青壯年髕骨股間關節痛之探討

The Evaluation of Patellofemoral Pain among Young Adults

林永福(Yeong-Fwu Lin) ； 詹美華(Mei-Hwa Jan) ； 陳熙全(Shi-Chuang Chen)

《Journal of Orthopaedic Surgery Taiwan》 2卷4期 (1985/12) Pp. 155-161

摘要

造成青壯年髕骨股骨間關節痛的因素有許多，而解剖結構的異常常為主要的因素之一。作者自民國69年年初至74年4月間，共收集了資料齊全的133位青壯年前膝部疼痛的病例，分析其髕骨股骨間關節痛的臨床資料。結果133位中，經關節鏡及X光檢本，39位具滑膜皺襞(plica)，62位髕骨軟骨軟化，但單純性的軟骨軟化(solitary chondromalacia paellae)只有29位。有16位具髕骨外傾(lateraltilt)(圖1)，7位髕骨高位(patella alta)(圖2)，11位患者關節面骨折(osteochondral fracture)，另有40位患者的膝關節經關節鏡及X光撿查得知並無特殊病變，只有其中有16位患者的Q angle 大於20∘。73位(54.89%)患者之膝部曾受傷且受傷的比率比較年輕的患者中較高。在各種病變中，以膝關節無特殊病變的這組病人的發病時間最短，髕骨排列不良合併軟骨軟化的患者，其平均發病時間最長。133例中有80例(60.15%)患者，其職業或生活習慣常需屈膝或蹲姿。

並列摘要

From the beginning of 1970 to April 1985, the authors collected 133 cases of patellofemoral pain with complete medical records including X-ray study and arthroscopy. The age ranked from 17 to 40 years.
Analysis of X-ray and arthroscopic findings revealed 39 cases with synovial plica; 62 with patellar chondromalacia; 16 with lateral tilt of patella; 7 with patella alta; 11 with osteochondral fracture and 40 with negative arthroscopic and X-ray finding. Among the 40 cases with negative arthroscopic and X-ray finding, there were 16 cases with Q angle greater than 20∘. Among the whole series there were 43 cases with Q angle greater than 20∘.
There were 73 cases (54.89%) with past history of trauma. There were more past history of trauma. There were more cases with history of trauma among younger patients.
The duration of illness was relatively shortened among cases with negative arthoscopic and X-ray finding, but the course of illness was longer among cases with patellar malalignment plus chondromalacia.
Among the whole series, there were 80 cases (60.15%) subjected to a living pattern demanding frequent squatting or knee flexion.

並列關鍵字

patellofemoral pain ； knee ； arthroscopy