最近审阅: 23 十月 2020
最近更新: 18 四月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 无法明确定位的疼痛
  • 压迫可加重疼痛
  • Q角
  • 髌骨支持带触痛
  • 髌骨倾斜测试
  • 内外侧滑动测试。
  • 髌骨活动度测试
  • 髌骨恐惧试验
  • 髌骨异常轨迹测试
  • 肌肉弹性减弱
  • 肌无力

危险因素

  • 骨性及结构异常
  • 髂胫束紧张
  • 髌骨活动性异常。
  • 股四头肌无力
  • 距下关节旋前
  • 髋关节内旋
  • 步态异常

诊断性检查

需考虑的检查

  • 膝关节X光
  • 核磁共振成像 (MRI)
  • 动态MRI或CT检查
更多 需考虑的检查

治疗流程

撰稿人

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.

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.

同行评议者展开全部内容

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.

Physician

Sharp Rees-Stealy Medical Group

La Mesa

San Diego

CA

利益声明

JH declares that he has no competing interests.

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