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Excessive Lateral Pressure Syndrome and Osteoarthritis of the Knee

膝蓋骨外側向過壓症候群與膝部骨性關節炎之關係

摘要


本文之主旨是在研究膝蓋骨外側過壓之症候群(Excessive Lateral Pressure Syndrome)是否為膝部骨性關節炎的前身。   作者根據民國73年至76年間在臺北市立中興醫院骨科曾接受膝蓋骨外側韌帶放鬆術的137例患膝加以分析。結果發現在此系列中,近75%之骨性關節炎的膝關節呈現膝蓋骨排列不整。膝蓋骨排列不整的情形以膝蓋骨外傾(lateral tilt)或合併膝蓋骨高位(patellar alta)的情形最多。作者將骨性關節炎之示病癥加以量化,並顯示在膝蓋骨外側過壓之症候群中骨性關節炎示病癥之計量隨年齡而增加。作者同時又發現:家庭成員罹患同樣病程的加長而加重等皆足以描出由膝蓋骨外側過壓症候群演變成骨性關節炎的過程。因此認定膝蓋骨外側過壓症候群與膝部骨性關節炎之關係密切

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並列摘要


Basing on the comparative workup of 137 knees of excessive lateral pressure syndrome (ELPS) which were treated with lateral retinacular release the concept that ELPS is prearthritic was consolidated. Nearly 75% of osteoarthritic knees were with patellar malalignment. The count of osteoarthritic signs (narrowing and spurring) was age-related among ELPS. In addition, the pattern of involving other family members and contralateral knee, and the correlation of advancement of pathology to the course of illness mappd the evolution of ELPS to OA, in conclusion, there is a close relationship between ELPS and osteoarthritis.

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