Hinman R S, Crossley K M
Centre for Health Exercise and Sports Medicine, School of Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia.
Rheumatology (Oxford). 2007 Jul;46(7):1057-62. doi: 10.1093/rheumatology/kem114. Epub 2007 May 11.
Knee osteoarthritis (OA) is a prevalent disease afflicting elderly people. As the knee joint is tri-compartmental, numerous radiographic patterns of disease are possible. The patellofemoral joint (PFJ) is one of the most commonly affected compartments. Although PFJ OA is frequently observed, this particular disease sub-group has gone largely unrecognised. Recent research suggests that not only is the PFJ an important source of symptoms in knee OA, but also that afflicted individuals demonstrate disease features distinct from those observed in tibiofemoral joint OA. This has implications for the assessment and treatment of patients with PFJ OA. This review summarises the evidence suggesting why PFJ OA should be considered a distinct clinical entity and how it may best be managed using conservative, non-pharmacological treatment approaches that are targeted to the PFJ. Interventions such as patella taping, patella bracing and physiotherapy have the potential to alleviate joint stress and symptoms for people with this condition.
膝关节骨关节炎（OA）是一种困扰老年人的常见疾病。由于膝关节是三部分组成的关节，因此可能出现多种疾病的影像学表现。髌股关节（PFJ）是最常受累的关节部位之一。虽然髌股关节骨关节炎经常被观察到，但这个特定的疾病亚组在很大程度上未被认识到。最近的研究表明，髌股关节不仅是膝关节骨关节炎症状的重要来源，而且患病个体表现出与胫股关节骨关节炎不同的疾病特征。这对髌股关节骨关节炎患者的评估和治疗具有重要意义。这篇综述总结了相关证据，表明为什么髌股关节骨关节炎应被视为一种独特的临床实体，以及如何使用针对髌股关节的保守、非药物治疗方法对其进行最佳管理。诸如髌骨贴扎、髌骨支具和物理治疗等干预措施有可能减轻患有这种疾病的人的关节压力和症状。
