Kniebeschwerden

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• 作者：Prof. Dr. H. Tilscher
• 关键词：SchlüsselwörterKniegelenk ; Schmerzen ; Meniskus ; Palpation ; Lokalanästhesie
• 刊名：Manuelle Medizin
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：55
• 期：1
• 页码：18-20
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Chiropractic Medicine; Orthopedics; Conservative Orthopedics; Rehabilitation; Sports Medicine;
• 出版者：Springer Medizin
• ISSN：1433-0466
• 卷排序：55

文摘

The diagnostic assessment of knee problems necessitates exclusion or recognition of pathomorphological alterations, which can be associated with the complaints. The latter is also and in particular the role of the clinical examination, which indicates the therapeutic measures by identification of the main pathological structures. Pain palpation plays a particular role in clinical examination techniques because disorders of extracapsular anatomical structures, such as the tendon insertion points of the extensor apparatus and the collateral ligaments can also cause the complaints. Occasionally pressure pain occurs in the origin of the tibialis anterior muscle and treatment, particularly with dry needling or therapeutic local anesthesia, should be considered. Furthermore, pressure pain can be present medial to the tibial tuberosity, the so-called medial tibial plateau, which should also be included in the treatment strategy. Problems with the meniscus need a separate analysis because other structures can manifest as the cause of the complaints apart from meniscopathies.