髌股疼痛综合征治疗的新概念

Juan Pablo Martínez-Cano , Sebastián Rojas-Canizales , Sergio Cortés-Cabrera
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引用次数: 1

摘要

髌骨股骨疼痛综合征(PFPS)是膝关节疼痛的主要原因之一,在日常生活活动中表现出来。本研究综述了PFPS的治疗方式。材料与方法PFPS治疗的最新进展及推荐等级。主动和被动的保守干预措施,以及手术替代审查。结果下肢肌肉强化和拉伸是一种积极的干预措施,可以提供持久的益处。被动干预包括髌股关节支撑、运动胶带和足部矫形器,被认为是主动干预的有用辅助,对患者有快速缓解,但通常在短期内。手术治疗仅被推荐用于一小部分在髌股关节有特殊解剖异常的患者。保守治疗仍然是髌股痛综合征治疗的主流。证据水平eiv,临床回顾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current Concepts in the Management of Patellofemoral Pain Syndrome

Introduction

Patellofemoral pain syndrome (PFPS) is one of the leading causes of knee pain, manifesting itself during daily life activities. This study presents a review on PFPS treatment modalities.

Materials and methods

State of the art review on the treatment of PFPS with grades of recommendation. Active and passive conservative interventions are reviewed, as well as surgical alternatives.

Results

Hip and lower-limb muscle strengthening and stretching are active interventions that provide long-lasting benefits. Passive interventions include patellofemoral joint bracing, kinesiotaping and foot orthoses, and are considered useful coadjuvants to active interventions, with quick relief for patients but usually in the short term. Surgical treatment is only recommended in a small subset of patients with specific anatomic abnormalities in the patellofemoral joint.

Discussion

Conservative treatment remains as the mainstream in the management of patellofemoral pain syndrome.

Level of Evidence

IV, Clinical Review.

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