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后交叉韧带上的腱鞘囊肿:一例报告

Ganglion cyst on the posterior cruciate ligament: a case report.

作者信息

Durante Jaclyn A

机构信息

Graduate Student, Sport Sciences, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario M2H 3J1. -2340 ext. 242. E-mail:

出版信息

J Can Chiropr Assoc. 2009 Dec;53(4):334-8.

Abstract

OBJECTIVE

To present the diagnostic and clinical features of a ganglion cyst located on the posterior cruciate ligament and create awareness amongst clinicians of this uncommon diagnosis.

CLINICAL FEATURES

A 24-year old woman complaining of intermittent left knee pain brought on by an increase in mileage during her training for a half-marathon. A diagnosis of mild chondromalacia patella and a ganglion cyst on the posterior cruciate ligament was made via diagnostic imaging.

INTERVENTION AND OUTCOME

Patient was followed up with imaging. The patient chose to withdraw a surgical consult due to patient preference. No conservative treatment was provided.

CONCLUSION

Although chondromalacia patella is the more probable, a secondary diagnostic consideration in this patient could be a ganglion cyst. A ganglion cyst on the posterior cruciate ligament is an uncommon diagnosis and the clinical manifestations are variable and non-specific. It is important to be aware of its clinical features and to obtain appropriate methods of imaging to generate the diagnosis promptly.

摘要

目的

介绍位于后交叉韧带上的腱鞘囊肿的诊断及临床特征,提高临床医生对这一罕见诊断的认识。

临床特征

一名24岁女性,在半程马拉松训练中因里程增加而出现间歇性左膝疼痛。经诊断性影像学检查,诊断为轻度髌骨软化症和后交叉韧带上的腱鞘囊肿。

干预措施及结果

对患者进行影像学随访。患者因个人偏好选择取消手术咨询。未给予保守治疗。

结论

虽然髌骨软化症更有可能,但该患者的次要诊断考虑可能是腱鞘囊肿。后交叉韧带上的腱鞘囊肿是一种罕见的诊断,临床表现多样且不具特异性。了解其临床特征并采用适当的影像学检查方法以迅速做出诊断非常重要。

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本文引用的文献

1
Ganglion cysts of the posterior cruciate ligament.后交叉韧带腱鞘囊肿
Knee. 2008 Aug;15(4):325-9. doi: 10.1016/j.knee.2008.02.010. Epub 2008 Apr 22.
2
Locked knee caused by intraarticular ganglion.关节内腱鞘囊肿导致的膝关节交锁。
Knee Surg Sports Traumatol Arthrosc. 2006 Sep;14(9):859-61. doi: 10.1007/s00167-005-0017-2. Epub 2006 Feb 1.
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Intra-articular ganglion cysts of the knee joint: a report of 85 cases and review of the literature.膝关节内腱鞘囊肿:85例报告并文献复习
Knee Surg Sports Traumatol Arthrosc. 2004 Mar;12(2):123-9. doi: 10.1007/s00167-003-0372-9. Epub 2003 Sep 18.
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Ganglion cysts of the posterior cruciate ligament.后交叉韧带腱鞘囊肿
Arthroscopy. 2003 Jul-Aug;19(6):E36-40. doi: 10.1016/s0749-8063(03)00386-4.
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Ultrasound of the knee.膝关节超声检查
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Intra-articular ganglion cysts of the cruciate ligaments.交叉韧带内关节囊肿
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