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年轻运动员膝关节疼痛的评估与管理:膝关节过度使用损伤

Evaluation and management of knee pain in young athletes: overuse injuries of the knee.

作者信息

Patel Dilip R, Villalobos Ana

机构信息

Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan 49008, USA.

出版信息

Transl Pediatr. 2017 Jul;6(3):190-198. doi: 10.21037/tp.2017.04.05.

Abstract

Recurrent or chronic activity related knee pain is common in young athletes. Numerous intrinsic conditions affecting the knee can cause such pain. In addition, knee pain can be referred pain from low back, hip or pelvic pathology. The most common cause of knee pain in young athletes is patellofemoral pain syndrome, or more appropriately termed idiopathic anterior knee pain. Although, numerous anatomical and biomechanical factors have been postulated to contribute the knee pain in young athletes, the most common underlying reason is overuse injury. In this paper, we have reviewed selected conditions that case knee pain in athletes, including anterior knee pain syndrome, Osgood-Schlatter disease, Sinding-Larsen-Johanssen syndrome, juvenile osteochondritis dissecans (JOCD), bipartite patella, plica syndrome, and tendonitis around the knee.

摘要

复发性或慢性活动相关的膝关节疼痛在年轻运动员中很常见。许多影响膝关节的内在病症都可导致此类疼痛。此外,膝关节疼痛也可能是由腰椎、髋部或骨盆病变引起的牵涉痛。年轻运动员膝关节疼痛最常见的原因是髌股疼痛综合征,或更确切地称为特发性膝前疼痛。尽管已推测许多解剖学和生物力学因素会导致年轻运动员膝关节疼痛,但最常见的根本原因是过度使用损伤。在本文中,我们回顾了导致运动员膝关节疼痛的一些特定病症,包括膝前疼痛综合征、奥斯古德-施拉特病、辛丁-拉森-约翰森综合征、青少年骨软骨炎剥脱症(JOCD)、二分髌骨、滑膜皱襞综合征以及膝关节周围的肌腱炎。

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