Paar O, Schneider B
Klinik für Sportverletzungen, Technischen Universität Müchen.
Aktuelle Traumatol. 1989 Aug;19(4):142-6.
It is not easy to perform clinical diagnosis of chondromalacia patellae. Many cases take a clinically silent course and are discovered by chance only. Analysis for 275 arthroscopies resulted in almost complete agreement between clinical and arthroscopic diagnosis if the damage to the cartilage was diagnosed before arthroscopy. On the other hand, in chondromalacia that remained clinically silent, damage to the cartilage was present in 67% of the cases as detected by arthroscopy. The authors offer detailed comments on the problem of localisation of cartilaginous changes.
髌骨软化症的临床诊断并非易事。许多病例呈临床隐匿病程,仅偶然被发现。对275例关节镜检查病例的分析表明,如果在关节镜检查前诊断出软骨损伤,临床诊断与关节镜诊断几乎完全一致。另一方面,在临床隐匿的髌骨软化症病例中,关节镜检查发现67%的病例存在软骨损伤。作者对软骨变化的定位问题给出了详细评论。