Nissen C W, Cullen M C, Hewett T E, Noyes F R
University of Connecticut, Department of Orthopaedic Surgery, Farmington, USA.
J Orthop Sports Phys Ther. 1998 Nov;28(5):277-85. doi: 10.2519/jospt.1998.28.5.277.
A systematic approach to the clinical history, physical, and arthroscopic examination of patellofemoral disorders will lead to improved diagnostic accuracy and clinical treatment success. We review important aspects of physical and arthroscopic examination of patellofemoral disorders Basic and advanced physical examination techniques are presented, and their clinical significance is reviewed. Arthroscopic examination of the patellofemoral joint is used as an adjunct to physical examination to evaluate chondral lesions of the patella and femoral sulcus and to visualize patella tracking. Techniques to assess patellar tracking and the integrity of patellar restraints and to grade chondral lesions are outlined. Utilization of these techniques will improve clinical studies on the treatment of patellofemoral disorders.
采用系统的方法对髌股关节疾病进行临床病史、体格检查和关节镜检查，将提高诊断准确性和临床治疗成功率。我们回顾了髌股关节疾病体格检查和关节镜检查的重要方面，介绍了基本和高级体格检查技术，并对其临床意义进行了回顾。髌股关节的关节镜检查用作体格检查的辅助手段，以评估髌骨和股骨沟的软骨损伤，并观察髌骨轨迹。概述了评估髌骨轨迹和髌骨稳定结构完整性以及对软骨损伤进行分级的技术。这些技术的应用将改善髌股关节疾病治疗的临床研究。
