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滑膜软骨瘤病表现为一名14岁女孩的膝关节有敲击感。

Synovial chondromatosis presented as knocking sensation of the knee in a 14-year-old girl.

作者信息

Chou Po-Hsin, Huang Tung-Fu, Lin Shih-Chieh, Chen York-Kwan, Chen Tain-Hsiung

机构信息

Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

出版信息

Arch Orthop Trauma Surg. 2007 May;127(4):293-7. doi: 10.1007/s00402-006-0144-3. Epub 2006 Jun 7.

Abstract

Knee joint is the most common site of synovial chondromatosis with the prevalence in middle-aged male. The following is the description of a 14-year-old girl presented with a knocking sensation during the motion of her joint, which is a less common occurrence at her age. Loose bodies in the left knee joint were excised as much as possible with arthroscopy. The patient was asymptomatic when moving her knee after arthroscopic synovialectomy and removal of the loose bodies. In spite of the less possibility of malignant transformation of synovial chondromatosis, long-term follow-up is still recommended in this 14-year-old girl due to the supposed genetic abnormalities.

摘要

膝关节是滑膜软骨瘤病最常见的部位,好发于中年男性。以下是一名14岁女孩的病例描述,她在关节活动时出现打软腿的感觉,这在她这个年龄较为少见。通过关节镜尽可能多地切除了左膝关节内的游离体。关节镜下滑膜切除术及游离体摘除术后,患者膝关节活动时无症状。尽管滑膜软骨瘤病恶变的可能性较小,但鉴于该14岁女孩可能存在基因异常,仍建议进行长期随访。

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