Gibson T, Davies J E, Crane J, Henry A N
Rheumatology Unit, Guy's Hospital, London.
Br J Sports Med. 1987 Sep;21(3):115-7. doi: 10.1136/bjsm.21.3.115.
Knee pain caused by sport is a common cause of rheumatic symptoms. Clinical diagnosis is frequently difficult and an attempt was therefore made to determine whether particular symptoms and signs were sufficiently characteristic in 129 patients to enable easier recognition of knee disorders. Strict criteria for arthrography and arthroscopy included classical features of internal derangement or disabling pain. Arthrograms were performed in 39 and arthroscopy in 30, revealing good concordance for meniscal tears but none for cruciate tears. Classical histories and signs were often absent from patients with meniscal and cruciate tears. Patellar pain was a prominent symptom of 58 (45%). Questionnaires one year after assessment were returned by 91 (70%). Many patients had persistent symptoms or were unable to resume their sports. The unreliability of clinical diagnosis suggests that more frequent arthroscopic examinations could have increased the recognition of meniscal and cruciate tears.
运动引起的膝关节疼痛是风湿症状的常见原因。临床诊断常常困难，因此，我们试图确定在129例患者中，特定的症状和体征是否具有足够的特征性，以便更容易识别膝关节疾病。关节造影和关节镜检查的严格标准包括关节内紊乱或致残性疼痛的典型特征。39例患者进行了关节造影，30例进行了关节镜检查，结果显示半月板撕裂的一致性良好，但十字韧带撕裂的一致性不存在。半月板和十字韧带撕裂的患者通常没有典型的病史和体征。髌前疼痛是58例（45%）患者的突出症状。评估一年后的调查问卷回收率为91份（70%）。许多患者症状持续存在或无法恢复运动。临床诊断的不可靠性表明，更频繁的关节镜检查可能会提高对半月板和十字韧带撕裂的识别率。
