Yalçin Nadir, Bektaşer Bülent, Ciçekli Ozgür, Doğan Metin
Department of Orthopedics and Traumatology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey.
Acta Orthop Traumatol Turc. 2009;43(6):528-31. doi: 10.3944/AOTT.2009.528.
A six-year-old girl was examined upon development of pain, swelling, and locking in her right knee after a considerable period of discomfort and popping sensation. She had no history of trauma. Magnetic resonance imaging showed a discoid lateral meniscus, filling the entire lateral plateau and exhibiting signs of degeneration. On arthroscopic examination, a bucket-handle tear of the discoid lateral meniscus was noted and the patient was treated with arthroscopic subtotal meniscectomy. During the first month of follow-up, the patient had a full range of motion and normal gait. At three years, she maintained full range of motion without pain, locking, or popping. Due to the likelihood of joint degeneration, long-term follow-up was recommended.
一名六岁女童在经历了相当长时间的不适和弹响感后，出现右膝疼痛、肿胀和交锁症状，遂接受检查。她没有外伤史。磁共振成像显示为盘状外侧半月板，占据整个外侧平台并呈现退变迹象。关节镜检查发现盘状外侧半月板桶柄状撕裂，该患者接受了关节镜下半月板次全切除术治疗。在随访的第一个月，患者膝关节活动范围正常，步态正常。三年时，她仍保持完全的活动范围，无疼痛、交锁或弹响。鉴于存在关节退变的可能性，建议进行长期随访。
