胫、股骨内压与膝关节疼痛关系的研究和治疗方法探讨

STUDY OF INTRAOSSEOUS PRESSURE IN THE FEMUR AND TIBIA NEAR KNEE AND TREATMENT OF THE PATIENTS WITH KNEE PAIN

作者对膝关节痛和休息痛病人21例做了股、胫骨内压和关节镜检查,其均值股骨髁0.143±0.01kPa,16例(76.19％)超过对照组0.130kPa(P<0.01);胫骨髁0.180±0.022kPa,18例(85.7％),超过对照组0.105kPa。同时测量膝关节腔内压21例。均值为0.135±0.035kPa,18例(85.7％)高于对照组0.120kPa。认为骨内压增高是引起膝关节痛的原因。本文还就膝关节特发性骨内高压症的临床表现、镜下特点、个体临界骨内压和治疗方法进行了探讨。

The intraosseous pressure in the femur and tibia near knee of 21 patients with knee pain and rest pain of knee region was measured and the arthroscopic examina- tion on their knee joints was performed.The results showed that the intraosseous pres- sure of the femoral condyle was 0.143±0.01 kPa(16 cases,76.19％),which was higher than the control group(0.130kPa)(P<0.01);the tibial condyle:0.180±0.022kPa(18 cases,85.7％),higher than the control group(0.105kPa).The intracapsule pressure of the knee was measured at the same time,which was 0.135±0.035kPa(18 cases,85. 7％)and higher than the control group(0.120kPa).The authors consider that in- traosseous hypertension results in the knee pain and rest pain.In this paper the clinical and arthroscopic characteristics of idiopathic intraosseous hypertension of the knee re- gion,personal critical pressure and the treatment methods were discussed.