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題 名 | Chondromalacia of Patella and Patellofemoral Malalignment a Clinical, Radiographic and Arthroscopic Correlation |
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作 者 | Wang,Ching-jen; Ko,Jih-yang; Cheng,Shu-ming; Chen,Han-hsiang; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷 期 | 16:2 1999.06[民88.06] |
頁 次 | 頁87-94 |
分類號 | 416.61 |
關鍵詞 | 關節鏡; Chondromalacia patellae; Patellofemoral malalignment; Arthroscopy; |
語 文 | 英文(English) |
英文摘要 | Eighty-five patients were evaluated for the patellofemoral joints by clinical, radiographic and arthroscopic examinations. Clinical evaluation included history and physical examination with particular attention to patellofemoral alignment, patellar tilt and the Q angles. Radiographic examinations includes AP, lateral and Merchant's views. The patellar bone/ tendon ratio, sulcus angle and congruence angle were evaluated on respective x-ray studies. Arthroscopic evaluation of the patellofemoral joint included the patellar contact patterns with the femoral trochlea, patellar tilt, patellar instability as well as the severity of chondromalacia of the patella. These findings were compared between 53 normal patients and 32 patients with chondromalacia patellae to determine the correlation between chondromalacia of patella and patellofemoral malalignment. An increased Q angle and the presence of patellar tilt are the most consistent findings associated with chondromalacia patellae. There is a high correlation between chondromalacia patellae and patellofemoral malalignment. Patients with normal patellofemoral alignment are less likely to develop chondromalacia patellae. Chondromalacia patellae is diagnosed clinically and usually confirmed with arthroscopy. Radiographic examinations of the patellofemoral joint should include Merchant's view. The principle of treatment for chondromalacia patellae is to correct the patellofemoral malalignment. Patients with chondromalacia patellae should initially be treated with conservative treatments. When conservative treatments fail, then surgical treatments are indicated. |
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