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Addition of hip exercises to treatment of patellofemoral pain syndrome:A meta-analysis

World Journal of Meta-Analysis 2015年第2期3卷 118-124页

作者： Kimberly M Morelli Maria Carrelli Maria A Nunez Caroline A Smith Gordon L Warren Department of Physical Therapy Georgia State University

AIM:To determine if the addition of hip-strengthening exercises decreases pain and improves function in patients with patellofemoral pain ***:The authors completed a systematic reviewsearching eight databases(i.e.,Pub Med,Cochrane,CINHAL,MEDLINE,Sports Discus,EMBASE,APTA Hooked on Evidence,and PEDro).Two independent reviewers screened and excluded studies if they did not meet the following inclusion criteria:subjects had a primary diagnosis of patellofemoral pain syndrome(PFPS),intervention group included hip-strengthening exercises,control group included a traditional physical therapy intervention,study included outcome measures of pain and/or function,study used a randomized controlled trial design,PEDro score was ≥ 7,and study was published in a peer-reviewed *** outcome measures were subjective scales of pain and *** measures were converted to standardized mean difference [effect size(ES)],and a random-effects model was used to calculate the overall ***:Two hundred eighty-three studies were screened for inclusion in our *** studies were deemed suitable for data extraction and analysis.A total of 426 subjects were used in the nine ***,there was a significant positive effect of hip-strengthening exercises on measures of pain and function in subjects with PFPS(ES = 0.94,P = 0.00004).None of the individual studies had a negative ES,with study ES ranging from 0.35 to *** of the high degree of between-study variance(I2 = 76%;Q = 34.0,P < 0.001),subgroup meta-analyses and meta-regressions were *** of the potential moderator variables that were investigated(e.g.,outcome type,hip region targeted,duration of treatment) could explain a significant amount of the between-study variance in ES(P ≥ 0.23).CONCLUSION:Overall,the addition of hip-strengthening exercises to traditional physical therapy produced greater improvements in measures of pain and function.

关键词： Exercise therapy Systematic review knee joint Physical therapy modalities

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A correlative study between prevalence of chondromalacia patellae and sports injury in 4068 students

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Chinese Journal of Traumatology 2003年第6期6卷 370-374页

作者：张辉孔祥清程琮梁茂华 Affiliated Hospital of Taishan Medical College Taishan Clinical Department of Jining Medical College Jining

Objective: To study the prevalence of chondromalacia patella among college students and the correlation with sports injury. Methods: 354 students from gymnastic department and 429 from nongymnastic department with knee joint pain were selected. 184 students from gymnastic department and 342 from nongymnastic department were checked randomly by a surgeon. 77 patients (37 males, 40 females) from gymnastic department and 119 patients (62 males, 57 females) from nongymnastic department were diagnosed as chondromalacia patellae. The amount of exercise and the occurrence of sports injury were investigated in each student. All data were analyzed with SPSS 10.0 statistical software. Results: The prevalence of chondromalacia patella was 20.1% in female students and 11.6% in male students from gymnastic department, and 5.61% in female students and 4.92% in male students from nongymnastic department. The amount of exercise and the occurrence of sports injury to the knee joint in students from gymnastic department were greater than those from nongymnastic department. Conclusions: In both female and male students, the prevalence of chondromalacia patella is higher in gymnastic department than nongymnastic department. Sports injury is an important cause of chondromalacia patella.

关键词： Patella Prevalance knee joint

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Experimental study on the repair of tibial plateau defect

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Chinese Journal of Traumatology 2012年第5期15卷 268-272页

作者： XU Hai-lin HAN Na KOU Yu-hui WANG Yan-hua ZHANG Hong-bo JIANG Bao-guo Department of Orthopaedics and Traumatology Peking University People's HospitalBeijing 100044China

Objective： To evaluate the effect of autograft bone, allograft bone, calcium sulfate bone cement, and calcium phosphate bone cement on the repair of tibial plateau defect in rabbits. Methods： We used autograft bone, allograft bone, calcium sulfate bone cement, and calcium phosphate bone ce ment to repair tibial plateau defect in rabbits. Gross and histo logic observations, Xray examination, and biomechanical test were conducted at 1, 2, 4, 8 weeks after operation. Results： Xray examination found that the bone den sity was evidently reduced in calcium sulfate group at 8 weeks after operation; there were no marked changes in other groups. The maximal load measurements showed that autograft and allograft groups were greater than calcium sulfate and calcium phosphate groups at 1 and 2 weeks after operation. However at 4 and 8 weeks after operation, no significant difference was found among the four groups. In autograft and allograft groups, there was no significant difference in biomechanical intensity at 2, 4, and 8 weeks,but it was significantly higher than that at 1 week. In cal cium sulfate and calcium phosphate groups, the outcome was ranked in descending order as 1 week〈 2 week〈 4 week =8 week. Histologic examination found a great amount of new bones at 8 week in both autograft and allograft groups. In calcium sulfate group, calcium sulfate was almost absorbed and there were numerous bone trabeculations. There was a large amount of unabsorbed calcium phosphate in calcium phosphate group. Conclusion： At 12 weeks postoperatively, the biome chanical intensity is higher in autograft and allograft groups than calcium sulfate and calcium phosphate groups, but after 48 weeks, there is no significant difference among groups. At 12 weeks, the biomechanical intensity in all groups is increased, but at 48 weeks, there is no significant increase. The rates of absorption and bone formation are quicker in calcium sulfate group than calcium phosphate group.

关键词： Tibia Fractures, bone Bone trans-plantation knee joint

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儿童指骨巨细胞瘤切除和骨骺的再生

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中华小儿外科杂志 1984年第2期5卷 97-98页

作者：龚代贤吕丽娟夏毓华严肃马元璋上海第二医学院附属瑞金医院小儿外科上海市伤骨科研究所

Giant cell tumour of bone is common in adults between 21 and 40 but is rare in children. Its favorite site of occurrence is knee joint and trunk and it rarely occurs in phlanges. At early stage, it should be differentiated from enchondroma. Treatment of giant cell tumour of hand depends on its nature and site, which comprises curettage of the lesion supplemented by bone grafting. But recurrence is as high as 90%and in that circumstance amputation of the affected finger will have to be indicated. In one case of our group, the recurrence happened owing to inadequate eradication of the lesion and denoted a potential for malignancy. Resection of the whole affected phalanges was performed followed by rebuilding with autogenous graft of iliac bone. The epiphysis of iliac crest was substituted for the rebuilt phalange and its epiphysis. The patient was followed up for 4 years. X-ray film showed that the grafted bone had been almost shaped into normal phalanx with for mation of new epiphysis at the epiphyseal end of the grafted iliac bone. The rebuilt finger functions well. However, the rare occurrence of epiphyseal regenration calls for further discussion.

关键词：儿童骨巨细胞瘤瘤切除骨骺再生 Children 指骨游离移植 knee joint Treatment 肿瘤复发治疗方法指再造术手指功能髂嵴软骨病变 cell However 自体骨植骨术

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松梅乐注射液对膝部骨性关节病关节功能康复的作用

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中国组织工程研究与临床康复 2001年第22期10卷 149-页

作者： ZOU Biyun Second Affiliated Hospital of Hunan College of Traditional Chinese Medicine Changsha 410005China

Background:Songmeile injectio is a kind of bone-inducing growth factors extracted from bones of deer,which contains bone-forming protein,bone-derived growth factor,cartilage-derived growth factor,TGF,and *** was involved in metabolism of calcium,phosphorus,local blood circulation, and injury repair. We observed effects of Songmeile injectio on arthritis and retrograde affection of knee. Objective: To study effect of songmeile injectio on rehabilitation of bony arthritis of knee joint. Unit:Department of Orthopedics,Second Affiliated Hospital of Hunan Traditional Chinese Medicine Cellege.

关键词：松梅乐注射液膝部骨性关节病 Traditional Chinese Medicine growth factors blood circulation knee joint

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