带错位:一种常见的疾病,与膝盖疼痛有关
1Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Biomedical journal
|September 7, 2023
概括
膝关节疼痛通常源于关节 (PF) 关节,特别是在关节不对齐 (PM) 时. 有效的管理需要解决PF关节问题,而不仅仅是tibiofemoral (TF) 关节,非手术选择往往是成功的.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 膝盖疼痛很普遍,疾病往往源于小腿骨关节 (TF) 或腿骨关节 (PF).
- 由于固有的不稳定性,非创伤性PF关节疾病在年轻人中很常见,与更稳定的TF关节不同.
- 带错位 (PM) 是所有年龄段的膝盖疼痛的常见原因,通常与带周围的软组织紧张不平衡有关.
研究的目的:
- 审查关于带错位 (PM) 和其管理的当前文献.
- 为了突出PF关节参与膝关节疼痛的重要性.
- 提出机构发现,强调PM管理的普遍性和重要性.
主要方法:
- 关于膝关节疾病和PM的相关研究的文献综述.
- 分析导致皮带不对齐的因素,包括软组织不平衡和肌肉虚弱 (例如,巨大的中间斜面).
- 讨论目前对PM的非手术和手术治疗方法.
主要成果:
- 不平衡的周软组织紧张,特别是大中斜体 (VMO) 功能减弱,导致侧面带位移和对关节软骨的压力增加.
- 这可能会导致渐进的肋骨骨 (PF) 变性.
- 对于PM的非手术治疗方法显示出高满意度,而手术技术正在不断发展,成功率不断提高.
结论:
- 有效的膝关节疼痛管理需要专注于关节 (PF) 关节,特别是在关节错位 (PM) 的情况下.
- 非手术干预是PM的首要治疗选择,手术干预的确有迹象.
- 解决PM对于全面的膝关节疾病治疗至关重要,因为孤立的TF关节焦点是不够的.
相关概念视频
Bones of the Lower Limb: Femur and Patella
2.6K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.6K
Knee Joint
1.9K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.9K
Muscles that Move the Leg
1.9K
The movement of the legs is facilitated by numerous muscles located within the anterior, medial, and posterior compartments of the thigh.
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed...
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed...
1.9K
Appendicitis-I: Introduction
221
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
221
Ankle Joint
1.6K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.6K


