Comparison of symptoms and clinical findings in subgroups of individuals with patellofemoral pain
Comparison of symptoms and clinical findings in subgroups of individuals with patellofemoral pain
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DOI：
10.1080/09593980600724246
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发表时间：
2006-06-01
影响因子：
2
通讯作者：
Lundeberg, Thomas
中科院分区：
文献类型：
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作者：
Naslund, Jan;Naslund, Ulla-Britt;Lundeberg, Thomas
髌股关节疼痛综合征（PFPS）是最常见的肌肉骨骼疾病之一。然而，尚未就其定义、分类、评估、诊断或管理达成共识。我们评估了PFPS患者亚组的症状和临床表现，根据放射学检查结果进行分类，并将结果与膝关节健康受试者进行比较。整形外科医生和物理治疗师连续检查了80例临床诊断为PFPS并接受物理治疗的患者。检查包括询问病史和临床试验。15例患者的X线摄影显示病理学，2例患者的放射摄影检查显示局灶性摄取提示病理学（C组）。29例患者（B组）出现弥漫性摄取增加。其余29例患者的X线和骨密度检查正常（A组）。膝关节健康对照组（D组）报告无临床症状。三个患者组之间的症状无统计学差异。膝关节健康受试者在测量对刺激的疼痛反应的所有临床测试中与三个患者组显著不同;压缩测试、内侧和外侧压痛、髌骨被动滑动，但他们在Q角上也不同。两组患者的临床试验差异无显著性。我们对临床诊断为PFPS患者的研究的主要发现是，可能的病理不能从患者的病史或常用的临床试验中检测到。
Patellofemoral pain syndrome (PFPS) is one of the most common musculoskeletal disorders. However, no consensus on the definition, classification, assessment, diagnosis, or management has been reached. We evaluated symptoms and clinical findings in subgroups of individuals with PFPS, classified on the basis of the findings in radiological examinations and compared the findings with knee-healthy subjects. An orthopedic surgeon and a physical therapist consecutively examined 80 patients clinically diagnosed as having PFPS and referred for physical therapy. The examination consisted of taking a case history and clinical tests. Radiography revealed pathology in 15 patients, and scintigraphic examination revealed focal uptake in 2 patients indicating pathology (group C). Diffusely increased uptake was present in 29 patients (group B). In the remaining 29 patients radiographic and scintigraphic examinations were normal (group A). Knee-healthy controls (group D) reported no clinical symptoms. No symptom could be statistically demonstrated to differ between the three patient groups. Knee-healthy subjects differed significantly from the three patient groups in all clinical tests measuring pain in response to the provocations; compression test, medial and lateral tenderness, passive gliding of the patella, but they also differed in Q angle. Differences in clinical tests between the patient groups were nonsignificant. The main finding in our study on patients clinically diagnosed with PFPS is that possible pathologies cannot be detected from the patient's history or from commonly used clinical tests.