Rennie W J, Saifuddin A
The Department of Radiology, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, HA6 4LP, UK.
Skeletal Radiol. 2005 Jul;34(7):395-8. doi: 10.1007/s00256-005-0918-7. Epub 2005 Jun 7.
To determine the prevalence and associated clinical symptoms of pes anserine bursitis in symptomatic adult knees.
A retrospective review was performed of the reports of 509 knee MRI studies obtained from July 1998 to June 2004 on 488 patients presenting to an orthopaedic clinic with knee pain suspected to be due to internal derangement. The MRI studies and case histories of all patients reported to have pes anserine bursitis were reviewed. The management of these patients was also noted.
The prevalence of pes anserine bursitis as detected on MRI is 2.5%. The commonest clinical presentation was pain along the medial joint line mimicking a medial meniscal tear. We suggest that an accurate diagnosis of pes anserine bursitis on MRI will help prevent unnecessary arthroscopy and possibly initiate early treatment of the condition. Axial imaging is important in these cases to differentiate the bursa from other medial fluid collections.
确定有症状的成人膝关节鹅足滑囊炎的患病率及相关临床症状。
对1998年7月至2004年6月间在一家骨科诊所就诊的488例疑似因内部紊乱导致膝关节疼痛的患者进行的509例膝关节MRI研究报告进行回顾性分析。对所有报告患有鹅足滑囊炎患者的MRI研究及病历进行审查。同时记录这些患者的治疗情况。
MRI检测到的鹅足滑囊炎患病率为2.5%。最常见的临床表现是沿内侧关节线疼痛，类似内侧半月板撕裂。我们认为，MRI上对鹅足滑囊炎的准确诊断将有助于避免不必要的关节镜检查，并可能尽早开始对该病的治疗。在这些病例中，轴位成像对于区分滑囊与其他内侧液体积聚很重要。
