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Đau trước gối: Chẩn đoán và điều trị

Tóm tắt đau đầu gối phía trước là một vấn đề lâm sàng thường xuyên. Nó cung cấp một thách thức phổ biến để chẩn đoán và quản lý. Nghiên cứu khoa học cơ bản đã cung cấp cái nhìn sâu sắc về nguồn gốc của đau đầu gối trước và kiến thức chính xác về giải phẫu. Đánh giá lâm sàng đã dần dần tập trung vào sự đóng góp của cực thấp | Anterior Knee Pain Diagnosis and Treatment William R. Post MD Abstract Anterior knee pain is a frequent clinical problem. It provides a common challenge to diagnose and manage. Basic science studies have provided insight into the origin of anterior knee pain and refined understanding of the anatomy. Clinical evaluation has progressively focused on the contribution of the entire lower extremity to patellofemoral function. Nonsurgical management has been refined by the concept of the envelope of function and by increased understanding of the neuromuscular control of the knee. Indications for lateral release have been clarified and narrowed. Although anteromedial transfer of the tibial tuberosity is helpful in certain circumstances reports of postoperative fracture have led to less aggressive rehabilitation protocols. Chondral resurfacing of the patellofemoral joint and patellofemoral arthroplasty are evolving. Emphasis should remain on nonsurgical management which is sufficient in most patients. Dr. Post is in private practice Mountaineer Orthopedic Specialists LLC Morgantown WV. Neither Dr. Post nor the department with which he is affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article. Reprint requests Dr. Post Mountaineer Orthopedic Specialists LLC 1197 Pineview Drive Morgantown WV 26505. J Am Acad Orthop Surg 2005 13 534-543 Copyright 2005 by the American Academy of Orthopaedic Surgeons. The diagnosis and treatment of anterior knee pain is challenging and the topic has been well reviewed.1-3 The term anterior knee pain is used to group together a number of different but related pathologic entities. The history and physical examination complemented by imaging studies are helpful in defining as precisely as possible the origin of the patient s complaint. Pa-tellofemoral symptoms fall into two general categories instability and pain. Overlap of pain and .