Dupont J Y
Clinique Saint-Michel, Quimper.
Rev Prat. 1998 Oct 15;48(16):1781-6.
A variable combination of patellar lateral subluxation, patellofemoral dysplasia, patella alta and secondary chondromalacia is the major cause of patellofemoral pain. Specific pathology such as medial plica syndrome or patellar tendinitis are less frequent, but their treatment is easier. A strict radiological protocol most often demonstrates the abnormalities. A CT-scan combined with an arthrogram is another imaging option. The goal of conservative treatment is to bring pain relief. The surgical correction of patellar maltracking can be proposed if conservative treatment fails, but has a high failure rate.
髌骨外侧半脱位、髌股关节发育不良、高位髌骨和继发性软骨软化的多种组合是髌股关节疼痛的主要原因。诸如内侧滑膜皱襞综合征或髌腱炎等特定病理情况较少见，但治疗相对容易。严格的放射学检查方案大多能显示出异常情况。CT扫描结合关节造影是另一种影像学选择。保守治疗的目标是缓解疼痛。如果保守治疗失败，可以考虑对髌骨轨迹不良进行手术矫正，但失败率较高。
