[Knee pain in primary care medicine : diagnostic and therapeutic approach].

Maxime Jaren, Kevin Do Nascimento, Alexandre Dumusc, Silva Auer
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引用次数: 0

Abstract

Knee pain is one of the most common musculoskeletal complaints in primary care medicine. The leading causes of knee pain are osteoarthritis and musculoskeletal disorders. A careful history and a rigorous clinical examination usually enable a diagnosis to be made without the need for further investigations. A systematic search for red flags helps identify patients requiring urgent and specialized care. When necessary, X-rays and ultrasound are the first-line imaging tests to perform. The latter can be used to guide a joint puncture for diagnostic and therapeutic purposes. This article reviews the diagnostic approach and summarizes the management of the main pathologies encountered in the general practitioner's office.

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[初级保健医学中的膝关节疼痛:诊断和治疗方法]。
膝关节疼痛是初级医疗中最常见的肌肉骨骼疾病之一。膝关节疼痛的主要原因是骨关节炎和肌肉骨骼疾病。通过仔细询问病史和严格的临床检查,通常无需进一步检查即可做出诊断。系统性地寻找危险信号有助于识别需要紧急和专门治疗的患者。必要时,X 光和超声波是第一线影像学检查。后者可用于引导关节穿刺,以达到诊断和治疗目的。本文回顾了诊断方法,并总结了全科医生诊室中遇到的主要病症的处理方法。
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来源期刊
Revue medicale suisse
Revue medicale suisse Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
1210
期刊介绍: Destinée aux professionnels de santé, la plateforme revmed.ch regroupe la version électronique de la Revue Médicale Suisse et les applications de formation et d"aide à la prise de décision eRMS. La eRMS est le fruit d’une large collaboration entre institutions et praticiens de Suisse romande.
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