摘要
[目的]探讨关节镜下膝关节髁间痛的病因并作出分型,根据不同的分型作出不同的治疗.[方法]对16例以髁间痛为主要症状患者的临床表现、X线等影像资料和关节镜下表现结合,进行总结后分型,并行关节镜下微创治疗.[结果]膝关节髁间痛可分为6种类型:股骨髁间窝狭窄型;胫骨髁间嵴增高型;胫骨前交叉韧带起点骨赘增生型;关节内游离体嵌顿型;滑膜过度增生型;混合型.关节镜下能将狭窄的髁间窝扩大成形,增生骨赘去除,游离体摘除,增生滑膜刨削.经过2～14个月的随访,髁间痛明显缓解或消失.根据Lysholm评分,由术前51.7分增加至89.7分.[结论]关节镜微创术是治疗膝关节髁间痛的有效方法.
[ Objective ] To discuss the diagnosis and treatment principles of the knee joint intercondylar fossa pain by arthroscopic treatment obriouslg. [ Method ] The clinical symptom, X-ray data and the arthroscopic findings of 16 patients suffered from intercondylar fossil pain were analyzed, classified and treated. [ Result] All the 16 cases were followed up for 2 14 months. According to the criteria of Lysholm, the average score was 89.7 （ being excellent in 4 cases, being good in 10 cases, being poor in 2 cases respectively）. The cases were classified to 6 types： （1） the femoral intercondylar fossa stenosis; （2） hyperplasia of tibial intercondylar eminence ; （3） bone spur hyperplasia of anterior cruciate ligament on the front edge of it ＇s start; （4） loose body; （5） synovium over grow; （6） mixed. The intercondylar fossa stenosis was enlarged, bone spur plasia was resected and the over-grew synovium was shaved. [ Conclusion ] The arthroscopic minimal-traumatic treatment is a principal method to treat knee joint intercondylar fossa pain.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第17期1307-1308,共2页
Orthopedic Journal of China
