Mullaney Michael J, Fukunaga Takumi
Int J Sports Phys Ther. 2016 Dec;11(6):891-902.
Patellofemoral disorders, commonly encountered in sports and orthopedic rehabilitation settings, may result from dysfunction in patellofemoral joint compression. Osseous and soft tissue factors, as well as the mechanical interaction of the two, contribute to increased patellofemoral compression and pain. Treatment of patellofemoral compressive issues is based on identification of contributory impairments. Use of reliable tests and measures is essential in detecting impairments in hip flexor, quadriceps, iliotibial band, hamstrings, and gastrocnemius flexibility, as well as in joint mobility, myofascial restrictions, and proximal muscle weakness. Once relevant impairments are identified, a combination of manual techniques, instrument-assisted methods, and therapeutic exercises are used to address the impairments and promote functional improvements. The purpose of this clinical commentary is to describe the clinical presentation, contributory considerations, and interventions to address patellofemoral joint compressive issues.
髌股关节紊乱在运动和骨科康复环境中较为常见，可能由髌股关节压缩功能障碍引起。骨组织和软组织因素，以及两者之间的机械相互作用，会导致髌股关节压缩增加和疼痛。髌股关节压缩问题的治疗基于对相关损伤的识别。使用可靠的测试和测量方法对于检测髋屈肌、股四头肌、髂胫束、腘绳肌和腓肠肌的灵活性损伤，以及关节活动度、肌筋膜限制和近端肌肉无力至关重要。一旦识别出相关损伤，就会采用手法技术、仪器辅助方法和治疗性锻炼相结合的方式来解决这些损伤并促进功能改善。本临床评论的目的是描述髌股关节压缩问题的临床表现、相关影响因素和干预措施。
