Clinical examination of the knee: know your tools for diagnosis of knee injuries.

Roberto Rossi, Federico Dettoni, Matteo Bruzzone, Umberto Cottino, Davide G D'Elicio, Davide E Bonasia
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引用次数: 43

Abstract

The clinical evaluation of the knee is a fundamental tool to correctly address diagnosis and treatment, and should never be replaced by the findings retrieved by the imaging studies carried on the patient.Every surgeon has his own series of exams with whom he is more confident and on whom he relies on for diagnosis. Usually, three sets of series are used: one for patello-femoral/extensor mechanism pathologies; one for meniscal and chondral (articular) lesions; and one for instability evaluation.This review analyses the most commonly used tests and signs for knee examination, outlining the correct way to perform the test, the correct interpretation of a positive test and the best management for evaluating an injured knee both in the acute and delayed timing.

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膝关节的临床检查:了解诊断膝关节损伤的工具。
膝关节的临床评估是正确诊断和治疗的基本工具,绝不能被对患者进行的影像学研究所检索到的结果所取代。每个外科医生都有自己的一系列检查,他对这些检查更有信心,也可以依靠这些检查来进行诊断。通常,使用三组系列:一组用于髌股/伸肌机制病理;一个用于半月板和软骨(关节)损伤;一个用于不稳定性评估。这篇综述分析了最常用的膝盖检查测试和体征,概述了正确的测试方法、阳性测试的正确解释以及在急性和延迟时间评估受伤膝盖的最佳管理方法。
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