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内侧副韧带斯滕纳样损伤的解剖修复:病例系列与技术说明

Anatomical Repair of Stener-like Lesion of Medial Collateral Ligament: A case Series and Technical Note.

作者信息

Keyhani Sohrab, Mardani-Kivi Mohsen

机构信息

Department of Orthopedic surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Arch Bone Jt Surg. 2017 Jul;5(4):255-258.

PMID:28913384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5592368/
Abstract

Medial collateral ligament tears usually will be treated through non-surgical methods, but, in some cases such as those with tears at the distal insertion where the reduction could be blocked by the pes anserine tendons (Stener-like lesion), surgery will be performed. Here, we present a surgical technique in such cases. In this retrospective case series, we describe six patients diagnosed with Stener-like lesion based on clinical evaluation and imaging results. In the one-year follow-up visit, there was no complaining of pain or joint instability and full range of motion and negative valgus stress test were reported in all cases. The results showed this surgical technique is a useful and safe treatment approach in such cases.

摘要

内侧副韧带撕裂通常采用非手术方法治疗,但在某些情况下,如远端附着点撕裂且鹅足肌腱可能阻碍复位(类似斯滕纳病变)时,则需进行手术。在此,我们介绍针对此类情况的一种手术技术。在这个回顾性病例系列中,我们描述了6例根据临床评估和影像学结果诊断为类似斯滕纳病变的患者。在为期一年的随访中,所有病例均无疼痛或关节不稳主诉,且报告关节活动范围正常和外翻应力试验阴性。结果表明,这种手术技术在此类情况下是一种有用且安全的治疗方法。

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Clinical features and injury patterns of medial collateral ligament tibial side avulsions: "wave sign" on magnetic resonance imaging is essential for diagnosis.内侧副韧带胫骨侧撕脱伤的临床特征及损伤模式:磁共振成像上的“波浪征”对诊断至关重要。
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