Thaunat M, Archbold P, Conteduca J, Chatellard R, Sonnery-Cottet B
Centre orthopédique Santy, 24, avenue Paul-Santy, 69008 Lyon, France.
Centre orthopédique Santy, 24, avenue Paul-Santy, 69008 Lyon, France.
Orthop Traumatol Surg Res. 2014 Jun;100(4):445-8. doi: 10.1016/j.otsr.2014.02.007. Epub 2014 Apr 24.
Rapid chondrolysis following a lateral meniscectomy is a rare complication. We present the first reported case of rapid chondrolysis of the lateral compartment, which developed 6 months after a meniscus tear that was not surgically treated in a young 18-year-old professional rugby player. The possible hypotheses to explain this complication are presented, and certain previously published causes were excluded (iatrogenic during surgery, undiagnosed increased rotatory instability, chondrotoxicity of bupivacaine). Overloading of the cartilage surface of the lateral compartment from meniscal extrusion can cause cartilage necrosis.
外侧半月板切除术后快速软骨溶解是一种罕见的并发症。我们报告首例外侧间室快速软骨溶解的病例，该病例发生在一名18岁的年轻职业橄榄球运动员半月板撕裂6个月后，此次半月板撕裂未接受手术治疗。文中提出了解释这一并发症的可能假说，并排除了某些先前发表的病因（手术中的医源性因素、未诊断出的旋转不稳定增加、布比卡因的软骨毒性）。半月板挤出导致外侧间室软骨表面负荷过重可引起软骨坏死。
