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外侧髌骨脱位:基于循证的康复实践指南和预期结果的批判性回顾和更新。

Lateral Patellar Dislocation: A Critical Review and Update of Evidence-Based Rehabilitation Practice Guidelines and Expected Outcomes.

机构信息

Department of Physical Therapy, University of Kentucky, Lexington, Kentucky.

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky.

出版信息

JBJS Rev. 2022 May 5;10(5). doi: e21.00159. eCollection 2022 May 1.

Abstract

»: Nonoperative treatment of a lateral patellar dislocation produces favorable functional results, but as high as 35% of individuals experience recurrent dislocations.

»: Medial patellofemoral ligament reconstruction is an effective treatment to prevent recurrent dislocations and yield excellent outcomes with a high rate of return to sport.

»: Both nonoperative and postoperative rehabilitation should center on resolving pain and edema, restoring motion, and incorporating isolated and multijoint progressive strengthening exercises targeting the hip and knee.

»: Prior to return to sports, both functional and isolated knee strength measurements should be used to determine leg symmetry strength and to utilize patient-reported outcome measures to assess the patient's perceived physical abilities and patellofemoral joint stability.

摘要

»: 外侧髌骨脱位的非手术治疗可产生良好的功能结果,但多达 35%的患者会出现复发性脱位。

»: 内侧髌股韧带重建是预防复发性脱位的有效治疗方法,可获得优异的结果,运动回归率高。

»: 非手术和手术后的康复都应集中在解决疼痛和肿胀、恢复运动以及进行孤立和多关节渐进性强化锻炼,以针对髋关节和膝关节。

»: 在重返运动之前,应使用功能性和孤立性膝关节力量测量来确定腿部对称性力量,并利用患者报告的结果测量来评估患者的感知身体能力和髌股关节稳定性。

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