Ruffin M T, Kiningham R B
Department of Family Practice, University of Michigan Medical School, Ann Arbor.
Am Fam Physician. 1993 Jan;47(1):185-94.
Pain in the anterior region of the knee is one of the most common musculoskeletal complaints in children, adolescents and adults. Difficult and frustrating for the patient to endure, the disorder is also difficult for the physician to manage. The precipitating events and the location and duration of the pain are important factors in narrowing the differential diagnosis. A detailed physical examination further aids in the differential diagnosis. The treatment and rehabilitation of patellofemoral dysfunction, the most common cause of anterior knee pain, has four phases--acute, subacute, chronic and maintenance. These phases involve medication, a structured knee exercise program and activity modification before returning to normal activity. More than 80 percent of patients with patellofemoral dysfunction respond well to a nonsurgical approach.
膝关节前部疼痛是儿童、青少年和成年人中最常见的肌肉骨骼疾病之一。这种疾病让患者难以忍受且令人沮丧，对医生来说也很难处理。引发疼痛的事件以及疼痛的部位和持续时间是缩小鉴别诊断范围的重要因素。详细的体格检查有助于进一步进行鉴别诊断。髌股关节功能障碍是膝关节前部疼痛最常见的原因，其治疗和康复有四个阶段——急性期、亚急性期、慢性期和维持期。这些阶段包括药物治疗、有组织的膝关节锻炼计划以及在恢复正常活动前调整活动方式。超过80%的髌股关节功能障碍患者对非手术治疗方法反应良好。
