运动员和非运动员中都很常见。它是由作用于髌股关节的力失衡引起的，这会导致髌周软组织的应变增加、髌股关节应力增加，或两者兼而有之。最重要的风险因素是过度使用、股四头肌无力和软组织紧绷。在大多数情况下，病因是多因素的。详细的病史和针对性的体格检查将确诊并确定最合适的治疗方法。采用股四头肌强化、外侧髌周软组织结构手动拉伸、髌骨贴扎和生物反馈的物理治疗方案在大多数情况下是成功的。少数对非手术治疗无反应的患者可能需要手术。
