l**n
发帖数: 2405 | 1 我的左膝盖和右膝盖比较一直比较weak。
现在跑完步，休息几个小时后，坐下，伸直左腿，左脚向内侧倾斜，脚底全部着地。
然后左大腿向外侧旋转会感到左膝盖内后方非常疼，怎么回事？
这种不适会持续好多天甚至几个礼拜。不过平时走路，跑步倒是不妨碍。
请大家帮我诊断诊断。
谢谢！
Update:
这个网站的内容说旋转膝盖带来的疼痛一般是meniscal受伤：
http://www.merck.com/mmpe/sec21/ch309/ch309f.html
Pain during compression and knee rotation suggests a meniscal injury; pain
during distraction and knee rotation suggests a ligamentous or joint
capsule injury. |
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f*1
发帖数: 837 | 2 有，但是那样问题就不严重，也就可以不太计较。
研究表明，人老了，很多或多或少半月板都有些问题。如果没什么症状，走路没什么问
题，就没必要去做MRI或手术。
http://www.nia.nih.gov/newsroom/announcements/2009/05/meniscal-
Meniscal tears common in older adults, even without symptoms
May 12, 2009
The prevalence of meniscal tears in adults increases with age, but often
they are not accompanied by knee pain or other symptoms, according to a
recent study supported in part by the NIA. Researchers led by Dr. Martin
Englund of the Boston University School of Medicine sought to dete... 阅读全帖 |
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g*2
发帖数: 658 | 3 补充几个：
1） Chondromalacia patella （髌软骨软化征） is a common cause of kneecap
pain or anterior knee pain. Often called "Runner's Knee," --Allowing the
inflammation of chondromalacia to settle is the first step of treatment.
Avoiding painful activities that irritate the knee for several weeks,
followed by a gradual return to activity is important. In this time, cross-
training activities, such as swimming, can allow an athlete to maintain
their fitness while resting the knee. The next step in treatment i... 阅读全帖 |
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g*2
发帖数: 658 | 4 补充几个：
1） Chondromalacia patella （髌软骨软化征） is a common cause of kneecap
pain or anterior knee pain. Often called "Runner's Knee," --Allowing the
inflammation of chondromalacia to settle is the first step of treatment.
Avoiding painful activities that irritate the knee for several weeks,
followed by a gradual return to activity is important. In this time, cross-
training activities, such as swimming, can allow an athlete to maintain
their fitness while resting the knee. The next step in treatment i... 阅读全帖 |
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g*2
发帖数: 658 | 5 有没有红肿，热的感觉？ 痛的位置在哪里？ 膝盖的伸，曲， 有没有影响？ 能做半蹲
的动作吗？休息的时候痛吗？膝盖动的时候没有发出响声？
膝盖痛很多原因，可以看看下面的。如果去看医生，也可以先知道一些医学单词
KNEE PAIN CAUSES — There are many conditions that can cause knee pain.
Patellofemoral pain syndrome — This is a group of symptoms most commonly
caused by overuse of the knee. It affects many running athletes, and is more
common in women than men. It causes pain in the front of the knee, and pain
may worsen with squatting, running, prolonged sitting, or when climbing or
descending steps. (See "... 阅读全帖 |
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e****0
发帖数: 678 | 6 • Exaggerated deep tendon reflexes can be seen in lock in syndrome.
• Non bleeding varices are managed with nonselective beta-
adrenergic antagonists, such as propranolol.
• Sclerotherapy, endoscopic band ligation, and surgery are
indicated after a patient has a first episode of variceal bleeding.
• TIPS is a last resort in variceal bleeding unresponsive to
medical and endoscopic intervention.
• Ischemic colitis
CT—thickening of eth bowel ... 阅读全帖 |
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p****g
发帖数: 43 | 7 There is no medication can cure meniscal tear, period. Arthroscopic removal
or repair torn menisci is not a big deal. Meniscal tear is a pure mechanical
failure of the knee joint. No medications can heal a torn menisci. |
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h********1
发帖数: 1061 | 8 最初原因可能是运动过渡，2个礼拜前作了MRI, 报告这样说的：
1。probably mild chondromalacia at the patella with minimal patella alta.
2. Minimal knee joint effusion.
3. No evidence of a meniscal or ligament tear.
4. No MR evidence of iliotibial band friction syndrome.
请问，这种情况严重嘛？看似不严重，可为什么疼了7，8个月呢，而且我还一直在吃消
炎药 ＆glucosamine。现在，我应该怎么做呢？ |
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g*2
发帖数: 658 | 9 还是要根据你的运动情况，看你是哪个level的，感觉你不应该是III和IV,否则不会去
滑雪了：
Treatment options must be tailored to a patient's preoperative level of
activity. The following activity levels are based on the International Knee
Documentation Committee:
*
level I includes jumping, pivoting, and hard cutting.
*
level II is heavy manual work or side-to-side sports.
*
level III encompasses light manual work and noncutting sports (eg,
running, cycling).
*
level IV is sedentary activity witho... 阅读全帖 |
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s******3
发帖数: 1767 | 10 Breaking News Alert
The New York Times
Saturday, March 31, 2012 -- 6:37 PM EDT
-----
Jeremy Lin Out for Rest of Regular Season With Knee Injury
Jeremy Lin’s basketball season has come to an abrupt and untimely end,
because of a knee injury that will require surgery.
Lin, the Knicks’ point guard, has a small, chronic meniscal tear in his
left knee, the Knicks announced Saturday night. He will undergo arthroscopic
surgery and is expected to miss six weeks, wiping out the rest of the
regular season... 阅读全帖 |
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l**n
发帖数: 2405 | 11 站着得时候左腿向外拧也能感觉到同样的疼痛。难道跑版没有
人有类似的毛病么？ |
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f*******d
发帖数: 12693 | 14 看个PT去吧，我这次看PT觉得确实很有用，以后再也不去免费的中医按摩了。 |
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l**n
发帖数: 2405 | 16 PT大夫回来。说还是因为ITBS太紧导致跑步的时候ITBS拉扯膝盖的筋引发。
她建议多用foam roller减轻ITBS的紧张度。 |
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g*2
发帖数: 658 | 18 Overview of running injuries of the lower extremity
Author
Lisa R Callahan, MD Section Editor
Karl B Fields, MD Deputy Editor
Jonathan Grayzel, MD, FAAEM
All topics are updated as new evidence becomes available and our peer review
process is complete.
Literature review current through: Feb 2012. | This topic last updated: Oct
20, 2011.
INTRODUCTION — Running is one of the world’s most popular forms of
exercise, with millions of regular participants. In the United States alone,
up to 40 mil... 阅读全帖 |
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g*2
发帖数: 658 | 19 Popliteal pain or pressure — Popliteal pain or pressure can accompany any
of the above pain patterns (anterior, medial, lateral knee pain). It is most
commonly caused by the buildup of pressure from a large, acute effusion.
When the patient flexes the knee in the presence of an effusion, the
quadriceps mechanism forces the fluid posteriorly. Pressure is exerted on
the gastrocnemius muscle, vascular structures, and the branches of the
sciatic nerve, leading to local pain, lower extremity edema, a... 阅读全帖 |
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j*****A
发帖数: 1395 | 20 请教一下老刀，对我的膝盖伤给点建议。我两个月前滑snowboard膝盖扭伤，伤在左膝盖内侧，之后还开车一个
小时回家，一下车就发现膝盖剧痛，很难伸直。后在家休息了两天，一个礼拜后走路多
了膝盖会痛，一瘸一瘸，伸曲会痛，只好去看家庭医生，然后做了MRI,发现：High
signal around th media collateral ligament. Partial tear of the medial
collateral ligament is suspected.
The lateral collateral ligament is within normal limits. Quadricept tendon
is within normal limits. Questionable sprain of the patellar tendon at the
attachment at the tibial tubercle. High T2 signal may be bone marrow edema
at the anterior aspect of the tibia.... 阅读全帖 |
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i**********d
发帖数: 853 | 21 膝部的损伤的鉴别诊断：
Anterior Cruciate Ligament (ACL): noncontact sports / high contact sports，
may hemarthrosis, joint instability with weight bearing
Medial collateral Ligament (MCL): lateral struck on the knee, no
hemarthrosis,
Meniscal tear (半月板撕裂): subacute or chronic locking/catching sensation.
半月板撕裂 --> 需要半个月慢慢出现症状。
Patellofemoral pain syndrome: chronic overuse, no hemarthrosis. |
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i**********d
发帖数: 853 | 22 膝部的损伤的鉴别诊断：
Anterior Cruciate Ligament (ACL): noncontact sports / high contact sports，
may hemarthrosis, joint instability with weight bearing
Medial collateral Ligament (MCL): lateral struck on the knee, no
hemarthrosis,
Meniscal tear (半月板撕裂): subacute or chronic locking/catching sensation.
半月板撕裂 --> 需要半个月慢慢出现症状。
Patellofemoral pain syndrome: chronic overuse, no hemarthrosis. |
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z******8
发帖数: 844 | 23 ☆─────────────────────────────────────☆
zhu84518 (Henry) 于 (Mon May 5 23:08:37 2014, 美东) 提到:
一个好的口诀胜读10遍书，记住的知识点那是经久不忘，真是受益匪浅。我和Jeff一起
学习的时候编了不少好的口诀，现在Jeff考试考完了，match完了，抽点时间和我一起
把我们之前的口诀总结出来，一来是奉献麦地，也希望能够帮助后来的同学，二来是防
止我们的口诀继续在那里吃灰，这可都是我们耗费了多少脑细胞的成果。我们打算每天
抽点时间把口诀贴到此贴，如果有同学有自己的口诀想要分享，欢迎跟帖！
☆─────────────────────────────────────☆
zhu84518 (Henry) 于 (Mon May 5 23:12:40 2014, 美东) 提到:
☆─────────────────────────────────────☆
zhu84518 (Henry) 于 (Mon May 5 23:19:23 2014, 美东) 提到:
Toxopl... 阅读全帖 |
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b******e
发帖数: 739 | 24 我老公的左腿中部半月板破裂，前交叉韧带(ACL)断裂.半月板的一块大碎片卡在槽口。
请问切半月板和接韧带 或只做半月板手术需要多少钱（保险前），有谁做过此手术。
多长时间能恢复？
There is a medially displaced bucket-handle tear of the medial meniscus,
with a large displaced meniscal fragment at the level of the intercondylar
notch, located anterior to the PCL on the sagittal sequence. There is
disruption of the ACL fiber, constituting anterior cruciate ligament tear. |
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s*u
发帖数: 1778 | 25 这个地方是最！！！敏感爱受伤的地方。。。我N年不骑自行车，就骑了一次膝盖内侧就
开始疼。。。
一般拉伤，大概休息过阵子就能好；但是如果是以下情况，严重的要做手术：
Meniscus tears
The meniscus can be torn with the shearing forces of rotation that are appli
ed to the knee during sharp, rapid motions. This is especially common in spo
rts requiring reaction body movements. There is a higher incidence with agin
g and degeneration of the underlying cartilage. More than one tear can be pr
esent in an individual meniscus. The patient with a meniscal tear may have a
rapid onset of a p |
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