Millar A P
Lewisham Institute of Sports Medicine, Petersham, Australia.
Br J Sports Med. 1991 Jun;25(2):94-5. doi: 10.1136/bjsm.25.2.94.
Medial knee pain is an increasingly common presentation in sports medicine practice. A prospective review was undertaken of 72 patients, mean age 48 years, seen in 1986-1987. The physical findings which were most diagnostic were a loss of some degrees of flexion which was painful medially when forced, and tenderness over the posteromedial joint line. Treatment was either injection of local steroid, or physiotherapy, together with emphasis on quadriceps exercise. Five patients failed to respond and were referred for arthroscopy. Nine patients relapsed once but no subsequent episode has occurred. Meniscotibial ligament strain is a common cause of knee pain in middle-aged sports people.
膝关节内侧疼痛在运动医学实践中越来越常见。对1986年至1987年期间就诊的72例平均年龄48岁的患者进行了前瞻性回顾。最具诊断意义的体格检查结果是一定程度的屈曲丧失，被动屈曲时膝关节内侧疼痛，以及后内侧关节线压痛。治疗方法为局部注射类固醇或物理治疗，并强调股四头肌锻炼。5例患者治疗无效，转诊接受关节镜检查。9例患者复发一次，但此后未再发作。半月板胫骨韧带拉伤是中年运动人群膝关节疼痛的常见原因。
