Lui Tun Hing, Lee Man Wai
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong.
Arthrosc Tech. 2015 Jan 12;4(1):e19-22. doi: 10.1016/j.eats.2014.09.010. eCollection 2015 Feb.
Synovial lipoma of the patellar tendon is a very rare entity. It can be associated with rupture of the patellar tendon. We present a case of synovial lipoma that was successfully resected endoscopically. The other indications for patellar tendoscopy include chronic patellar tendinitis and tendinosis, recalcitrant bursitis around the tendon, Osgood-Schlatter disease, and jumper's knee. The major potential danger of this endoscopic procedure is iatrogenic damage to the patellar insertion during endoscopic debridement in patients with jumper's knee or the tibial insertion during endoscopic debridement in patients with Osgood-Schlatter disease.
髌腱滑膜脂肪瘤是一种非常罕见的病症。它可能与髌腱断裂有关。我们报告一例经内镜成功切除的滑膜脂肪瘤病例。髌腱镜检查的其他适应证包括慢性髌腱炎和肌腱病、肌腱周围顽固性滑囊炎、奥斯古德-施拉特病和跳跃膝。这种内镜手术的主要潜在风险是，在跳跃膝患者进行内镜清创时对髌腱止点造成医源性损伤，或在奥斯古德-施拉特病患者进行内镜清创时对胫骨止点造成医源性损伤。
