Powers C M
Department of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles 90033, USA.
J Orthop Sports Phys Ther. 1998 Nov;28(5):345-54. doi: 10.2519/jospt.1998.28.5.345.
Patellofemoral pain is one of the most common knee disorders seen in orthopaedic practice. Despite its high incidence, treatment of this disorder remains controversial. Traditionally, nonoperative management of patellofemoral pain has focused on restoring normal patellar tracking by improving dynamic stability. Of particular interest to clinicians has been the vastus medialis oblique, which has been implicated as being the primary medial stabilizer of the patella. Although emphasis on the vastus medialis oblique continues to be the mainstay of conservative care of patellofemoral pain, there exists considerable disagreement between research outcomes and clinical practice. This article critically reviews the current literature concerning the treatment of patellofemoral pain with respect to the vastus medialis oblique, taping, and bracing, as well as various forms of therapeutic exercise, and relates these findings to the prevailing views regarding the management of this disorder.
髌股疼痛是骨科临床中最常见的膝关节疾病之一。尽管其发病率很高，但这种疾病的治疗仍存在争议。传统上，髌股疼痛的非手术治疗侧重于通过改善动态稳定性来恢复髌骨的正常轨迹。临床医生特别关注的是股内侧斜肌，它被认为是髌骨主要的内侧稳定器。虽然强调股内侧斜肌仍然是髌股疼痛保守治疗的主要方法，但研究结果与临床实践之间存在相当大的分歧。本文批判性地回顾了当前有关髌股疼痛治疗的文献，涉及股内侧斜肌、贴扎、支具以及各种形式的治疗性运动，并将这些发现与关于该疾病管理的主流观点联系起来。
