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了解髌股关节疼痛的病理解剖:综合管理的关键基础。

Understanding the patho-anatomy of patellofemoral pain: A crucial foundation for comprehensive management.

作者信息

Garza-Borjón Abiel, González-González Mirna, de la Garza-Salazar José Fernando, Simental-Mendía Mario, Acosta-Olivo Carlos

机构信息

School of Medicine and Health Science Tecnológico de Monterrey.

Orthopedics and Trauma Institute Tecnológico de Monterrey.

出版信息

Orthop Rev (Pavia). 2024 Nov 23;16:125840. doi: 10.52965/001c.125840. eCollection 2024.

Abstract

Patellofemoral or anterior knee pain is a common cause of medical evaluation around the globe. It affects one in four individuals and is more frequent in females. It is considered a multifactorial disease in which conservative management must focus on the alterations found in the physical exam and radiologic images. Recurrence is high, as 39-40% of the patients continue with symptoms in one year of follow-up. Surgical management should be considered when symptoms persist after six months of conservative measures and when evident malalignments are identified. This article aims to establish and summarize the possible causes, involve the importance of the physical examination and the radiologic images suggested, as to consider the different treatment options that may be used to treat such a frequent and irregular pathology.

摘要

髌股关节疼痛或膝前疼痛是全球医学评估的常见原因。它影响着四分之一的人,在女性中更为常见。它被认为是一种多因素疾病,保守治疗必须关注体格检查和影像学检查中发现的异常。复发率很高,因为39%至40%的患者在随访一年后仍有症状。当保守治疗六个月后症状仍持续存在且发现明显的排列不齐时,应考虑手术治疗。本文旨在确定并总结可能的病因,阐述体格检查和建议的影像学检查的重要性,以及考虑可用于治疗这种常见且复杂病症的不同治疗方案。

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本文引用的文献

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Physical Examination and Patellofemoral Pain Syndrome: an Updated Review.体格检查与髌股疼痛综合征:最新综述
Curr Rev Musculoskelet Med. 2021 Dec;14(6):406-412. doi: 10.1007/s12178-021-09730-7. Epub 2021 Oct 29.
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Radiological assessment of lower limb alignment.下肢对线的影像学评估。
EFORT Open Rev. 2021 Jun 28;6(6):487-494. doi: 10.1302/2058-5241.6.210015. eCollection 2021 Jun.
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A Contemporary Approach to Patellofemoral Pain in Runners.跑步者髌股疼痛的现代处理方法
J Athl Train. 2020 Nov 16;55(12):0. doi: 10.4085/1062-6050-0535.19.

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