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[髌股关节不稳:解剖学、临床评估、影像学及治疗]

[PATELLOFEMORAL INSTABILITY: ANATOMY, CLINICAL EVALUATION, IMAGING AND TREATMENT].

作者信息

Shohat Noam, Lindner Dror, Beer Iftach, Agar Gabriel

机构信息

Department of Orthopedic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.

出版信息

Harefuah. 2016 Nov;155(11):686-690.

Abstract

Patellofemoral instability is a complex anatomical phenomena that requires deep understanding. The cause for instability could be a result of an anatomical defect or a soft tissue pathology. A thorough patient history, physical examination and imaging are paramount for a correct diagnosis and for deciding on the correct treatment. The proper treatment is often debatable. Conservative treatment is suitable for acute dislocation but has a high failure rate in chronic instability, which usually necessitates surgical treatment. The common surgical treatments today focus on fixing anatomical defects, relieving patients' symptoms of instability and giving them the opportunity to return to the level of activity suitable for them. In this literature review we summarize the relevant anatomy, biomechanics, clinical evaluation and treatment options for patellofemoral instability.

摘要

髌股关节不稳定是一种复杂的解剖学现象,需要深入理解。不稳定的原因可能是解剖缺陷或软组织病变。详尽的患者病史、体格检查和影像学检查对于正确诊断和确定正确的治疗方案至关重要。合适的治疗方法常常存在争议。保守治疗适用于急性脱位,但在慢性不稳定中失败率较高,慢性不稳定通常需要手术治疗。当今常见的手术治疗侧重于修复解剖缺陷、缓解患者的不稳定症状,并让他们有机会恢复到适合自身的活动水平。在这篇文献综述中,我们总结了髌股关节不稳定的相关解剖学、生物力学、临床评估和治疗选择。

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