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中华关节外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (03) : 353 -358. doi: 10.3877/cma.j.issn.1674-134X.2019.03.016

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综述

髌股疼痛综合征病因及治疗的新进展
苏静亮1, 王晋东1,(), 周元博1, 康波1   
  1. 1. 030001 太原,山西医科大学第二医院骨关节外科
  • 收稿日期:2019-01-09 出版日期:2019-06-01
  • 通信作者: 王晋东

New progress in etiology and treatment of patellofemoral pain syndrome

Jingliang Su1, Jindong Wang1,(), Yuanbo Zhou1, Bo Kang1   

  1. 1. Department of Orthopaedic Surgery, The Second Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2019-01-09 Published:2019-06-01
  • Corresponding author: Jindong Wang
  • About author:
    Corresponding anthor: Wang Jindong, Email:
引用本文:

苏静亮, 王晋东, 周元博, 康波. 髌股疼痛综合征病因及治疗的新进展[J/OL]. 中华关节外科杂志(电子版), 2019, 13(03): 353-358.

Jingliang Su, Jindong Wang, Yuanbo Zhou, Bo Kang. New progress in etiology and treatment of patellofemoral pain syndrome[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2019, 13(03): 353-358.

髌股疼痛综合征是膝关节疼痛中最常见诊断之一,常见于青春期和成年期活动量较大患者。髌股疼痛是由各种解剖,生物力学,心理,社会和行为等多种因素综合作用产生,如髌骨位置异常、双下肢生物力学不良、髋关节运动学改变、股四头肌失衡、髌股内侧支持带损伤、髂胫束过紧等。目前以保守治疗为主,保守治疗方法包括运动疗法、髌骨扎贴、髌骨支具、足矫形垫等,保守治疗失败之后,可以考虑手术治疗。

The patellofemoral pain syndrome is one of the most common diagnosis of knee pain, and is usually in adolescent and adult patients with a large amount of activity. Patellofemoral pain is caused by a combination of various anatomical, biomechanical, psychological, socialand behavioral factors, such as abnormal patellar position, malalignment of the lower extremity, changes in hip kinematics, quadriceps imbalance, medial patellofemoral ligament injury and tighter and thicker iliotibial band, etc. At present, conservative treatment is the main method. Conservative treatment methods include exercise therapy, patellar taping, knee brace, and foot orthoses. After conservative treatment failure, surgery can be considered.

图1 髌股疼痛综合征诊断治疗流程图
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