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Patellar chondromalacia is the swelling, erosion, cracking, fragmentation, and shedding of the cartilage after chronic injury to the cartilage surface of the patella, erosion, cracking, fragmentation, and falling off, and finally the same pathological changes occur in the opposite femoral condyle, forming osteoarthropathy of the patellofemoral joint, clinical manifestations: 1: gradually worsening subpatellar pain, 2:
Tenderness on the edge of the patella, friction sensation may occur when the knee is stretched or pushed against the patella, accompanied by pain, synovitis may be complicated in the later stage, 3: there is no abnormality in the early X-ray, osteophyte formation of the patellar margin is seen in the late stage, and 4: early radionuclide bone scintigraphy is diagnostic.
**Above: 1: First immobilize the knee for 1---2 weeks, perform resistance exercises for the 4 capesps muscles to increase the stability of the knee joint, 2:
Cold compress when swelling and pain intensify, change to moist hot compress and physiotherapy after 48 hours, 3: oral fenpide capsules, chlorzoxazone, Shujin Huoxue tablets, 4: intra-articular injection of sodium hyaluronate can lubricate, nourish the articular surface, 5:
Surgery if necessary**. I hope my advice is helpful to you, good luck.**
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Patients with patellar omabency have a history of knee trauma, or a history of long-term knee flexion exercise, and the knee flexion pain is aggravated, and the position is in front of the knee joint, and other diseases such as infection and loose body entrapment are preliminarily ruled out, the presence of patellar osteomalacia should be considered. In addition, the front of the knee joint can be relieved when resting, but it may manifest itself after exercise or labor, or you may feel pain when going down stairs. The joint is usually not swollen, but when the knee is moved from an upright position to a semi-flexed position, it can cause pain, and sometimes a subtle friction sensation can be felt in the prepatellar position.
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The symptoms of patellomalacia are mainly pain in the front of the knee joint, weakness in going up and down stairs, pain can be aggravated when kneeling, going up and down stairs, squatting, rainy and cloudy weather will also make the pain worse, and in the late stage, the knee joint is persistent pain and quadriceps atrophy. In the early stage of the disease, there is no abnormality in knee X-ray or magnetic resonance examination, and in the late stage of X-ray examination, patellar cartilage surface sclerosis and peripatellar bone hyperplasia will appear, and the onset of this disease is relatively slow, and it is more common in middle-aged and elderly women and young athletes.
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Patellomalacia is a metabolic disease that occurs on the surface of the patellar cartilage, which is caused by the injury and rupture of the patellar cartilage surface, and the exposure of subchondral bone, resulting in increased pressure on the patella, resulting in patellar pain, soft legs, and pain behind the patella of the knee joint after movement. Patellar grinding test, may be positive. This disease is more common in young adults, once the above symptoms appear, you should go to the hospital in time for a clear diagnosis and symptomatic **.
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1. Pain in front of the knee: usually not very sharp pain.
2. Pain when climbing the stairs: The pain will be stronger when going downstairs than going upstairs.
3. Pain after a long rest: If you suddenly stand up after sitting for a long time, you will have obvious pain.
4. There is a feeling of friction: when the legs are moved, the knee joint has an obvious feeling of friction.
5. Slight swelling: Around the knee (patella), there will be slight swelling.
6. Tenderness: pressing the patella, there is a feeling of pain.
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The most typical of patellomalacia is pain in walking, more pain when going upstairs, aggravation of exertion, reaction on cloudy days, and local pain in hand pressing.
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Patellomalacia is a condition that often causes this symptom. Bone hyperplasia can also be caused. Don't get tired and cold. When early symptoms appear, we must draw special attention from our friends to avoid serious adverse consequences.
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Patellomalacia is a manifestation of patellofemoral joint disorder, and most people present with pain in flexion and extension of the knee joint, especially when squatting, and prepatellar pain. Walking on a flat or non-weight-bearing condition is usually painless, and self-compression of the patella can be clearly felt, sometimes accompanied by joint effusion and edema. Lateral radiographs of the patella can be used to confirm and sometimes magnetic resonance imaging is required, which can be more direct and effective in determining the degree and extent of patellar malacia.
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It is recommended to first go up and down the stairs, climb mountains, weight-bearing activities, etc., and local Baixing physics, such as baking electricity, physiotherapy, and match the patella Shungu Anyu sticker, which can generally be gradually improved. Taobao has, if there is no obvious change in the above ** month, if necessary, the road can be partially closed**, and those with mild symptoms can generally have significant improvement, if it is an athlete and heavy manual laborer, it is recommended to stop exercising and weight-bearing activities to avoid the possibility of ** again.
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Patellomalacia is not terrible, it hurts and your knees hurt! 3 identification methods, practical and personal.
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1. Patellar compression and grinding test: during the examination, the intercondylar articular surface of the patella and its opposite femur is squeezed and ground or slid up and down, left and right, and there is a rough friction feeling, friction sound and pain and discomfort; Or the examiner may cause pain by pushing the patella firmly to one side with one hand and pressing the thumb of the other hand against the back of the patellar margin. In the case of fluid in the joint cavity, the floating patella test may be positive.
2. One-leg squat test: the patient holds weight on one leg, and gradually squats to 90° 135° when he is painful and soft, and cannot stand up on one leg after squatting.
3. X-ray examination: according to the anterior and lateral positions of the knee joint and the tangential position of the patella, there is no abnormality in the early stage, and the gap between the patella and the femoral condyle is narrowed due to the wear of large parts of the cartilage in the late stage, and there can be bone hyperplasia at the edge of the patella and femoral condyle.
4. During radionuclide bone scintigraphy examination, the lateral view showed localized radioactive concentration of the patella, which has early diagnostic significance.
I hope you can get help after reading the above examination methods for patellomalacia, there are many kinds of examination for patellar malacia, according to the doctor's advice and your actual situation, choose the examination method that suits you, and get diagnosed as soon as possible. In our daily life, we should pay attention to diseases such as patellar malacia, and use the patella... Shungu··· An Yu. Because of this kind of disease, the inconvenience of movement has a great impact on life.
I wish the patient a speedy day**!
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"Patellar osteomalacia is also known as patellar osteomalacia in medicine, which is a disease that is more common among young people, mainly in young adults, and is more common for comrades who love sports or take sports as a profession, and the incidence of women is higher than that of men. Its main change is due to trauma or excessive exercise, which causes premature degeneration or aseptic inflammation of the patellar cartilage, which may cause cartilage to swell, or even wear or fall off, and finally cause knee pain. This pain is mainly manifested in the case of weight bearing, such as half-squatting or squatting, climbing a mountain, pain occurs, and even sudden weakness of the knee joint.
Some patients with osteomalacia of the patella may cause osteoarthritis of the patella later if it is not well controlled, resulting in irreparable and serious joint damage, and most of the osteomalacia can be recovered by rest and physiotherapy drugs. It is still relatively difficult to self-judge patellomalacia, and it is generally important to remember a few points, that is, young people sometimes have pain in the area under the patella when bearing weight, so it is more likely to be patellar malocracia. Once this happens, reduce activity, and then glucosamine drugs may be used to protect the cartilage, and physical therapy may be done. "
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Patellomalacia is a degenerative change of cartilage, mainly according to the symptoms, postpatellar pain in the knee joint, aggravation of pain after squatting and standing, going up and down stairs or walking long distances, knee instability, pain, swelling, it can be considered, it is best to go to the hospital orthopedic surgery for examination
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Patellomalacia is a common and frequent disease in knee surgery, and the technical term should be patellofemoral cartilage injury or degeneration. The main clinical symptoms are knee joint pain, which is mainly pain when the knee joint is exerted, pain in jumping, pain in going up and down stairs, difficulty in squatting, often feeling weakness and weakness in the calf, and friction when the joint is moving. Continued development may cause pain in walking flat, swelling of the joints.
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Patellomalacia is usually examined by x-rays, which can show cartilage wear and bone hyperplasia in the patella. Retropatellar pain can be caused by parallel femoral grinding and single-leg squatting, and patellar malacia is often considered.
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Direct trauma to the knee can cause fractures of the patellar cartilage or osteochondral fractures, or due to multiple injuries, such as sports injuries, causing degenerative changes in cartilage, rough cartilage surface, loss of luster, and in severe cases, cartilage detachment, bone exposure, and damage to the corresponding femoral articular surface. The site of injury is usually in the center of the patella. The main symptom is postpatellar pain in the knee joint, which varies from mild to severe, and generally does not show symptoms of flat walking, and the pain is aggravated after squatting, going up and down stairs, going up and down the stairs, going up and downhill, or walking long distances.
** of chondromalacia patella.
1. Usually avoid catching a cold, avoid continuous squatting and strenuous exercise, such as climbing, climbing stairs and other exercises in knee flexion position, you can apply hot compress physiotherapy massage.
2. You can do some ** training, it will be better to exercise more, and with the external application of the patella Shungu Anyu patch, the symptoms will be slowly reduced.
3. Oral painkillers**, such as ibuprofen and diclofenac sodium, as well as blood-invigorating drugs.
4. Change poor posture, avoid overwork and cooperate with acupuncture**.
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X-rays should be taken first, as early patellomalacia may not be specific on x-rays; After the disease has progressed to a certain stage, there may be blurring of trabeculae on X-ray, and even false bone lines may appear. There is also pain after activity, which is relieved after rest. The pain is usually located on the anterior side of the knee joint, and the physical examination can show that the knee joint generally has no swelling in the early stage, and there will be swelling of the knee joint and even joint effusion in the middle and late stages.
The diagnosis of chondromalacia patella, mainly pain in the knee joint, followed by localized swelling, abnormal patellar movement or movement pain, and ancillary tests suggests, usually leads to a very clear diagnosis.
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It is recommended to rest, rest, avoid strenuous activities, eat more foods high in calcium and rich in collagen, eat less raw and cold foods, and quit smoking and alcohol.
After the diagnosis is confirmed, hot compresses are given, and the patella is applied internally, and Shungu is applied. Anyu, stickers and other medicines**, Bao Bao has, pay attention to rest.
If necessary, you should see a doctor and do not delay the condition. In the process of health care, it is necessary to pay attention to the warmth of the knees, do not get cold, and wear shoes that fit well, have soft soles, and are comfortable.
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The most direct way to diagnose patellar omalacia is to check through the symptoms of the disease, if there are common symptoms of patellar malacia, consider the disease, and go to the hospital for professional examination in time. Oplastylacia patella is more common in young adults, and these people are more likely to have significant knee trauma on multiple occasions. Patellomalacia causes pain in the patella of the knee joint, sometimes mild, and tends to worsen if you exercise and walk for a long time, and when you go up and down stairs.
In addition to symptoms, a professional examination can be done to confirm the diagnosis of chondromalacia patella. X-rays are a common form of testing for chondromalacia patella. X-rays of the frontal, lateral and tangential positions of the knee can reveal frontal wear and narrowing of the gap between the patella and other bones.
Radionuclide examination is important for the early detection of patellar osteomalacia and can confirm the diagnosis of the disease. In addition to this, a physical examination can also be used as an adjunct. Have the patient perform a one-legged squat experiment.
When a person squats to 90° 135°, if the disease occurs, symptoms such as patellar pain and knee weakness will occur. In the case of patellomalacia, people are often unable to stand up after squatting.
Diagnosis of chondromalacia patella can be confirmed by the symptoms of the disease, a physical examination, and a professional examination. Patients diagnosed with chondromalacia patella, must be actively involved in the disease**. And in life, you should pay attention to the use of your knees and do not exercise excessively, so as not to lead to aggravation of the disease.
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An x-ray should be taken to confirm the diagnosis of patellomalacia, which occurs due to a disturbance in the biomechanics of the patellofemoral joint. The lateral patellar tilt or proximal dislocation leads to the influence of the medial patellar cartilage on the lateral femoral condyle pulley, resulting in excessive wear and tear of the cartilage in the lateral joint space, chondrocyte shedding, bone hyperplasia, joint space narrowing and other clinical symptoms: anterior knee pain, sitting downhill, downhill when the pain is aggravated, weak legs, cold intolerance, repeated swelling of the knee joint, fluid accumulation, etc.
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Tenderness is evident at the edge of the patella, and a friction rub or sensation may occur when pushing the patient's patella. Generally, X-ray examination, CT examination, and magnetic resonance examination are performed, and combined with the clinical manifestations of the patient, the patient can be diagnosed with patellar osteomalacia, so that the corresponding plan can be formulated.
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Diagnosis is made by clinical symptoms in combination with the typical axial examination of the knee showing patellar tilt or subluxation and narrowing of the lateral patellofemoral space.
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Patellomalacia is not terrible, it hurts and your knees hurt! 3 identification methods, practical and personal.
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For patients with chokemalacia, there is obvious pain in the front of the knee and behind the patella, especially when the knee joint is flexed and extended and weight-bearing, the pain will be significantly aggravated.
If there is obvious roughness or friction sound and obvious pain and discomfort, it means that there is a presence of patellomalacia, and the patient can use the one-leg squat test, generally squatting to 90 degrees to 135 degrees, if there is a pain and softness, and with the radiograph, there is cartilage wear or the patella and femoral condylar space narrowing, you can diagnose patellomalacia.
1.Physical therapy: When swelling and pain suddenly worsen, cold compresses should be applied, and after 48 hours, hot and moist compresses and physiotherapy should be used to relieve symptoms. >>>More