股骨骨骺骨折后膝关节固定性屈曲畸形：倒“独眼巨人”病变。

Fixed flexion deformity of the knee following femoral physeal fracture: the Inverted Cyclops lesion.

作者信息

Hart A J, Eastwood D M, Dowd G S E

机构信息

Department of Orthopaedics, Royal Free Hospital, Pond Street, London NW3 2QG, UK.

出版信息

Injury. 2004 Dec;35(12):1330-3. doi: 10.1016/j.injury.2003.10.003.

DOI:10.1016/j.injury.2003.10.003

PMID:15561132

Abstract

An adolescent inter-condylar fracture of the distal femur was treated with percutaneous cancellous screws and an above-knee plaster. The subsequent fixed flexion deformity of the knee was initially considered to be due to soft tissue capsular scarring and adhesions but arthroscopic assessment of the joint identified an "Inverted Cyclops" lesion. This consisted of excess callus and fibrous tissue arising from the femoral notch. Arthroscopic excision of this tissue cured the deformity.

摘要

一名青少年股骨远端髁间骨折采用经皮松质骨螺钉和膝上石膏治疗。随后出现的膝关节固定性屈曲畸形最初被认为是由于软组织包膜瘢痕形成和粘连所致，但关节镜检查发现了一个“倒睫状肌”病变。这是由股骨切迹处过多的骨痂和纤维组织组成。关节镜下切除该组织治愈了畸形。