Purpose:Lateral patellar compression syndrome(LPCS)is characterized by a persistent abnormally high stress exerted on the lateral articular surface of the patella due to lateral patellar tilt without dislocation and l...Purpose:Lateral patellar compression syndrome(LPCS)is characterized by a persistent abnormally high stress exerted on the lateral articular surface of the patella due to lateral patellar tilt without dislocation and lateral retinaculum contracture,leading to anterior knee pain.The purpose of this study is to evaluate the efficacy and prognosis of lateral retinaculum release(LRR)combined with chondroplasty in the treatment of LPCS.Methods:This retrospective study evaluated 40 patients who underwent LRR combined with chondroplasty for LPCS between 2020 and 2021.The assessment included improvement in postoperative tenderness and knee joint function.Patients were evaluated using the Lysholm,Tegner,and International Knee Documentation Committee 2000 scoring systems,as well as the visual analog scale,both preoperatively and postoperatively,with the paired comparisons analyzed using at-test.Additionally,intraoperative observations were made regarding knee joint lesions,including cartilage damage and osteophyte formation,with analysis by the Chi-square test.Results:The visual analog scale score for tenderness showed a significant decrease after surgery(p<0.001).Evaluation of knee joint function also indicated significant improvements,as demonstrated by increased Lysholm,Tegner,and International Knee Documentation Committee 2000 scores postoperatively(p<0.001,p=0.011,p<0.001,respectively).Furthermore,all LPCS patients included in the study presented with cartilage injuries and osteophyte formation.Significant differences were noted in the incidence of cartilage damage and osteophyte formation at different locations within the knee among patients with LPCS.Conclusion:LRR combined with chondroplasty is an effective surgical approach for treating patients with LPCS,with satisfactory recovery observed at the 1-year follow-up.Additionally,the incidence of cartilage damage and osteophyte formation in LPCS patients varies significantly depending on the specific location within the knee joint.展开更多
目的:探讨急性内侧髌股韧带髌骨段、股骨段损伤的MRI表现特点,为治疗提供依据。方法:收集我院2008年1月至2012年2月经意大利ESAOTE 0.2 T开放式专用关节磁共振和GE 1.5 T Twin SpeedInfinity with ExciteⅡ磁共振检查并临床证实的32例...目的:探讨急性内侧髌股韧带髌骨段、股骨段损伤的MRI表现特点,为治疗提供依据。方法:收集我院2008年1月至2012年2月经意大利ESAOTE 0.2 T开放式专用关节磁共振和GE 1.5 T Twin SpeedInfinity with ExciteⅡ磁共振检查并临床证实的32例急性内侧髌股韧带损伤病例,分析急性内侧髌股韧带损伤髌骨段、股骨段各自伴发髌骨脱位、髌骨骨软骨损伤、内侧副韧带损伤等差异。结果:急性内侧髌股韧带损伤髌骨段、股骨段各自伴发髌骨脱位率和伴发髌骨骨软骨损伤率间差异无统计学意义(P>0.05),但伴发内侧副韧带损伤率的差异有统计学意义(P<0.05)。结论:急性内侧髌股韧带损伤时髌骨段与股骨段损伤各有一定特点,MRI评价其损伤有一定临床意义。展开更多
基金Key Clinical and Cohort Construction Project of Peking University Third Hospital(BYSYDL2023013)。
文摘Purpose:Lateral patellar compression syndrome(LPCS)is characterized by a persistent abnormally high stress exerted on the lateral articular surface of the patella due to lateral patellar tilt without dislocation and lateral retinaculum contracture,leading to anterior knee pain.The purpose of this study is to evaluate the efficacy and prognosis of lateral retinaculum release(LRR)combined with chondroplasty in the treatment of LPCS.Methods:This retrospective study evaluated 40 patients who underwent LRR combined with chondroplasty for LPCS between 2020 and 2021.The assessment included improvement in postoperative tenderness and knee joint function.Patients were evaluated using the Lysholm,Tegner,and International Knee Documentation Committee 2000 scoring systems,as well as the visual analog scale,both preoperatively and postoperatively,with the paired comparisons analyzed using at-test.Additionally,intraoperative observations were made regarding knee joint lesions,including cartilage damage and osteophyte formation,with analysis by the Chi-square test.Results:The visual analog scale score for tenderness showed a significant decrease after surgery(p<0.001).Evaluation of knee joint function also indicated significant improvements,as demonstrated by increased Lysholm,Tegner,and International Knee Documentation Committee 2000 scores postoperatively(p<0.001,p=0.011,p<0.001,respectively).Furthermore,all LPCS patients included in the study presented with cartilage injuries and osteophyte formation.Significant differences were noted in the incidence of cartilage damage and osteophyte formation at different locations within the knee among patients with LPCS.Conclusion:LRR combined with chondroplasty is an effective surgical approach for treating patients with LPCS,with satisfactory recovery observed at the 1-year follow-up.Additionally,the incidence of cartilage damage and osteophyte formation in LPCS patients varies significantly depending on the specific location within the knee joint.
文摘目的:探讨急性内侧髌股韧带髌骨段、股骨段损伤的MRI表现特点,为治疗提供依据。方法:收集我院2008年1月至2012年2月经意大利ESAOTE 0.2 T开放式专用关节磁共振和GE 1.5 T Twin SpeedInfinity with ExciteⅡ磁共振检查并临床证实的32例急性内侧髌股韧带损伤病例,分析急性内侧髌股韧带损伤髌骨段、股骨段各自伴发髌骨脱位、髌骨骨软骨损伤、内侧副韧带损伤等差异。结果:急性内侧髌股韧带损伤髌骨段、股骨段各自伴发髌骨脱位率和伴发髌骨骨软骨损伤率间差异无统计学意义(P>0.05),但伴发内侧副韧带损伤率的差异有统计学意义(P<0.05)。结论:急性内侧髌股韧带损伤时髌骨段与股骨段损伤各有一定特点,MRI评价其损伤有一定临床意义。
