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Síndrome da dor patelofemoral

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
最后审阅： 16 Aug 2025
最后更新： 10 Mar 2023

小结

定义

病史和体格检查

关键诊断因素

  • dor mal definida
  • dor agravada por força compressiva
  • Ângulo Q
  • dor à palpação do retináculo patelar
  • teste da inclinação patelar
  • teste de deslize médio-lateral
  • teste da mobilidade patelar
  • teste de apreensão patelar
  • teste de mau ajuste patelar
  • diminuição da flexibilidade muscular
  • fraqueza muscular
完整详情

危险因素

  • anormalidades estruturais e ósseas
  • contratura da banda iliotibial
  • mobilidade patelar anormal
  • fraqueza muscular no quadríceps
  • pronação da articulação subtalar
  • rotação interna do quadril
  • desvios de marcha
完整详情

诊断性检查

首要检查

  • nenhum exame inicial
完整详情

需考虑的检查

  • radiografia do joelho
  • RNM
  • RNM cinemática ou tomografia computadorizada (TC)
完整详情

治疗流程

初步治疗

dor aguda

急症处理

mecânica anormal da articulação patelofemoral

problemas na cadeia cinética inferior

uso excessivo em atletas

持续性治疗

tratamento pós-inicial e da fase de reativação

撰稿人

作者

Michael Fredericson, MD, FACSM
Michael Fredericson

Associate Professor and Director

Physical Medicine & Rehabilitation Clinics

Stanford University

Stanford

CA

利益声明

MF declares that he has no competing interests.

鸣谢

Dr Michael Fredericson would like to gratefully acknowledge Dr Jong In Lee and Dr Julia Arroyo, previous contributors to this topic. JIL and JA declare that they have no competing interests.

同行评议者

John Cianca, MD

Clinical Associate Professor

Department of Physical Medicine & Rehabilitation

Baylor College of Medicine

Houston

TX

利益声明

JC declares that he has no competing interests.

John Halperin, MD

Physician

Sharp Rees-Stealy Medical Group

La Mesa

San Diego

CA

利益声明

JH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Fredericson M, Powers CM. Practical management of patellofemoral pain. Clin J Sport Med. 2002;12:36-38. 摘要

Earl JE, Vetter CS. Patellofemoral pain. Phys Med Rehabil Clin N Am. 2007;18:439-458,viii. 摘要

Fredericson M, Yoon K. Physical examination and patellofemoral pain syndrome: a review. Am J Phys Med Rehabil. 2006;85:234-243. 摘要

American College of Radiology. ACR Appropriateness Criteria. Chronic knee pain. 2018 [internet publication].全文

Collins NJ, Bisset LM, Crossley KM, et al. Efficacy of nonsurgical interventions for anterior knee pain: systematic review and meta-analysis of randomized trials. Sports Med. 2012;42:31-49. 摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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