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Interpreting Knee Joint Pain Is Challenging

release time:2022-01-20|reading:

Knee pain is also troublesome

解读 膝关节痛也挑人

Knee joint pain is a common and frequently occurring disease in the outpatient department of joint orthopedics, which usually accounts for about half of the outpatient patients.


The old man told you that he had "Gelaogai pain" and could not squat down;


In the prime of life, he said that his knees were painful and it was difficult to play and exercise;


Teenagers often say that the knee can't jump, and the joint pain can be dull, dull, and continuous;


The heavy ones are sharp pain, painful suffering, and even difficult to move.


Patient information often asks with one voice what is the problem of knee joint pain and how to treat it.


Although the pain of the old, young and young people is in the knee joint, the etiology and treatment research methods are also different. It is not clear in a few words.


Without effective and timely diagnosis and correct treatment, it will not only increase the patient's pain, but also delay the disease, and may even cause joint deformity, stiffness and loss of labor ability.


Here is a brief explanation of the common knee pain among the three groups of people.


Osteoarthritis is more common in middle-aged and elderly people over 60 years old. It is more common in women and former manual workers. The onset is slow. It is manifested as pain in the medial knee, often just walking pain. After walking for a period of time, it gets better and more painful. It is difficult to go up and down stairs and squat down.


X-ray examination showed stenosis of joint space and hyperosteogeny.


The symptoms can be improved mainly by strengthening exercise, massage and physical therapy, and drugs can also be taken appropriately.


Chondromalacia patellae is commonly seen in women around 50 years old. The knee joint has obvious pain, flexion and extension of the knee joint have obvious friction, it is difficult to go up and down stairs and squat down, and there is no obvious discomfort when walking on the flat ground.


X-ray and MRI showed cartilage degeneration and exfoliation, calcium supplement and quadriceps exercise could alleviate the symptoms.


Traumatic arthritis is mostly seen in energetic young adults. Due to a series of symptoms such as uneven articular surface or unbalanced weight bearing, articular cartilage deformation, joint pain, and dysfunction caused by trauma, the history of trauma surgery is relatively obvious;


The most obvious is the joint with heavy load and frequent activities.


The main treatment methods are symptomatic analgesia and surgical orthopedics.


Meniscus injuries, mostly seen in young and middle-aged people, have a history of sports injuries or long-term squatting work, manifested as knee joint space pain, joint flexion and extension pain aggravation, joint snapping, leg weakness, etc.


MRI can be used to make a definite diagnosis, often requiring arthroscopic surgery.


Rheumatoid arthritis is mostly seen in some young people. The pain is mostly seen in the shoulder, elbow, wrist, knee and other large joints.


Two weeks before the onset, there is often a history of respiratory virus infection, tonsillitis and other streptococcal infections. The local manifestations of the joints are red, swollen, hot, painful and repeated wandering attacks.


Laboratory analysis showed that anti "O" increased, erythrocyte sedimentation rate accelerated and leukocyte count increased.


Penicillin, aspirin and indomethacin are effective drugs.


Pyogenic arthritis is commonly seen in the elderly and children with weak constitution.


Primary lesions can be seen in other parts of the body or have a history of local trauma. In addition to joint pain, limited mobility and other symptoms, they are also accompanied by systemic symptoms, such as chills and high fever.


The number of white blood cells was increased by laboratory examination. Pathogenic bacteria could be found by blood culture, and pus could be seen by puncture. Effective antibiotics were selected according to the culture of different pathogenic bacteria.


Gouty arthritis is common in middle-aged and elderly people. The incidence of gouty arthritis in young people has gradually increased in recent years due to changes in diet.


Pain is common in the big toe and the first metatarsophalangeal joint, and it is not uncommon in the knee joint.


Purine metabolic disorder disease often induced by alcohol consumption, with obvious joint swelling and hot pain in the acute phase, and gouty stone formation in the local joint in the chronic phase.


The elevation of serum uric acid level is the basis of diagnosis.


The use of analgesics, lowering uric acid and other drugs has special effects.


Acute synovitis is commonly seen in children and adolescents after excessive activity. Repeated pain, swelling, fluid accumulation, fatigue and fatigue of the knee joint are the main manifestations, followed by increased walking pain, no obvious abnormality in X-ray examination, and recumbent rest and oral medicine can alleviate the symptoms.


Tibial tubercle epiphysitis, which is commonly seen in teenagers, such as running and jumping, kicking, often occurs after exercise, and is manifested as pain in front of the knee joint at the prominent tibial tubercle. It improves after rest, and the x-ray has no obvious change.


Growth pain, mostly seen in children and adolescents in the development stage, is characterized by symmetrical pain on both knees, which is aggravated after activity and alleviated after rest. The pain is not acute and can be tolerated. It is diagnosed after excluding some other pathological diseases.


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