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不稳定髌骨的评估与处理

Evaluation and management of the unstable patella.

作者信息

Cosgarea Andrew J, Browne James A, Kim Tae Kyun, McFarland Edward G

机构信息

Department of Orthopaedic Surgery, John Hopkins University, Baltimore, MD, 21218, USA.

出版信息

Phys Sportsmed. 2002 Oct;30(10):33-40. doi: 10.3810/psm.2002.10.492.

DOI:10.3810/psm.2002.10.492
PMID:20086493
Abstract

Patellar dislocation is an uncommon source of anterior knee pain, but it can cause significant morbidity in young, active patients who are particularly prone to recurrent instability. Most first-time dislocations are successfully treated with initial brace immobilization followed by rehabilitation. Surgical stabilization of recurrent instability has a high success rate and is usually required if nonoperative measures fail. By identifying the problem early and prescribing appropriate treatment, physicians may prevent further knee damage and minimize long-term sequelae.

摘要

髌骨脱位是膝前疼痛的一个不常见原因,但它会给年轻、活跃且特别容易反复出现不稳定的患者带来严重的发病率。大多数首次脱位通过最初的支具固定随后进行康复治疗可成功治愈。复发性不稳定的手术稳定成功率很高,如果非手术措施失败通常需要进行手术。通过早期识别问题并开出适当的治疗方案,医生可以预防膝关节进一步损伤并将长期后遗症降至最低。

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