BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 由于过度或反复的内侧副韧带外翻负荷导致的损伤
  • 膝关节内侧痛
  • 关节渗出

其他诊断因素

  • 瘀斑
  • 损伤时可听见爆裂声或撕裂感
  • 行走困难
  • 膝关节不稳定症状

危险因素

  • 参与涉及膝关节外翻应力的活动
  • 年龄为 20 至 35 岁
  • 年龄为 55 至 70 岁
  • 膝关节的内侧肌肉薄弱

诊断性检查

首要检查

  • 膝关节 X 线平片
  • 膝关节应力位 X 线平片
全部具体信息

新兴检查

  • 诊断性超声检查
全部具体信息

治疗流程

贡献者

Sanjeev Bhatia MD

Director of Joint Preservation and Hip Arthroscopy

Cincinnati Sports Medicine & Orthopaedic Center

Cincinnati Sports Medicine Research & Educational Foundation

Cincinnati

OH

利益冲突披露
SB receives royalties from the following Nova publication: Ligamentous Injuries of the Knee.
Nikhil N. Verma MD

Associate Professor

Department of Orthopedic Surgery

Section of Sports Medicine

Rush University Medical Center

Chicago

IL

利益冲突披露
NNV is on the board of: American Shoulder and Elbow Surgeons, Arthroscopy, Arthroscopy Association Learning Center, Journal of Knee Surgery, SLACK Incorporated; is a paid consultant for: Minivasive, Orthospace, Smith & Nephew; provides research support for: Arthrex Inc., Athletico, Arthrosurface, ConMed Linvated, DJ Orthopaedics, Miomed, Mitek, Smith & Nephew; has stock options in: Cymedica, Minivasive, Omeros; receives royalties from: Arthroscopy, Smith & Nephew, Vindico Medical-Orthopedics Hyperguide.

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Co-director of Orthopedic Sports and Shoulder Service

Department of Orthopedic Surgery

Naval Medical Center San Diego

San Diego

CA

利益冲突披露
DJS declares that he has no competing interests.

Professor

Chief of PM&R

Ann Arbor VA Medical Center

Ann Arbor

MI

利益冲突披露
RW has been reimbursed by the University of Michigan for attending several conferences; RW has been paid an honorarium for speaking at the American Association of Neuromuscular and Electrodiagnostic Medicine national meeting. RW has been paid by NIOSH, the American Dental Association, and SmartHealth as a consultant and has received grant funding from the UAW/GM Health and Safety Board (over US$1 million).

Assistant Director

Orthopaedic Shoulder and Sports Surgery

Naval Medical Center San Diego

San Diego

CA

利益冲突披露
MTP declares that he has no competing interests.

Clinical Assistant Professor of Medicine

Robert Wood Johnson Medical School

University of Medicine and Dentistry of New Jersey

Piscataway

NJ

利益冲突披露
PHC declares that he has no competing interests.

Orthopedic Surgeon

Department of Orthopedic Surgery

Seoul Veterans Hospital

Seoul

South Korea

利益冲突披露
JRY declares that she has no competing interests.

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