Baylis W J, Rzonca E C
Chicago Osteopathic Medical Center, Illinois.
Clin Podiatr Med Surg. 1988 Jul;5(3):571-89.
The evaluation and treatment of knee injuries is common in the practice of sports medicine. The knee is the most commonly injured joint of the lower extremity. Therefore, the podiatrist should have an adequate knowledge and skill in the knee examination, anatomy, pathology, and biomechanics to properly diagnose and treat disorders of the joint. The etiologies of knee pain can be divided into five categories: (1) anterior, (2) posterior, (3) medial, (4) lateral, and (5) general for simplicity of description. The doctor can easily evaluate the painful knee in the athlete by remembering the major pathologies within each anatomic quadrant. Attention should be directed at those deformities of the knee that have biomechanical origins in the foot, in part or in toto. This biomechanical relationship when balanced into the treatment plan will increase the success of the management of the patient.
膝关节损伤的评估与治疗在运动医学实践中很常见。膝关节是下肢最常受伤的关节。因此,足病医生应具备足够的膝关节检查、解剖学、病理学和生物力学知识与技能,以便正确诊断和治疗关节疾病。为便于描述,膝关节疼痛的病因可分为五类:(1)前方,(2)后方,(3)内侧,(4)外侧,以及(5)全身性。医生通过记住每个解剖象限内的主要病理情况,就能轻松评估运动员疼痛的膝关节。应关注那些部分或完全源于足部生物力学因素的膝关节畸形。将这种生物力学关系纳入治疗方案时保持平衡,会提高患者治疗的成功率。