Shepherd J, Abdul-Jabar H B, Kumar A
Department of Trauma and Orthopaedics, Queen Elizabeth Hospital, Stadium Road, Woolwich, London SE18 4QH.
J R Army Med Corps. 2012 Dec;158(4):335-7. doi: 10.1136/jramc-158-04-14.
Bucket handle meniscal tears involving both the medial and lateral menisci are very rarely reported in the literature. Those that are, have generally been managed using a one-stage procedure, with concurrent reconstruction of the anterior cruciate ligament (ACL) in ACL-deficient cases. We report a case of an 18-year old male who presented with bi-compartmental bucket handle meniscal tears with an associated ACL deficiency, whereby the medial and lateral tears appear to have clearly occurred on separate occasions. A staged approach to management was adopted. We discuss the presentation and management of our case in comparison to previously reported cases.
文献中极少报道涉及内侧和外侧半月板的桶柄状半月板撕裂。即便有报道，通常也采用一期手术治疗，在存在前交叉韧带（ACL）损伤的病例中同时重建ACL。我们报告一例18岁男性患者，其双侧半月板均出现桶柄状撕裂且伴有ACL损伤，内侧和外侧撕裂似乎明显发生于不同时间。我们采用了分期治疗方法。我们将结合此前报道的病例讨论该病例的临床表现及治疗情况。
