Division of Physical Therapy, University of Kentucky, Center for Rural Health Excellence, Hazard, Kentucky, USA.
Physiother Theory Pract. 2011 Feb;27(2):160-71. doi: 10.3109/09593981003796497. Epub 2010 Oct 26.
The posteromedial corner of the knee has intricate anatomical and biomechanical relationships critical to the function of the tibiofemoral joint. Missed or late diagnosis of pathomechanical disorders of the region, such as anteromedial rotary instability, in individuals with knee pain, may result in long-term decreased functional mobility and predisposition for degenerative disorders. This case report describes the chronological history and experience of a 35-year-old male with late diagnosis of anteromedial rotary instability and the subsequent surgical reconstruction and rehabilitation. Difficulties with clinical recognition of the underlying pathology and the postoperative course of rehabilitation are also discussed.
膝关节后内侧角具有复杂的解剖和生物力学关系,对于胫股关节的功能至关重要。对于膝关节疼痛的患者,如果错过或延迟诊断该区域的病理力学疾病,如前内侧旋转不稳定,可能会导致长期功能活动度下降和退行性疾病的易感性。本病例报告描述了一名 35 岁男性患者的时间顺序病史和经历,该患者迟发性诊断为前内侧旋转不稳定,随后进行了手术重建和康复。还讨论了临床识别潜在病理和术后康复过程中的困难。