PATELLOFEMORAL AĞRI SENDROMU

Year 2014, Volume: 3 Issue: 3, 174 - 178, 31.12.2014

Ahmet Karakaşlı Salih İrey Nihat Demirhan Demirkıran , Mehmet Erduran Mehmet Hasan Tatari

Abstract

Patellofemoral ağrı sendromu (PFAS) ön diz ağrısının genellikle genç bayanları etkileyen sık bir nedenidir. Patellofemoral ağrı, tüm kas-iskelet sistemi yakınmalarının yaklaşık %9-10’unu, tüm diz problemlerinin ise %20-40’ını oluşturan en yaygın kas-iskelet tanılarından biridir. Geçmişte sadece patellofemoral dizilim bozukluğu kaynaklı olduğuna inanılan patellofemoral ağrı günümüzde kompleks ve multifaktöriyel bir problem olarak ele alınmaktadır. Patellofemoral eklem ağrısı olan hastaların değerlendirilmesinde anamnez, klinik ve radyolojik bulgular bir arada değerlendirilmelidir. PFAS tanısında halen bir netlik olmamakla beraber, dokulara direnç göstereceği yükün üzerinde yüklenmelerin doku homeostazını bozması ve bunun sonucunda da ağrının oluşumunu öne süren doku homeostazisi teorisi popülerlik kazanmaktadır. Bu direncin miktarı ise kişinin özelliklerine göre (obezite, cinsiyet, spor, genetik vb) değişebilir.

Keywords

Patellofemoral ağrı sendromu, diz önü ağrısı, Q açısı

PATELLOFEMORAL PAIN SYNDROME

Abstract

Patellofemoral pain syndrome (PFPS) is a common cause of anterior knee pain, usually affecting young women. Patellofemoral pain is one of the most common musculoskeletal diagnoses, corresponding to approximately %9-10 of all of the musculoskeletal complaints, and 20 to 40% of all knee problems. Patellofemoral pain, which was in the past believed to be originating only from patellofemoral malalignment, is nowadays considered as a complex and multifactorial problem. In the assessment of patients with patellofemoral joint pain patient history, clinical and radiological findings should be evaluated together. Although there is still not a clear evidence on diagnosis of PFP; the tissue homeostasis theory, suggesting that excessive loads on tissues over their resistance results in pain, is gaining popularity. The amount of this resistance can vary according to the patient's properties like obesity, gender, sports, genetics.

Keywords

Patellofemoral pain syndrome, anterior knee pain, Q angle

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