最近审阅: 27 十月 2020
最近更新: 03 十二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 由于过度或反复的内侧副韧带外翻负荷导致的损伤
  • 膝关节内侧痛
  • 关节渗出
  • 触痛
  • 外翻应力松弛试验

其他诊断因素

  • 瘀斑
  • 损伤时可听见爆裂声或撕裂感
  • 行走困难
  • 膝关节不稳定症状
  • 膝关节机械症状
  • 膝关节变形
  • 前抽屉试验阳性
  • 后抽屉试验阳性
  • Lachman 试验阳性
  • 轴移试验阳性
  • 关节线压痛
  • 慢性疼痛

危险因素

  • 参与涉及膝关节外翻应力的活动
  • 年龄为 20 至 35 岁
  • 年龄为 55 至 70 岁
  • 膝关节的内侧肌肉薄弱

诊断性检查

首要检查

  • 膝关节 X 线平片
  • 膝关节应力位 X 线平片
更多 首要检查

新兴检查

  • 诊断性超声检查
更多 新兴检查

治疗流程

撰稿人

Sanjeev Bhatia

Co-Director, Hip & Knee Joint Preservation Center

Northwestern Medicine Central DuPage Hospital

Northwestern University Feinberg School of Medicine

Warrenville

IL

利益声明

SB receives royalties from the following Nova publication: Ligamentous Injuries of the Knee. SB has stock ownership in Vericel and Joint Preservation Innovations, LLC.

Nikhil N. Verma

Professor

Department of Orthopedic Surgery

Section of Sports Medicine

Rush University Medical Center

Chicago

IL

利益声明

NNV declares the following competing interests: American Orthopaedic Society for Sports Medicine: board or committee member; American Shoulder and Elbow Surgeons: board or committee member; Arthrex, Inc.: research support; Arthroscopy: publishing royalties, financial or material support; Arthroscopy Association of North America: board or committee member; Breg: research support; Cymedica: stock or stock options; Knee: editorial or governing board; Minivasive: paid consultant, stock or stock options; Omeros: stock or stock options; Orthospace: paid consultant; Ossur: research support; SLACK Incorporated: editorial or governing board; Smith & Nephew: IP royalties, research support; Vindico Medical-Orthopedics Hyperguide: publishing royalties, financial or material support; Wright Medical Technology, Inc.: research support. 

同行评议者展开全部内容

Co-director of Orthopedic Sports and Shoulder Service

Department of Orthopedic Surgery

Naval Medical Center San Diego

San Diego

CA

利益声明

DJS declares that he has no competing interests.

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).

Assistant Director

Orthopaedic Shoulder and Sports Surgery

Naval Medical Center San Diego

San Diego

CA

利益声明

MTP declares that he has no competing interests.

Clinical Assistant Professor of Medicine

Robert Wood Johnson Medical School

University of Medicine and Dentistry of New Jersey

Piscataway

NJ

利益声明

PHC declares that he has no competing interests.

Orthopedic Surgeon

Department of Orthopedic Surgery

Seoul Veterans Hospital

Seoul

South Korea

利益声明

JRY declares that she has no competing interests.

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