膝关节巨大关节内滑膜骨软骨瘤
Giant intra-articular synovial osteochondromata of the knee.
作者信息
Sourlas I, Brilakis Ev, Mavrogenis Af, Stavropoulos Na, Korres Ds
机构信息
Second Department of Orthopaedics, Athens University Medical School, Athens, Greece.
First Department of Orthopaedics, Athens University Medical School, Athens, Greece.
出版信息
Hippokratia. 2013 Jul;17(3):281-3.
BACKGROUND/AIM: Synovial chondromatosis associated, intra-articular loose bodies are usually small in size. Giant intra-articular loose bodies are rare.
CASE REPORT
We present the case of a patient with synovial chondromatosis associated giant intra-articular loose bodies located under the patella and the intercondylar fossa, treated successfully with combined arthroscopic and open excision.
CONCLUSION
Giant intra-articular loose bodies should be considered when treating patients with synovial chondromatosis. Arthroscopy confirms the diagnosis, allows the thorough examination of the knee joint, and subsequent excision of small or medium size attached synovial nodules or intra-articular loose bodies. Arthrotomy may be needed to excise giant loose bodies.
背景/目的：滑膜软骨瘤病相关的关节内游离体通常体积较小。巨大的关节内游离体较为罕见。
病例报告
我们报告一例滑膜软骨瘤病相关的巨大关节内游离体患者，游离体位于髌骨下方和髁间窝，经关节镜和开放切除联合治疗成功。
结论
在治疗滑膜软骨瘤病患者时应考虑到巨大关节内游离体。关节镜可确诊，能对膝关节进行全面检查，并随后切除小或中等大小的附着滑膜结节或关节内游离体。切除巨大游离体可能需要切开手术。
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