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单髁膝关节置换术后的弹响髌腱综合征

Snapping Pes Syndrome after Unicompartmental Knee Arthroplasty.

作者信息

Inui Hiroshi, Taketomi Shuji, Yamagami Ryota, Tahara Keitaro, Tanaka Sakae

机构信息

Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.

出版信息

Knee Surg Relat Res. 2016 Jun;28(2):172-5. doi: 10.5792/ksrr.2016.28.2.172. Epub 2016 Jun 1.

DOI:10.5792/ksrr.2016.28.2.172
PMID:27274476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4895091/
Abstract

Snapping pes syndrome is defined as a snapping sensation in the medial knee caused by pes anserinus and rarely occurs. Snapping pes syndrome after unicompartmental knee arthroplasty (UKA) has not been reported yet. We experienced two cases with this syndrome after UKA. Conservative treatment was effective in one case, while surgical excision of the gracilis tendon was necessary to relieve painful snapping in the other case. The main cause of the first case might be posteromedial overhang of the tibial tray that reached up to 5 mm. The probable cause of the second case was posteromedial overhang of the mobile bearing.

摘要

鹅足肌腱弹响综合征定义为鹅足导致的膝关节内侧弹响感，较为罕见。单髁膝关节置换术（UKA）后出现鹅足肌腱弹响综合征的情况尚未见报道。我们遇到了两例UKA术后出现该综合征的病例。保守治疗对其中一例有效，而另一例则需要手术切除股薄肌腱以缓解疼痛性弹响。第一例的主要原因可能是胫骨托后内侧悬突达5毫米。第二例的可能原因是活动平台的后内侧悬突。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/c7988d242f18/ksrr-28-172-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/d1ea2cac4323/ksrr-28-172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/b50b16ef7739/ksrr-28-172-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/e81b289e37fa/ksrr-28-172-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/5056c93a8309/ksrr-28-172-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/c7988d242f18/ksrr-28-172-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/d1ea2cac4323/ksrr-28-172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/b50b16ef7739/ksrr-28-172-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/e81b289e37fa/ksrr-28-172-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/5056c93a8309/ksrr-28-172-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b1/4895091/c7988d242f18/ksrr-28-172-g005.jpg

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本文引用的文献

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J Arthroplasty. 2016 Feb;31(2):491-4. doi: 10.1016/j.arth.2015.09.023. Epub 2015 Sep 26.
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Outcome of Unicompartmental Knee Arthroplasty: A Systematic Review of Comparative Studies between Fixed and Mobile Bearings Focusing on Complications.单髁膝关节置换术的结果：一项关于固定平台与活动平台比较研究的系统评价，重点关注并发症
Knee Surg Relat Res. 2015 Sep;27(3):141-8. doi: 10.5792/ksrr.2015.27.3.141. Epub 2015 Sep 1.
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Snapping pes syndrome after total knee arthroplasty.
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Knee Surg Sports Traumatol Arthrosc. 2014 Jan;22(1):192-4. doi: 10.1007/s00167-012-2352-4. Epub 2012 Dec 23.
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