髌内侧滑膜皱襞综合征临床诊断标准的探讨

目的提高髌内侧滑膜皱襞综合征的临床诊断水平。方法通过对６７例经关节镜证实为病理性内侧滑膜皱襞膝关节的术前临床表现的回顾性分析,探讨其临床诊断标准。结果髌内侧滑膜皱襞综合征有以下主要临床表现：（１）患者均有膝痛和髌内侧压痛;（２）可触及痛性索条;（３）“压迫股内髁膝关节屈伸试验”阳性;（４）麦氏征阳性。结论（１）膝痛及髌内侧压痛伴有“压迫股内髁膝关节屈伸试验”阳性、触及痛性索条、麦氏征阳性中的任一项,即可初步诊断为髌内侧滑膜皱襞综合征;（２）膝痛及髌内侧压痛伴有“压迫股内髁膝关节屈伸试验”阳性、触及痛性索条、麦氏征阳性中的二项或三项,即可确立诊断

Clinical diagnostic standard of mediopatellar plica syndrome

Objective To increase the level of clinical diagnosis of mediopatellar plica syndrome. Method We reviewed the preoperative clinical symptoms of 67 knee joints that were proved to have pathologic mediopatellar plica by arthroscopy. Result Mediopatellar plica syndrome had the following clinical symptoms: painful knee and mediopatellar tenderness in all patients; tender bands in 56.7% patients; positive test of flexion or extension with internal femoral condyle pressed in 62 7% patients; positive Mcmarry's sign in 31 3% patients. Conclusion The clinical diagnostic standard of mediopatellar plica syndrome is that the first above mentioned clinical symptom plus one of other three symptoms could suggest the diagnosis,while the first clinical symptom plus two or three of other three symptoms could define the diagnosis.