Byrd J W
Southern Sports Medicine and Orthopaedic Center and the Vanderbilt University School of Medicine, Nashville, Tenn 37203, USA.
J South Orthop Assoc. 2000 Summer;9(2):119-24.
Two cases of arthroscopic removal of multiple loose bodies are presented. Successful results were achieved, and patients had 4-year follow-up. Both cases involved classic manifestations of synovial chondromatosis. Associated degenerative changes were present in one case; histologic examination could not confirm synovial origin of the disease. Arthroscopy for removal of symptomatic loose bodies is an excellent choice as exemplified by these two cases. Care should be taken to review histologic findings, which may help in understanding the natural history of this type of process.
本文介绍了两例关节镜下切除多个游离体的病例。手术取得了成功的结果，患者进行了4年的随访。两例均为滑膜软骨瘤病的典型表现。其中一例存在相关的退行性改变；组织学检查无法证实该病的滑膜起源。如这两例所示，关节镜下切除有症状的游离体是一个很好的选择。应注意审查组织学结果，这可能有助于了解此类病程的自然史。
