Chai Ho Lam, Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.
J Orthop Case Rep. 2017 Mar-Apr;7(2):57-61. doi: 10.13107/jocr.2250-0685.750.
The posterior portion of the knee joint, which includes the tibial attachment of the posterior cruciate ligament and the posterior horn of the menisci, has been called a "blind spot" because it is difficult to observe this area under arthroscopy through standard anterior portals. Posteromedial, posterolateral, and posterior transseptal portals have been developed for visualization and instrumentation of the posteromedial and posterolateral compartments of the knee joint.
A 57-year-old man presented of persistent left posterior knee pain for 1 year. Radiographs and magnetic resonance imaging showed posterior knee encapsulated loose bodies. The symptoms did not respond to physiotherapy and analgesics. The loose bodies were removed via posterior knee arthroscopy. The symptoms subsided afterward.
Lateral portal of the knee allows establishment of the posterolateral portal under endoscopic visualization, and the loose bodies of the posterior compartment of the knee can be effectively removed via the posterior knee arthroscopy.
膝关节后部,包括后交叉韧带的胫骨附着点和半月板后角,被称为“盲区”,因为通过标准的前侧入路在关节镜下观察该区域很困难。已开发出后内侧、后外侧和后间隔入路,用于膝关节后内侧和后外侧间隙的可视化和器械操作。
一名57岁男性,左膝关节后部持续疼痛1年。X线片和磁共振成像显示膝关节后部有包裹性游离体。症状对物理治疗和镇痛药无反应。通过膝关节后关节镜取出游离体。此后症状缓解。
膝关节外侧入路可在内镜直视下建立后外侧入路,通过膝关节后关节镜可有效取出膝关节后间隙的游离体。