髌股疼痛综合征病因及治疗的新进展

New progress in etiology and treatment of patellofemoral pain syndrome

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.