当心!起身或者蹲下时,膝盖会“咔咔”响?出现这些症状一定要重视…
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日常生活中
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相信很多人都有这样的经历
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有时起身或者蹲下的时候
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会听到膝盖“咔”的一声
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<img src="https://pic.bbs.hongyawang.com/forum/202202/20/083843vfduq0io0xc19cdz.png" width="700px">
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很多人觉得
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这没什么什么大不了的
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但也有很多人觉得
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这是膝盖病变的信号
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<img src="https://pic.bbs.hongyawang.com/forum/202202/20/083843e47x58ssa8fq1t1t.gif" width="135px">
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那这究竟是什么原因导致的呢?
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一起来看…
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<article data-clipboard-cangjie="["root",{},["p",{"ind":{"firstLineChars":0},"list":{"isChecked":false,"isOrdered":true,"isTaskList":false,"level":0,"listId":"1","listStyle":{"align":"left","format":"decimal","text":"%1、"}},"numPr":{"id":"1","level":0},"styleId":"a7"},["span",{"data-type":"text"},["span",{"data-type":"leaf"},"膝盖总咔咔响是怎么回事?"]]],["p",{"ind":{"firstLine":0,"firstLineChars":0,"left":24},"numPr":{},"rPr":{"fonts":{"hint":"eastAsia"}},"styleId":"a7"},["span",{"data-type":"text"},["span",{"fonts":{"hint":"eastAsia"},"data-type":"leaf"},"很多朋友在生活中都会经历膝关节咔咔响这件事,也就是膝关节出现弹响。这种弹响与膝关节组织结构之间相互摩擦有关,也与膝关节腔压力改变有关。它既有可能是正常的生理表现(生理性弹响),也可能是膝关节疾病甚至损伤的征兆(病理性)。"]]],["p",{"ind":{"firstLineChars":0},"list":{"isChecked":false,"isOrdered":true,"isTaskList":false,"level":0,"listId":"1","listStyle":{"align":"left","format":"decimal","text":"%1、"}},"numPr":{"id":"1","level":0},"styleId":"a7"},["span",{"data-type":"text"},["span",{"data-type":"leaf"},"如何判断生理性和病理性?病理性弹响要警惕什么疾病?"]]],["p",{"ind":{"firstLine":0,"firstLineChars":0,"left":24},"numPr":{},"styleId":"a7"},["span",{"data-type":"text"},["span",{"fonts":{"hint":"eastAsia"},"data-type":"leaf"},"生理性的弹响,主要是于关节突然受拉时发生。关节腔自身具有负压来维持关节的相对稳定,在静止的时候这种负压环境是稳定的,当关节突然受到的牵拉力时,关节腔稳定的负压没来得及改变,牵拉力大于关节腔的负压,关节腔内会像突然刮风一样出现气体扩散而出现清脆的响声。这种弹响发生于关节在静止的条件下瞬间受力,而且并不会持续,且响后有轻松感,即感到十分痛快!因为响了以后关节腔内的负压再次达到了平衡稳定。最典型的就是我们掰自己的手指头出现的弹响,掰一下咔响了,马上再掰却不会再响。"]]],["p",{"ind":{"firstLine":0,"firstLineChars":0,"left":24},"numPr":{},"styleId":"a7"},["span",{"data-type":"text"},["span",{"fonts":{"hint":"eastAsia"},"data-type":"leaf"},"病理性的弹响,主要是由于关节结构的非正常摩擦造成,由于关节的老化、退变,关节结构出现磨损,骨质增生,与关节软组织形成撞击等等,它的特点是弹响与活动有关,可能会持续地响,有碾压的声音,往往伴随着疼痛甚至关节卡压影响活动。"]]],["p",{"ind":{"firstLine":0,"firstLineChars":0,"left":24},"numPr":{},"rPr":{"fonts":{"hint":"eastAsia"}},"styleId":"a7"},["span",{"data-type":"text"},["span",{"fonts":{"hint":"eastAsia"},"data-type":"leaf"},"还有一种响声与膝关节韧带急性断裂有关,多发生于剧烈运动时膝关节瞬间急性扭伤造成前交叉韧带的急性断裂,此外,篮球运动时急剧的弹跳的跟腱断裂也会出现这种撕裂的响声。"]]],["p",{"ind":{"firstLineChars":0},"list":{"isChecked":false,"isOrdered":true,"isTaskList":false,"level":0,"listId":"1","listStyle":{"align":"left","format":"decimal","text":"%1、"}},"numPr":{"id":"1","level":0},"styleId":"a7"},["span",{"data-type":"text"},["span",{"data-type":"leaf"},"膝关节病变还有哪些表现?(常见的膝关节病有哪些?)"]]],["p",{"ind":{"firstLine":0,"firstLineChars":0,"left":24},"numPr":{},"rPr":{"fonts":{"hint":"eastAsia"}},"styleId":"a7"},["span",{"data-type":"text"},["span",{"fonts":{"hint":"eastAsia"},"data-type":"leaf"},"膝关节由股骨,胫骨,二者之间的半月板,髌骨,以及膝关节的软组织(关节囊,交叉韧带)构成。这些解剖结构出现病变都可能会造成膝关节的疼痛及活动受限,当然也有各自的特点。例如膝骨关节炎,主要是因为膝关节软骨磨损、剥脱造成。多发生于老年人,活动后会疼痛加重,休息后会缓解,病程很长,逐渐加重,常合并关节的畸形,即O型腿,X型腿。又如半月板撕裂,多伴有膝关节的扭伤史,表现为关节突然像被卡住了一样;再如类风湿关节炎,往往表现为关节的僵硬、疼痛,特别是晨起会十分明显,而活动后这种僵硬疼痛反而会改善,且多有家族史,等等。"]]],["p",{"ind":{"firstLineChars":0},"list":{"isChecked":false,"isOrdered":true,"isTaskList":false,"level":0,"listId":"1","listStyle":{"align":"left","format":"decimal","text":"%1、"}},"numPr":{"id":"1","level":0},"styleId":"a7"},["span",{"data-type":"text"},["span",{"data-type":"leaf"},"如何保护膝关节?"]]],["p",{"ind":{"firstLine":0,"firstLineChars":0,"left":24},"numPr":{},"rPr":{"fonts":{"hint":"eastAsia"}},"styleId":"a7"},["span",{"data-type":"text"},["span",{"fonts":{"hint":"eastAsia"},"data-type":"leaf"},"第一要注意腿部的保暖,因为寒凉会诱发膝关节的滑膜炎。第二要改善生活及运动方式,减少长时间的膝关节负重活动,少爬楼梯,不要蹲时间太长。剧烈运动时常戴护膝以增加膝关节稳定性。运动方式推荐游泳,骑自行车等膝关节负荷偏小的运动,跑步的话尽可能选择在平路跑。第三是要加强膝关节周围肌肉特别是股四头肌的锻炼,非常有助于增加膝关节的稳定性。第四是当出现常规非处方治疗(如按摩、口服外用消炎药)仍不能缓解的膝关节疼痛时需及时就医尽早明确病情,避免损伤的进一步加重。"]]]]">
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膝盖咔响是怎么回事?
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很多人都会经历膝关节咔咔响这件事,也就是膝关节出现弹响。这种弹响与膝关节组织结构之间相互摩擦有关,也与膝关节腔压力改变有关,
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<strong>
<span style="font-size: 18px;color: rgb(123, 12, 0);">
既可能是正常的生理表现(生理性弹响),也可能是膝关节疾病甚至损伤的征兆(病理性)。
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如何判断是生理性还是病理性?
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生理性的弹响,
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主要是
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于关节突然受拉时发生。
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关节腔自身具有负压来维持关节的相对稳定,在静止的时候这种负压环境是稳定的,当关节突然受到的牵拉力时,关节腔稳定的负压没来得及改变,牵拉力大于关节腔的负压,关节腔内会像突然刮风一样出现气体扩散而出现清脆的响声。
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这种弹响发生于
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关节在静止的条件下瞬间受力,
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而且
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并不会持续
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,且响后有轻松感,即感到十分痛快,因为响了以后关节腔内的负压再次达到了平衡稳定。
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病理性的弹响,
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主要是由于
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关节结构的非正常摩擦造成
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。由于关节的老化、退变,关节结构出现磨损,骨质增生,与关节软组织形成撞击等等,它的特点是弹响
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<span style="font-size: 18px;color: rgb(123, 12, 0);">
与活动有关,可能会持续地响
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,有碾压的声音,往往伴随着疼痛甚至关节卡压影响活动。
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<br>
</span>
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<strong>
<span style="font-size: 18px;color: rgb(123, 12, 0);">
还有一种响声与膝关节韧带急性断裂有关
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</strong>
<span style="font-size: 18px;">
,多发生于剧烈运动时膝关节瞬间急性扭伤造成前交叉韧带的急性断裂。此外,篮球运动时急剧的弹跳的跟腱断裂也会出现这种撕裂的响声。
</span>
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<p style="text-align: justify;">
<span style="font-size: 18px;">
<br>
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膝关节病变还有哪些表现?
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膝关节由股骨和胫骨之间的半月板,髌骨,以及膝关节的软组织(关节囊、交叉韧带)构成。
</span>
</p>
<p style="text-align: justify;">
<span style="font-size: 18px;">
<br>
</span>
</p>
<p style="text-align: justify;">
<span style="font-size: 18px;">
这些结构出现病变都可能会造成膝关节的疼痛及活动受限,当然也有各自的特点,
</span>
<span style="font-size: 18px;">
例如:
</span>
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<span style="font-size: 18px;color: rgb(123, 12, 0);">
<strong>
<br>
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1、
</span>
<span style="font-size: 18px;color: rgb(123, 12, 0);">
<strong>
膝骨关节炎
</strong>
</span>
<span style="font-size: 18px;">
,主要是因为膝关节软骨磨损、剥脱造成,
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<span style="font-size: 18px;color: rgb(123, 12, 0);">
多发生于老年人
</span>
</strong>
<span style="font-size: 18px;">
,活动后会疼痛加重,病程很长,并逐渐加重,常合并关节的畸形,即O型腿、X型腿。
</span>
</p>
<p style="text-align: justify;">
<span style="font-size: 18px;">
<br>
</span>
</p>
<p style="text-align: justify;">
<span style="font-size: 18px;">
2、
</span>
<span style="font-weight: bold;font-size: 18px;color: rgb(123, 12, 0);">
半月板撕裂
</span>
<span style="font-size: 18px;">
,多伴有膝关节的扭伤史,表现为
</span>
<strong>
<span style="font-size: 18px;color: rgb(123, 12, 0);">
关节突然像被卡住了一样
</span>
</strong>
<span style="font-size: 18px;">
。
</span>
</p>
<p style="text-align: justify;">
<span style="font-size: 18px;">
<br>
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<img src="https://pic.bbs.hongyawang.com/forum/202202/20/083845np46y4b8hj2papa4.png" width="700px">
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<p style="text-align: justify;">
<span style="font-size: 18px;">
3、
</span>
<span style="font-size: 18px;color: rgb(123, 12, 0);">
<strong>
类风湿关节炎,
</strong>
</span>
<span style="font-size: 18px;">
往往表现为关节的僵硬、疼痛,特别是晨起后十分明显,而活动后这种僵硬疼痛反而会改善,且多有家族史。
</span>
</p>
<p style="text-align: justify;">
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如何保护膝关节?
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第一要注意
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腿部的保暖
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,因为寒凉可能会诱发膝关节的滑膜炎。
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第二要
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改善生活及运动方式
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,减少长时间的膝关节负重活动,少爬楼梯,不要蹲时间太长。
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剧烈运动时要戴护膝以增加膝关节稳定性
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。
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运动方式推荐游泳、骑自行车等膝关节负荷偏小的运动,跑步的话尽可能选择在平路跑。
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<br>
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<img src="https://pic.bbs.hongyawang.com/forum/202202/20/083846jaut8ggnwmntgmtz.png" width="700px">
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第三是要
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加强膝关节周围肌肉
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特别是股四头肌的锻炼
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,非常有助于增加膝关节的稳定性。
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第四是当
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出现常规非处方治疗
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(如按摩、口服外用消炎药)仍不能缓解的膝关节疼痛时
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需
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及
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时就医
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尽早明确病情,避免损伤的进一步加重。
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来源:科普中国
</p> 办公族上班期间站起来后,突然发现腰痛无法直立行走,大家有没有体会过 膝盖中箭的图太绝了 骨科医生说只要没有痛感,一般是生理性,大家别担心!不过会痛要看医生! 谢谢分享 我以为是太久没活动的原因 , , 嗯,收到 ,
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