最近审阅: 1 十一月 2020
最近更新: 07 八月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 关节外侧间隙上方锐痛或烧灼痛
  • Noble试验阳性
  • Ober试验阳性
  • 改良Thomas试验阳性

其他诊断因素

  • 髋外展肌力减弱
  • 膝内翻(弓形腿)
  • 后足和前足内翻
  • 弓形足(高足弓)
  • 股骨外上髁突出,髂胫束及阔筋膜张肌紧张
  • 臀中肌、臀大肌和阔筋膜张肌肌力弱
  • 股四头肌、髂胫束和外侧支持带紧张及肌力弱
  • 坐痛或行走痛
  • 局部水肿
  • 捻发音

危险因素

  • 运动员
  • 已有髂胫束闷胀感
  • 每周高运动里程
  • 在跑道上长时间行走或跑步
  • 间歇训练
  • 伸膝、屈膝、髋外展肌力弱
  • 下肢不等长
  • 步长
  • 下坡跑
  • 缺乏跑步经验
  • 跑步里程及频率剧增
  • 长跑
  • 以不适当的步伐跑步
  • 穿破旧鞋跑步
  • 在弧形面或易滑平面跑步
  • 男性跑步者膝内翻
  • 男性跑步者髋外旋肌力弱
  • 男性跑步者过度髋内旋

诊断性检查

治疗流程

撰稿人

Robert L. Baker

Research Physical Therapist

Emeryville Sports Physical Therapy

Emeryville

CA

利益声明

RLB declares that he has no competing interests.

Jenson C. Mak

Rehabilitation Fellow

University of Sydney

Sydney

Australia

利益声明

JCM declares that he has no competing interests.

Michael Fredericson

Professor of Orthopaedic Surgery

Stanford Medical Center

Stanford University

Stanford

CA

利益声明

MF declares that he has no competing interests.

同行评议者展开全部内容

Professor

Chief of Physical Medicine and Rehabilitation

Ann Arbor VA Medical Center

Ann Arbor

MI

利益声明

RW has been reimbursed by the University of Michigan for attending several conferences and has been paid an honorarium for speaking at the American Association of Neuromuscular and Electrodiagnostic Medicine national meeting. RW has been paid by the National Institute for Occupational Safety and Health, the American Dental Association, and SmartHealth as a consultant and has received grant funding from the UAW/GM Health and Safety Board (over US$1 million).

内容使用需遵循免责声明