Schäfer H
Röntgen- und Strahlenklinik, Elisabeth-Krankenhaus Rheydt.
Rofo. 1987 Dec;147(6):640-7. doi: 10.1055/s-2008-1048715.
Stimulated by arthroscopic insight into central abnormalities of the knee joint and by the large number of unexplained cases of "anterior knee pain", we have studied the synovia in more than 2000 contrast examinations of the joint. Surprisingly, and contrary to the views expressed in the literature, the clinically significant plica parapatellaris medialis was seen as frequently during pneumo-arthrography as during more complex procedures. Abnormalities in the synovial fold emerged as a discreet disease identified as the "medial shelf syndrome" and should be included in the differential diagnosis of causes of pain round the lower end of the femur and patella.
受膝关节中央异常的关节镜观察以及大量不明原因的“膝前痛”病例的启发，我们在2000多次关节造影检查中对滑膜进行了研究。令人惊讶的是，与文献中表达的观点相反，在充气关节造影中，临床上有意义的内侧髌旁皱襞出现的频率与在更复杂的检查中一样高。滑膜皱襞异常作为一种被确定为“内侧半月板综合征”的独立疾病出现，应纳入股骨下端和髌骨周围疼痛原因的鉴别诊断中。
