Keene J S
Division of Orthopedic Surgery, Madison, WI 53792.
Postgrad Med. 1989 Mar;85(4):153-6, 161-3. doi: 10.1080/00325481.1989.11700623.
The vast majority of knee problems can be diagnosed by taking a complete history, performing a comprehensive physical examination, and obtaining appropriate x-ray films. However, diagnosis of anterior and posterior cruciate ligament tears, patellofemoral subluxation, tibial tubercle fracture, and fibular head dislocation is challenging because they often present like common, less serious knee disorders. Accurate assessment of these five injuries depends upon the examiner's knowledge of the specific presenting complaints and the subtle clinical and radiologic findings associated with these conditions.
绝大多数膝关节问题可通过全面采集病史、进行全面体格检查以及获取合适的X线片来诊断。然而，诊断前交叉韧带和后交叉韧带撕裂、髌股关节半脱位、胫骨结节骨折和腓骨头脱位具有挑战性，因为它们常常表现得像常见的、不太严重的膝关节疾病。准确评估这五种损伤取决于检查者对特定主诉以及与这些病症相关的细微临床和影像学表现的了解。
