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髌骨非创伤性病变：放射学表现的图片综述

Patellar Non-Traumatic Pathologies: A Pictorial Review of Radiologic Findings.

作者信息

Masroori Zahra, Haseli Sara, Abbaspour Elahe, Pouramini Alireza, Azhideh Arash, Fathi Marjan, Kafi Fatemeh, Chalian Majid

机构信息

Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Washington, Seattle, WA 98105, USA.

OncoRad Research Core, Department of Radiology, University of Washington/Fred Hutchinson Cancer Center, Seattle, WA 98195, USA.

出版信息

Diagnostics (Basel). 2024 Dec 16;14(24):2828. doi: 10.3390/diagnostics14242828.

DOI:10.3390/diagnostics14242828
PMID:39767189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11675855/
Abstract

Patellar pathologies are a common cause of knee dysfunction, with Patellofemoral Pain Syndrome (PFPS) alone responsible for 25% of knee-related visits to sports medicine clinics. Non-traumatic conditions, while often overlooked, can also lead to significant discomfort and functional limitations, highlighting the importance of accurate and timely diagnosis for effective management and prevention of complications. This pictorial review examines the radiologic characteristics of various non-traumatic patellar disorders, focusing on imaging modalities such as radiography, computed tomography (CT), and magnetic resonance imaging (MRI). Key diagnostic markers, including patellar tilt, tibial tuberosity-trochlear groove distance (TT-TG), and congruence angle (CA), are discussed for their significance in non-traumatic pathology identification. Furthermore, this review highlights specific radiologic features for a range of non-traumatic patellar conditions, including patellar tendinopathy, chondromalacia patellae, and trochlear dysplasia, emphasizing how distinct radiologic findings facilitate precise diagnosis and clinical assessment. Ultimately, it provides a practical guide for clinicians in diagnosing non-traumatic patellar pathologies through a comprehensive review of key radiologic features while also discussing advancements in imaging technologies and management strategies to support accurate diagnosis and effective clinical decision-making.

摘要

髌骨关节病变是膝关节功能障碍的常见原因，仅髌股关节疼痛综合征（PFPS）就占运动医学诊所膝关节相关就诊病例的25%。非创伤性疾病虽然常常被忽视，但也会导致明显的不适和功能受限，这凸显了准确及时诊断对于有效管理和预防并发症的重要性。本图文综述探讨了各种非创伤性髌骨关节疾病的放射学特征，重点关注诸如X线摄影、计算机断层扫描（CT）和磁共振成像（MRI）等成像方式。讨论了包括髌骨倾斜、胫骨结节 - 滑车沟距离（TT - TG）和适合角（CA）等关键诊断标志物在非创伤性病变识别中的意义。此外，本综述强调了一系列非创伤性髌骨关节疾病的特定放射学特征，包括髌腱病、髌骨软骨软化症和滑车发育不良，强调了不同的放射学表现如何有助于精确诊断和临床评估。最终，它为临床医生提供了一份实用指南，通过全面回顾关键放射学特征来诊断非创伤性髌骨关节病变，同时还讨论了成像技术和管理策略的进展，以支持准确诊断和有效的临床决策。

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