Jonathan Gan Zhi-Wei, Bin Abd Razak Hamid Rahmatullah, Amit Kanta Mitra
Singapore General Hospital, Outram Road, Singapore 169608.
Case Rep Orthop. 2016;2016:7062129. doi: 10.1155/2016/7062129. Epub 2016 Dec 13.
We report a case of a chondral delamination lesion due to medial parapatellar plica friction syndrome involving the medial femoral condyle. This mimicked a torn medial meniscus in clinical and radiological presentation. Arthroscopy revealed a chondral delamination flap, which was debrided. Diagnosis of chondral lesions in the knee can be challenging. Clinical examination and MRI have good accuracy for diagnosis and should be used in tandem. Early diagnosis and treatment of chondral lesions are important to prevent progression to early osteoarthritis.
我们报告一例因髌内侧滑膜皱襞摩擦综合征累及股骨内侧髁导致的软骨分层损伤病例。该病例在临床和影像学表现上酷似内侧半月板撕裂。关节镜检查发现一个软骨分层瓣,并对其进行了清创。膝关节软骨损伤的诊断可能具有挑战性。临床检查和磁共振成像(MRI)在诊断方面具有良好的准确性,应联合使用。软骨损伤的早期诊断和治疗对于预防进展为早期骨关节炎很重要。