髕骨軟骨軟化症保守療法之效果

End Result of Conservative Treatment for Chondromalacia Patellae

林永福(Yeong-Fuw Lin) ； 詹美華(Mei-Hwa Jan)

《物理治療學會雜誌》 9卷 (1984/11) Pp. 33-39

https://doi.org/10.29617/JPT.198411.0007

摘要

台北市立中興醫院自民國69年8月至民國72年6月，由478例關節鏡檢查中，發現246例(51.46%)具有髕骨軟骨軟化現象。72年8月這些患有髕骨軟化症的病人應作者要求回門診接受追踪評估的有206例。這206例中接受保守治療（包括藥物治療、運動治療或短波電療）的患者有139例；其中男性占50例，女性89例。年齡偏向40歲以上的中年人居多。
所有病人皆以修改過之Bandi方法評估膝部機能，建立機能等級分類。經過保守治療，第1級的患者83.78%可達到「極優」或「良好」級；第2級的患者71.05%；第3級62.5%可恢復到「極優」或「良好」級，而第4級的患者最差，仍有75.01%的病例停留在「尚可」及「不良」級。

並列摘要

From Aug.'80 to June83, 478 arthroscopies were performed in Municipal Chung Hsin Hospital of Taipei. Among them246 cases (51.46%) were found to be with chondromalacia patellae. In Aug. '83 206 patients of the246ones came back for followup assessment. Among these patients 139 ones had received conservative measures including medicine, exercise therapy or/and short wave diathermy. There were 50 males and 89 females.
Incidence of chondromalacia increased among those over 40 years of age.
All patients were assessed with modified Bandi's criteria. Functional incapacity score and functional grading were established accordingly.
Final functional grade of ”excellent” or ”good” was archieved in 83.78% among patients with grade I lesion, 71.05% with grade 2 lesion, and 62.5% with grade 3 lesion. Patients with grade4lesion responded poorest to conservative treatment. Up to 75.01% of them stayed in ”fair” or ”poor” grade on follow up.

並列關鍵字

Chondromalacia patellae ； knee disorder ； therapeutic exercise