Karrasch Christopher, Gallo Robert A
Department of Orthopaedic Surgery, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, 30 Hope Drive, Hershey, PA 17033, USA.
Department of Orthopaedic Surgery, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, 30 Hope Drive, Hershey, PA 17033, USA.
Med Clin North Am. 2014 Jul;98(4):719-36, xi. doi: 10.1016/j.mcna.2014.03.002. Epub 2014 Apr 24.
Acute knee pain is a common complaint among patients presenting to outpatient clinics. Although most injuries are minor and resolve without surgical intervention, some injuries, such as extensor mechanism injuries, tibial plateau fractures, and multi-ligament knee injuries, require prompt evaluation by an orthopedic surgeon. A thorough history and physical examination combined with radiographs are usually sufficient to diagnose these more urgent injuries. If the diagnosis remains uncertain, magnetic resonance imaging is the imaging modality of choice in diagnosing ligamentous, tendinous, meniscal, and chondral injuries.
急性膝关节疼痛是门诊患者的常见主诉。尽管大多数损伤较轻,无需手术干预即可痊愈,但有些损伤,如伸膝装置损伤、胫骨平台骨折和膝关节多韧带损伤,需要骨科医生及时评估。详细的病史、体格检查以及X光片通常足以诊断这些较为紧急的损伤。如果诊断仍不明确,磁共振成像(MRI)是诊断韧带、肌腱、半月板和软骨损伤的首选影像学检查方法。