Nori Subhadra
Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, USA.
Department of Rehabilitation Medicine, Queens Health Network, Elmhurst and Queens Hospital Centers, USA.
J Family Med Prim Care. 2018 Jan-Feb;7(1):257-260. doi: 10.4103/jfmpc.jfmpc_341_16.
Acute knee pain is a frequently encountered problem in the clinical settings. In 2003, American Orthopedic Association recorded that 19.4 million people visited a physician because of a knee problem. Knee pain due to injuries is increasing even among the older population, as a greater number of persons are participating in recreational activities. The quadriceps tendon rupture is not a common condition among acute causes of knee pain. However, it can be quite debilitating. The usual clinical presentation includes a middle-aged person presenting with a history of fall accompanied by swelling and inability to extend the knee. Providers who are faced with this clinical situation should be able to recognize this condition sooner than later. It is very important that precise clinical decisions be made, so as to achieve best outcomes. This article reviews the etiology, epidemiology, clinical presentation, differential diagnosis, and management of quadriceps tendon rupture.
急性膝关节疼痛是临床中经常遇到的问题。2003年，美国矫形外科协会记录显示，有1940万人因膝关节问题就医。由于越来越多的人参与娱乐活动，即使在老年人群中，因受伤导致的膝关节疼痛也在增加。股四头肌肌腱断裂在急性膝关节疼痛的病因中并不常见。然而，它可能会使人相当虚弱。通常的临床表现为中年患者，有跌倒史，伴有膝关节肿胀和无法伸直。面对这种临床情况的医护人员应尽早识别这种病症。做出精确的临床决策以实现最佳治疗效果非常重要。本文综述了股四头肌肌腱断裂的病因、流行病学、临床表现、鉴别诊断和治疗。
