Pape Dietrich, Seil Romain, Anagnostakos Koustantiuos, Kohn Dieter
Department of Orthopaedic Surgery, University of Saarland, Homburg/Saar, Germany.
Arthroscopy. 2007 Apr;23(4):428-38. doi: 10.1016/j.arthro.2007.02.011.
Little is known about the etiology of postarthroscopic osteonecrosis of the knee. Its prevalence is probably very low. The most important differential diagnosis is pre-existing and undiagnosed early-stage spontaneous osteonecrosis of the knee. From the medicolegal point of view, orthopaedic surgeons need to be aware of the diagnostic pitfalls in differentiating between postarthroscopic osteonecrosis of the knee and spontaneous osteonecrosis of the knee, and they must understand that both may be unpreventable conditions. The purpose of this report is to review the presumable pathophysiology and the clinical and radiographic features as well as the pitfalls in diagnosing postarthroscopic osteonecrosis of the knee.
关于关节镜检查后膝关节骨坏死的病因，人们了解甚少。其发病率可能非常低。最重要的鉴别诊断是膝关节先前存在且未被诊断出的早期自发性骨坏死。从法医学角度来看，骨科医生需要意识到在鉴别膝关节镜检查后骨坏死和膝关节自发性骨坏死时存在的诊断陷阱，并且他们必须明白这两种情况都可能是无法预防的。本报告的目的是回顾膝关节镜检查后骨坏死可能的病理生理学、临床和影像学特征以及诊断中的陷阱。
