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外侧弹响肘由半月板引起:两例病例报告及文献复习。

Lateral sided snapping elbow caused by a meniscus: two case reports and literature review.

机构信息

Department of Orthopedic Surgery, Cheong-ju St. Mary's Hospital, 589-5, Jujung-dong, Sangdang-gu, Cheong-ju, Chungcheongbukdo, 360-568, South Korea.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2010 Jun;18(6):840-4. doi: 10.1007/s00167-010-1076-6. Epub 2010 Feb 12.

Abstract

Lateral sided snapping elbow is an unusual condition, and it is apt to be misdiagnosed as lateral epicondylitis. The causes of lateral sided snapping elbow have been attributed to intraarticular loose bodies, instability, synovial plicae and torn annular ligament. We report our experiences for treating lateral sided snapping elbow caused by a meniscus in the radio-humeral joint. In the present cases, the cause of snapping was detected using double contrast arthrogram under fluoroscopic control, and histology revealed that it was a meniscus. Complete removal of the meniscus allowed immediate relief of the symptom, and there was no recurrence in both cases.

摘要

外侧弹响肘是一种不常见的疾病,容易被误诊为外侧肱骨髁炎。外侧弹响肘的原因可归因于关节内游离体、不稳定、滑膜皱襞和环状韧带撕裂。我们报告了我们使用关节双重对比造影术在荧光透视控制下治疗由桡肱关节半月板引起的外侧弹响肘的经验。在本病例中,弹响的原因是在荧光透视控制下使用关节双重对比造影术检测到的,组织学显示它是半月板。半月板的完全切除可立即缓解症状,并且在两种情况下均未复发。

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