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与后交叉点相关的半月板解剖变异:一例报告

Anatomical variant of the meniscus related to posterior junction: a case report.

作者信息

Sadigursky David, Garcia Lucas Cortizo, Martins Rodrigo Rêgo, De Queiroz Gustavo Castro, Carneiro Rogério Jamil Fernandes, Colavolpe Paulo Oliveira

机构信息

Division of Knee Surgery, Clínica Ortopédica Traumatológica - COT, Salvador, Bahia, Brazil.

Section of Medicine, Faculdade de Tecnologia e Ciências - FTC, Salvador, Bahia, Brazil.

出版信息

J Med Case Rep. 2017 Dec 18;11(1):351. doi: 10.1186/s13256-017-1512-z.

DOI:10.1186/s13256-017-1512-z
PMID:29249200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5733734/
Abstract

BACKGROUND

There are several reports on anatomical differences of the meniscus. However, there are only a few reports on abnormalities in both menisci and anatomical differences in anterior cruciate ligament insertions.

CASE PRESENTATION

This is a case report of a 36-year-old Hispanic man presenting symptoms, including knee pain, locking, and effusion, with an anatomical abnormality of the menisci corresponding to the fusion of the posterior horns of the menisci in tandem with the insertion of the posterior meniscus fibers in the anterior cruciate ligament.

CONCLUSIONS

This is the first study describing a meniscus anatomical variant with isolated posterior junction of the posterior horn with an anomalous insertion to the anterior cruciate ligament. The recognition of meniscus variants is important as they can be misinterpreted for more significant pathology on magnetic resonance images.

摘要

背景

有几篇关于半月板解剖差异的报道。然而,关于双侧半月板异常及前交叉韧带附着处解剖差异的报道却很少。

病例介绍

本文报告了一名36岁西班牙裔男性的病例,该患者出现膝关节疼痛、交锁和积液等症状,其半月板存在解剖学异常,表现为半月板后角融合,同时后半月板纤维附着于前交叉韧带。

结论

这是第一项描述半月板解剖变异的研究,该变异表现为后角孤立的后部连接,并异常附着于前交叉韧带。认识半月板变异很重要,因为在磁共振成像上它们可能被误诊为更严重的病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4570/5733734/3a25184dc47f/13256_2017_1512_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4570/5733734/3d34a0ae46d6/13256_2017_1512_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4570/5733734/b3f0227837ae/13256_2017_1512_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4570/5733734/3a25184dc47f/13256_2017_1512_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4570/5733734/3d34a0ae46d6/13256_2017_1512_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4570/5733734/b3f0227837ae/13256_2017_1512_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4570/5733734/3a25184dc47f/13256_2017_1512_Fig3_HTML.jpg

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MR- arthrography: anatomic variant from link between lateral meniscus and anterior and posterior cruciate ligaments. A case report and review of the literature.磁共振关节造影:外侧半月板与前后交叉韧带之间连接的解剖变异。病例报告及文献复习。
Radiol Case Rep. 2021 Aug 7;16(10):3012-3015. doi: 10.1016/j.radcr.2021.07.012. eCollection 2021 Oct.
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Anomalous insertion of the anterior horn of the medial meniscus combined with anterior horn hypertrophy and a synovial cyst: case report and literature review.

本文引用的文献

1
Meniscal Root Tear Repair: Why, When and How?半月板根部撕裂修复:为何、何时以及如何进行?
Orthop Rev (Pavia). 2015 Jun 11;7(2):5792. doi: 10.4081/or.2015.5792. eCollection 2015 Jun 3.
2
The human meniscus: a review of anatomy, function, injury, and advances in treatment.人类半月板:解剖学、功能、损伤及治疗进展综述
Clin Anat. 2015 Mar;28(2):269-87. doi: 10.1002/ca.22456. Epub 2014 Aug 14.
3
The insertion of the anterior horn of the medial meniscus: an anatomic study.内侧半月板前角的附着:一项解剖学研究。
内侧半月板前角异常附着合并前角肥大及滑膜囊肿:病例报告与文献复习
J Int Med Res. 2021 Feb;49(2):300060520981538. doi: 10.1177/0300060520981538.
Muscles Ligaments Tendons J. 2013 Aug 11;3(3):210-2. eCollection 2013 Jul.
4
Discoid medial meniscus completely coalesced with the anterior cruciate ligament.盘状内侧半月板与前交叉韧带完全融合。
Orthopedics. 2013 Nov;36(11):e1461-3. doi: 10.3928/01477447-20131021-34.
5
Clinical examination of the knee: know your tools for diagnosis of knee injuries.膝关节的临床检查:了解用于诊断膝关节损伤的工具。
Sports Med Arthrosc Rehabil Ther Technol. 2011 Oct 28;3:25. doi: 10.1186/1758-2555-3-25.
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Anomalous insertion of the medial meniscus into the anterior cruciate ligament: the MR appearance.内侧半月板异常插入前交叉韧带:磁共振成像表现
Br J Radiol. 2008 Jan;81(961):20-4. doi: 10.1259/bjr/66470309. Epub 2007 Oct 30.
7
Anatomic variations of the shape of the menisci: a neonatal cadaver study.半月板形状的解剖变异:一项新生儿尸体研究。
Knee Surg Sports Traumatol Arthrosc. 2006 Oct;14(10):975-81. doi: 10.1007/s00167-006-0069-y. Epub 2006 Sep 6.
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Discoid meniscus in children: treatment and outcome.儿童盘状半月板:治疗与结果
Can J Surg. 2003 Oct;46(5):350-8.
9
MR imaging of meniscal malformations of the knee mimicking displaced bucket-handle tear.膝关节半月板畸形的磁共振成像,酷似移位的桶柄状撕裂。
Skeletal Radiol. 2002 May;31(5):292-5. doi: 10.1007/s00256-002-0490-3. Epub 2002 Mar 16.
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Observation of anomalous insertion of the medial meniscus on the anterior cruciate ligament.内侧半月板在前交叉韧带上异常附着的观察。
Arthroscopy. 2002 Feb;18(2):E9. doi: 10.1053/jars.2002.30483.