PROXIMAL TIBIOFIBULAR SUBLUXATION RELATIONSHIP TO LATERAL KNEE PAIN - A REVIEW OF PROXIMAL TIBIOFIBULAR JOINT PATHOLOGIES
PROXIMAL TIBIOFIBULAR SUBLUXATION RELATIONSHIP TO LATERAL KNEE PAIN - A REVIEW OF PROXIMAL TIBIOFIBULAR JOINT PATHOLOGIES
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DOI：
10.2519/jospt.1995.21.5.248
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发表时间：
1995-05-01
影响因子：
6.1
通讯作者：
DUGGAN, RJ
中科院分区：
文献类型：
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作者：
SEMONIAN, RH;DENLINGER, PM;DUGGAN, RJ
近端下胫腓半脱位是近端下胫腓关节的症状性过度活动。必须仔细评估膝盖外侧的疼痛，因为该区域的解剖结构和生物力学非常复杂。近端下胫腓关节的解剖变异可能是理解该关节的病理力学以及治疗的关键。 “水平”近端胫腓关节具有较高的活动度，而“倾斜”关节对于腓骨上的旋转力相对不动。腓骨外旋增加将导致近端下胫腓关节前囊和韧带损伤，导致常见的“爆裂声”和膝关节外侧疼痛。近端下胫腓半脱位的治疗将涉及患者活动水平和训练计划的修改、支撑带的使用、小腿强化以及下部动力链生物力学的修改。
Proximal tibiofibular subluxation is the symptomatic hypermobility of the proximal tibiofibular joint. Pain along the lateral aspect of the knee must be carefully evaluated as the anatomy and biomechanics of this region are very complex. Anatomical variants of the proximal tibiofibular joint may be key to understanding the pathomechanics and, thus, treatment of this joint. The ''horizontal'' proximal tibiofibular joint has a higher degree of mobility, while the ''oblique'' joint is relatively immobile to rotational forces on the fibula. Increased fibular external rotation will result in injury to the anterior capsule and ligaments of the proximal tibiofibular joint causing common complaints of ''popping'' and lateral knee pain. Treatment of proximal tibiofibular subluxation will involve modifications of a patient's activity level and training programs, utilization of a supportive strap, lower leg strengthening, and modifications in the lower kinetic chain biomechanics.