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髂胫带综合征

最后审阅: 1 Nov 2024
最后更新: 22 Mar 2022

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
完整详情

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
完整详情

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
  • 在弧形面或易滑表面跑步
  • 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
完整详情

诊断性检查

首要检查

  • 临床诊断
完整详情

需考虑的检查

  • 膝关节部位 MRI
  • 超声
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治疗流程

急症处理

疼痛和炎性反应

持续性治疗

疼痛和炎性反应缓解

保守治疗无效

撰稿人

作者

Bob Baker, PT, PhD, MBA, OCS
Bob Baker

Rehabilitation Services Manager

NorthBay Healthcare

Fairfield

CA

利益声明

RLB declares that he has no competing interests.

Jenson C. Mak, PhD, FRACP, FAFRM, FACP, MBBS
Jenson C. Mak

Rehabilitation Fellow

University of Sydney

Sydney

Australia

利益声明

JCM declares that he has no competing interests.

Michael Fredericson, MD, FACSM
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

Robert Werner, MD

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).

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