Slotkin Steven, Thome Andrew, Ricketts Cassandra, Georgiadis Andrew, Cruz Aristides I, Seeley Mark
Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, Michigan.
Department of Orthopaedic Surgery, Brown University Warren Alpert Medical School, Providence, Rhode Island.
J Knee Surg. 2018 May;31(5):392-398. doi: 10.1055/s-0038-1632376. Epub 2018 Feb 28.
Anterior knee pain (AKP) is a common presenting complaint for pediatricians and orthopaedic surgeons and is often seen in young athletes. AKP is multifactorial and has a broad differential diagnosis. The growth changes, biomechanics, and anatomy around the knee add to the complexity of diagnosis and treatment of AKP. Common causes of AKP include Osgood-Schlatter's disease, patellar tendinitis, and patellofemoral instability. In the diagnosis of AKP, it is important to rule out serious and morbid causes of pain, including infection and tumor. It is crucial to complete a detailed history and physical examination and obtain appropriate imaging studies. In general, the majority of patients will respond to nonoperative measures targeted to correct neuromuscular control and kinetic chain dysfunction.
膝前疼痛（AKP）是儿科医生和骨科医生常见的就诊主诉，在年轻运动员中也很常见。AKP是多因素的，鉴别诊断范围广泛。膝关节周围的生长变化、生物力学和解剖结构增加了AKP诊断和治疗的复杂性。AKP的常见原因包括奥斯古德-施拉特病、髌腱炎和髌股关节不稳。在AKP的诊断中，排除疼痛的严重和病态原因，包括感染和肿瘤，很重要。完成详细的病史和体格检查并进行适当的影像学检查至关重要。一般来说，大多数患者对旨在纠正神经肌肉控制和动力链功能障碍的非手术措施会有反应。
