小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 胫骨结节疼痛
- 局部压痛
其他诊断因素
- 活动限制
- 局部肿胀
- 局部发热
- 胫骨结节突出
- 抵制伸膝时结节疼痛
危险因素
- 男性青少年
- 运动参与
- 对侧膝关节 OSD 史
- 髌骨高位（高位髌）
- 髌腱的胫骨附着更靠近近端/更广泛
- 增加胫骨外侧扭转
诊断性检查
首要检查
- X 线平片检查
需考虑的检查
- 超声检查
- 核磁共振成像 (MRI)
治疗流程
早期
进展期或晚期
疼痛持续到青春期后期或成年期
撰稿人
作者
Alexander Golant, MD
Attending Physician
Department of Orthopaedics and Rehabilitation
New York-Presbyterian-Queens
Flushing
Assistant Professor of Clinical Orthopaedic Surgery
Weill Medical College of Cornell University
New York
NY
利益声明
AG declares that he has no competing interests.
Jeffrey Rosen, MD
Chairman
Department of Orthopaedics and Rehabilitation
New York-Presbyterian-Queens
Flushing
Associate Professor of Clinical Orthopaedic Surgery
Weill Medical College of Cornell University
New York
NY
利益声明
JR is an author of a reference cited in this topic.
鸣谢
Dr Jeffrey Rosen and Dr Alexander Golant would like to gratefully acknowledge the assistance of Jonathan Naysan. JN declares that he has no competing interests.
同行评议者
Paul M. Sethi, MD
Orthopedic Surgeon
Orthopedic and Neurosurgery Specialists PC
Greenwich
CT
利益声明
PMS declares that he has no competing interests.
Andreas Roposch, MD, MSc, FRCS
Consultant Orthopaedic Surgeon
Reader in Clinical Epidemiology and Surgery
UCL Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust
London
UK
利益声明
AR declares that he has no competing interests.
鉴别诊断
- 胫骨结节骨折
- 脂肪垫肥大/撞击（Hoffa 病）
- 髌下极牵引性骨突炎（Sinding-Larsen 和 Johansson 综合征）
更多 鉴别诊断
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