Wilk K E, Davies G J, Mangine R E, Malone T R
HealthSouth Rehabilitation and Sports Medicine, Birmingham, AL 35205, USA.
J Orthop Sports Phys Ther. 1998 Nov;28(5):307-22. doi: 10.2519/jospt.1998.28.5.307.
Patellofemoral disorders are among the most common clinical conditions managed in the orthopaedic and sports medicine setting. Nonoperative intervention is typically the initial form of treatment for patellofemoral disorders; however, there is no consensus on the most effective method of treatment. Although numerous treatment options exist for patellofemoral patients, the indications and contraindications of each approach have not been well established. Additionally, there is no generally accepted classification scheme for patellofemoral disorders. In this paper, we will discuss a classification system to be used as the foundation for developing treatment strategies and interventions in the nonsurgical management of patients with patellofemoral pain and/or dysfunction. The classification system divides the patellofemoral disorders into eight groups, including: 1) patellar compression syndromes, 2) patellar instability, 3) biomechanical dysfunction, 4) direct patellar trauma, 5) soft tissue lesions, 6) overuse syndromes, 7) osteochondritis diseases, and 8) neurologic disorders. Treatment suggestions for each of the eight patellofemoral dysfunction categories will be briefly discussed.
髌股关节疾病是骨科和运动医学领域中最常见的临床病症之一。非手术干预通常是髌股关节疾病的初始治疗方式；然而，对于最有效的治疗方法尚无共识。尽管针对髌股关节疾病患者存在众多治疗选择，但每种方法的适应证和禁忌证尚未明确确立。此外，对于髌股关节疾病，尚无普遍认可的分类方案。在本文中，我们将讨论一种分类系统，该系统可作为制定髌股关节疼痛和/或功能障碍患者非手术治疗策略及干预措施的基础。该分类系统将髌股关节疾病分为八组，包括：1）髌骨压缩综合征，2）髌骨不稳定，3）生物力学功能障碍，4）髌骨直接创伤，5）软组织损伤，6）过度使用综合征，7）骨软骨炎疾病，以及8）神经疾病。我们将简要讨论八类髌股关节功能障碍各自的治疗建议。
