| 膝关节髌下皱襞的临床意义 |
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投稿时间：2006-05-10
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| 作者 | Author | 单位 | Address | E-Mail |
| 张磊 |
ZHANG Lei |
中国中医科学院望京医院关节镜及运动医学科,北京100700 |
Department of Arthros-copy &
Sports Medicine, Wangjing Hospital, China Academy of Chinese Medicine Science, Beijing 100700,China |
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| 刘劲松 |
LIU Jin-song |
中国中医科学院望京医院关节镜及运动医学科,北京100700 |
Department of Arthros-copy &
Sports Medicine, Wangjing Hospital, China Academy of Chinese Medicine Science, Beijing 100700,China |
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| 孙晋 |
SUNJin |
中国中医科学院望京医院关节镜及运动医学科,北京100700 |
Department of Arthros-copy &
Sports Medicine, Wangjing Hospital, China Academy of Chinese Medicine Science, Beijing 100700,China |
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| 期刊信息：《中国骨伤》2006年，第19卷，第8期，第487-488页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:观察膝关节镜下髌下皱襞结构的变化,探讨膝关节髌下皱襞的临床意义。
方法:回顾性总结分析膝关节镜手术病例400例,男177例,女223例;年龄9~79岁,平均42岁。术前均有膝关节疼痛、肿胀和交锁等现象,保守治疗无效,行膝关节镜检查及镜下手术。术中证实单纯的髌下皱襞病变11例,术前有膝前区疼痛症状者8例,疼痛区域模糊不定者3例,膝关节反复肿胀、积液者2例;术前诊断为半月板损伤4例,关节软骨损伤2例,髌股关节骨性关节炎1例,髌下脂肪垫损伤4例。11例均行膝关节镜下髌下皱襞切除术。
结果:400例膝关节镜手术中发现有髌下皱襞结构的284例（71%）;有髌下皱襞病变的52例（13%）,其中单纯的髌下皱襞病变11例（2.75%）。髌下皱襞病变镜下表现为髌下皱襞肿胀、增厚、纤维化、丧失弹性,与髁间凹产生撞击。11例单纯髌下皱襞病变均行关节镜下髌下皱襞切除术,术后随访9例,2例失访,随访时间3~24个月,平均14个月。疗效评定优7例,良1例,可1例,差0例,优良率88.89%。
结论:髌下皱襞具有明确的临床意义,其病变可以引起临床症状。 |
| 【关键词】髌下皱襞 膝关节 关节镜 |
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| Clinical significance of the infrapatellar plica |
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ABSTRACT
Objective:To observe the pathologic infrapatellar plica under arthroscopy and explore theclinical significance of the infrapatellar plica.
Methods:Four hundreds knees that undergone arthroscopic proce-dure were reviewed.The patients were comprised of177 men and 223 women;The age at the operation averaged42 years;All the patients had pain,swollen,and locking preoperatively,conservative treatment were ineffective,then undergone the arthroscopic procedure.During the operation,the pathological infrapatellar plica existed in-dependently in 11 knees,the clinical symptoms preoperatively were anterior knee pain in 8 knees,characteristi-cally dull pain,poorly localized in 3 knees,swelling and effusion repeatedly in 2 knees;The preoperative diagno-sis were meniscus lesion in 4 knees,articular cartilage injury in 2 knees,patellofemoral osteoarthritis in 1 knee,and Hoffa s disease in 4 knees.All the pathological infrapatellar plica were resected under arthroscopy.
Results:The incidence of the infrapatellar plica was 71%(284 cases) of the 400 knees examined. The pathological in-frapatellar plica accompanied with other abnormality was found in 52 cases(13%), and the only pathologicalinfrapatellar plica was noted in 11 cases(2·75%). It was found to be thickened and fibrotic and to have lost itsnormal elasticity, the pathologic plica was impinged at the intercondylar notch. After the pathological plica wereresected,9 cases of the only pathological infrapatellar plica were available at follow-up and 2 had lost, the meanfollow-up was 14 months (range 3 to 24 months). The results were evaluated, exellent in 7 knees(77·78%),good in 1 knee(11·11%), fair in 1 knee(11·11%) and no poor.
Conclusion:Infrapatellar plica has clinical significance and it s pathological change could cause symptoms. |
| KEY WORDS Infrapatellar plica Knee joint Arthroscopes |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张磊,刘劲松,孙晋.膝关节髌下皱襞的临床意义[J].中国骨伤,2006,19(8):487~488 |
| 英文格式: | ZHANG Lei,LIU Jin-song,SUNJin.Clinical significance of the infrapatellar plica[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(8):487~488 |
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