Koh Haeseok, Choi Seongpil, Park Beomseok
Department of Orthopaedics, St. Vincent's Hospital, Suwon, Republic of Korea.
Department of Orthopaedics, Pohang St. Mary's Hospital, Pohang, Republic of Korea.
J Knee Surg. 2013 Dec;26 Suppl 1:S112-5. doi: 10.1055/s-0032-1324805. Epub 2012 Sep 10.
A variety of masses in the knee must be considered in a differential diagnosis when swelling, pain, and a limitation of motion occur with no history of specific trauma. These lesions are most commonly related to the synovial lining of the joint capsule and the cruciate ligaments. The posterior compartment is an unusual location for solitary lesions of the knee joint. There have been few cases of abscess presenting as an intra-articular nodular mass. We report herein a case of a 15-year-old girl who had synovitis and an abscess nodule of the posterior compartment behind the posterior cruciate ligament in the knee joint. An arthroscopic synovectomy and mass excision along with antibiotic administration was curative in our case.
当出现肿胀、疼痛和活动受限且无特定创伤史时,在鉴别诊断中必须考虑膝关节内的多种肿物。这些病变最常与关节囊的滑膜层和交叉韧带有关。后关节腔是膝关节孤立性病变的不寻常部位。以关节内结节性肿物形式出现的脓肿病例很少。我们在此报告一例15岁女孩,她患有膝关节后交叉韧带后方后关节腔的滑膜炎和脓肿结节。在我们的病例中,关节镜下滑膜切除术、肿物切除术并联合使用抗生素治愈了该疾病。