Dejour H, Neyret P, Eberhard P, Walch G
Clinique de chirurgie Orthopédique et Traumatologique, Centre Hospitalier Lyon-Sud, Pierre-Bénite.
Rev Chir Orthop Reparatrice Appar Mot. 1990;76(5):329-32.
Bilateral congenital absence of the anterior cruciate ligament associated with the absence of the medial meniscus is reported in a 34-year-old-woman. The simultaneous absence may be explained by a common embryological mesenchymal origin of the anterior cruciate ligament and the menisci. This absence was at the origin of an abnormal development of the condyles and especially of the tibial epiphysis which was tipped over in flexum. Treatment consisted of a central ligamentous plasty associated with a lateral plasty, a medial plasty and a closing anterior tibial osteotomy. The result was good.
据报道,一名34岁女性双侧先天性前交叉韧带缺如并伴有内侧半月板缺如。这种同时出现的缺如情况可能是由于前交叉韧带和半月板有着共同的胚胎间充质起源。这种缺如是髁突尤其是胫骨骨骺异常发育的原因,胫骨骨骺在屈曲时发生翻转。治疗方法包括中央韧带成形术联合外侧成形术、内侧成形术以及闭合性胫骨近端截骨术。结果良好。