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您请求的操作仅限于组中的用户:==诊断程序==由于病理性皱襞的症状不具体,诊断程序应保持高度怀疑,并理想地通过排除来区分任何其他膝关节紊乱。 contemporary Rev musculloskeletal Med. 2008;1(1): 53-60。2007年11月27日在线出版。 *体格检查:由于直接触诊时前内侧囊或髌上囊周围区域可能有压痛,不能给出排他结果。*激发测试:可以应用模拟可能导致出现症状的条件的激发测试。如果检查产生的症状与患者通常经历的症状相似,则这些结果将被视为阳性。然而,由于类似的症状也可能与膝关节的其他状况有关,这种方法也不会给出明确的结果。*由于x光片呈阴性,因此对确定患者是否患有皱襞综合征没有诊断价值。然而,x线摄影可以帮助排除与皱襞综合征症状相同的其他综合征(见鉴别诊断)。如果有症状性皱襞,则表现为肥大和炎症。 This will lead to thickening and eventually fibrosis. If the fibrosis is significant, changes in the articular surface and the subchondral bone may occur. *Arthroscopy can be helpful because plica syndrome is often confused with chondromalacia or a medial meniscal tear. Lateral pneumoarthrography and double contrast arthrography have been used with varying success. In combination with CT, it can not only visualise the plica, but it also demonstrates whether or not impingement is present. However, currently it has gone out of use because of problems to obtain reproducible and reliable results and the exposure to radiation.Curr Rev Musculoskelet Med. 2008 Mar; 1(1): 53–60.fckLRPublished online 2007 Nov 27. doi: 10.1007/s12178-007-9006-z *Nowadays, the best results are obtained through MRI Scans. Most cases of plica syndrome do not absolutely require MRI, but it can help to rule out other pathologies that can cause knee pain. An MRI can excludes bone bruises, meniscus tears, ligament injuries, cartilage defects, OCD lesions,… that may masquerade as plica syndrome. MRI is useful to evaluate the thickness and extension of synovial plicae and it can also detect a pathologic plica, particularly if an intra-articular effusion is present.Curr Rev Musculoskelet Med. 2008 Mar; 1(1): 53–60.fckLRPublished online 2007 Nov 27. doi: 10.1007/s12178-007-9006-z

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