Okazaki Ken, Deguchi Shinji, Katai Kenso, Iwamoto Yukihide
Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Knee Surg Sports Traumatol Arthrosc. 2011 Jan;19(1):105-7. doi: 10.1007/s00167-010-1171-8. Epub 2010 Jun 12.
We report a case of mucoid degeneration of the posterior cruciate ligament (PCL) who complained of knee joint pain on flexion. Magnetic resonance imaging (MRI) showed a diffusely thickened PCL with increased signal intensity on the T2-weighted sequence. A few intact fibers were observed with continuous margin from origin to insertion. Arthroscopy revealed yellow crumbly tissues among the PCL fibers. There was no tear of PCL fibers, thus their tension was preserved. Curettage of degenerative tissue and decompression of the PCL resulted in symptom relief without instability of the knee joint. Notably, the MRI features of mucoid degeneration of the cruciate ligament can be mistaken for those of partial tear of the ligament.
我们报告一例后交叉韧带(PCL)黏液样变性病例,患者主诉膝关节屈曲时疼痛。磁共振成像(MRI)显示PCL弥漫性增厚,在T2加权序列上信号强度增加。观察到少数完整纤维,从起点到止点边缘连续。关节镜检查发现PCL纤维间有黄色易碎组织。PCL纤维无撕裂,因此其张力得以保留。刮除退变组织并对PCL进行减压后症状缓解,膝关节无不稳定。值得注意的是,交叉韧带黏液样变性的MRI特征可能被误诊为韧带部分撕裂的特征。