髌内侧滑膜皱襞综合征的诊断进展

Progress of diagnosis for medial plica syndrome

髌内侧滑膜皱襞综合征(MPS)是一种常被忽视的膝前疼痛原因,发病时通常为创伤或者运动量的突然增加,之后反复出现膝关节内侧痛、弹响、打软腿、假性闭锁等不适症状,并最终导致膝关节软骨损伤。因为临床症状的非特异性,容易误诊为内侧半月板损伤、骨性关节炎、髌骨软骨软化症等疾病,没有一种公认的诊断标准。本文对目前该疾病诊断的研究进行综述,并提出笔者的诊断标准,供读者参考。

Medial plica syndrome(MPS)is a common neglected cause of anterior knee pain,which is usually caused by trauma or a sudden increase in the amount of exercise,followed by recurrent discomfort symptoms such as medial knee pain,clicking,giving away,and pseudoatresia,and ultimately leads to knee cartilage injury.Because of the non-specific clinical symptoms,it is easy to be misdiagnosed as medial meniscus injury,osteoarthritis,chondromalacia patellae and other diseases,and there is no recognized diagnostic criteria.This article reviewed the current research on the diagnosis of this disease and proposes the author’s diagnostic criteria for readers’reference.