髌股关节不稳与疼痛
简介
髌股疼痛与不稳是常见致残性疾病，多见于年轻女性患者。评估其病理机制需结合详细病史、体格检查与高级影像学检查。治疗（手术与非手术）核心目标是降低复发性不稳和软骨损伤风险，实现无痛、稳定的膝关节。关键是要全面掌握患者的人口学特征与解剖危险因素，以制定最合适的治疗方案，降低复发风险。临床意义：强调个体化评估与治疗策略的重要性。
英文摘要
Patellofemoral pain and instability are debilitating conditions, most commonly presenting in a young, predominantly female patient cohort. Assessment of underlying pathophysiology requires a detailed history, focused physical examination, and proper assessment of advanced imaging. Treatment, both operative and nonoperative, is focused on reducing the risk of recurrent instability and chondral damage, to provide a patient with a pain-free, stable knee. It is essential to have a comprehensive understanding of the patient's demographic and anatomic risk profile to best determine the most appropriate and effective treatment course and mitigate their risk of recurrence.