l******5
发帖数: 65 | 1 领导两年前从楼梯滑倒，有点摔伤，但骨头无恙，做了物理治疗，没有觉得有帮助，后
来慢慢不疼了。一个月前，突然又有疼痛。找了X光， MRI， 结果说“mild
nonspecific edema surrounding the distal aspect of the pes anserine tendons
near their insertion on the anteromedial tibia. No focal fluid collection to
suggest bursitis.". 医生给开了外用的消炎药，diclofenac sodium gel. 领导用了
两周，好像不见效。 医生说如果不行，要在膝盖注射药物。我不知版上有没有医生，
看有没有好的办法。
顺便说一下，我们看医生前用了一周Thermal pad， 好像管用，但又好像治标不治本。 |
|
A*****a
发帖数: 52743 | 2 轻度的pes anserine bursitis, 一般都是保守疗法，理疗，坚持有目的的运动。消炎
药都不一定需要。这种软组织挫伤类的，需要相当长的耐心恢复。坚持理疗，热敷等你
能想到的方法，过几个月后，还不见好转，再去看，是不是误诊或其它原因导致病症。
tendons
to |
|
g*2
发帖数: 658 | 3 有点像anserine bursitis。也可能啥事没有
诊断
Diagnosis — The diagnosis of anserine bursitis requires:
Local tenderness
A negative valgus stress maneuver (indicating an intact medial
collateral ligament)
Normal x-ray of the tibia (no underlying bony pathology)
体检
Physical examination — Patients should be examined for tenderness at the
medial tibial plateau, along with a thorough examination of the knee and an
analysis of the patient’s gait.如图
治疗
The goals of treatment are to reduce the pain and sw... 阅读全帖 |
|
g*2
发帖数: 658 | 4 A 24-year-old, Caucasian, female, soccer player presents to your office with
right anterior knee pain. The pain is provoked by climbing the stairs or by
prolonged sitting. She said that she twisted her right ankle several times
before. Otherwise, her past medical history is insignificant. Physical
examination reveals retropatellar pain and crepitation on vigorous right
patellar compression. Which of the following is the most likely diagnosis of
this patient?
A. Patellar tendonitis
B. Patello-fem... 阅读全帖 |
|
g*2
发帖数: 658 | 5 A. Patellar tendonitis髌腱炎
B. Patello-femoral pain syndrome髌骨股骨疼痛综合征
C. Prepatellar bursitis 髌前滑囊炎
D. Osgood-Schlatter disease 胫骨粗隆骨软骨病
E. Anserine bursitis 我也不知道怎么翻译，看图吧 |
|
g*2
发帖数: 658 | 6 谢谢大家的回复和讨论。答案是B
Patello-femoral pain syndrome is the most common cause of knee pain in
patients younger than 45 years of ago,and is particularly common in women.
The patello-femoral joint is affected by the disease; the histologic is
classified as "overuse" injury, and is also common in athletes. The typical
clinical scenario includes anterior knee pain that is provoked by climbing
the stairs or prolongs sitting. A physical examination may reveal
retropatellar pain and crepitation on vigorous ri... 阅读全帖 |
|
g*2
发帖数: 658 | 7 A 24-year-old, Caucasian, female, soccer player presents to your office with
right anterior knee pain. The pain is provoked by climbing the stairs or by
prolonged sitting. She said that she twisted her right ankle several times
before. Otherwise, her past medical history is insignificant. Physical
examination reveals retropatellar pain and crepitation on vigorous right
patellar compression. Which of the following is the most likely diagnosis of
this patient?
A. Patellar tendonitis
B. Patello-fem... 阅读全帖 |
|
g*2
发帖数: 658 | 8 A. Patellar tendonitis髌腱炎
B. Patello-femoral pain syndrome髌骨股骨疼痛综合征
C. Prepatellar bursitis 髌前滑囊炎
D. Osgood-Schlatter disease 胫骨粗隆骨软骨病
E. Anserine bursitis 我也不知道怎么翻译，看图吧 |
|
g*2
发帖数: 658 | 9 谢谢大家的回复和讨论。答案是B
Patello-femoral pain syndrome is the most common cause of knee pain in
patients younger than 45 years of ago,and is particularly common in women.
The patello-femoral joint is affected by the disease; the histologic is
classified as "overuse" injury, and is also common in athletes. The typical
clinical scenario includes anterior knee pain that is provoked by climbing
the stairs or prolongs sitting. A physical examination may reveal
retropatellar pain and crepitation on vigorous ri... 阅读全帖 |
|
g*2
发帖数: 658 | 10 feels like anserine bursitis
The goals of treatment are to reduce the pain and swelling in the bursa and
to identify and treat any underlying cause of abnormal gait. Activity
restriction, knee protection, and ice are the treatments of choice for acute
bursitis.
Eliminate squatting and direct pressure on the bursa (with a pillow between
the knees at night).
Apply ice for 15 minutes every four to six hours to relieve pain. |
|
e****0
发帖数: 678 | 11 • 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 |
|
