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短暂性外侧髌骨脱位后膝降动脉损伤

Descending genicular artery injury following transient lateral patellar dislocation.

作者信息

Silvestri Andrea, Regis Dario, Trivellin Giacomo, Piccoli Marco, Spina Mauro, Magnan Bruno, Sandri Andrea

机构信息

Department of Orthopaedic and Trauma Surgery B, Integrated University Hospital, Polo Chirurgico Confortini, Piazzale A. Stefani 1, 37126 Verona, Italy.

Department of Orthopaedic and Trauma Surgery, Casa di cura Pederzoli, Via Monte Baldo 24, 37019 Peschiera d/G, Verona, Italy.

出版信息

J Clin Orthop Trauma. 2018 Jun;9(Suppl 2):S39-S43. doi: 10.1016/j.jcot.2018.02.013. Epub 2018 Feb 24.

DOI:10.1016/j.jcot.2018.02.013
PMID:29928103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6008641/
Abstract

Transient lateral patellar dislocation (TLPD) is a common lesion in young adults. Vascular injury as a complication of TLPD has not been previously described. We report a case of descending genicular artery (DGA) injury after TLPD. Immediate angiography demonstrated rupture of DGA. Embolization was performed with sudden interruption of bleeding. DGA injury should be considered as a complication after TLPD and prompt diagnosis and intervention are required. We propose selective embolization as a safe and effective procedure to stop bleeding.

摘要

暂时性外侧髌骨脱位（TLPD）是年轻成年人中的常见损伤。血管损伤作为TLPD的一种并发症此前尚未见报道。我们报告一例TLPD后膝降动脉（DGA）损伤的病例。即时血管造影显示DGA破裂。进行了栓塞，出血突然停止。DGA损伤应被视为TLPD后的一种并发症，需要及时诊断和干预。我们建议选择性栓塞作为一种安全有效的止血方法。

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本文引用的文献

1
Pseudoaneurysm of the articular branch of the descending genicular artery following double-bundle anterior cruciate ligament reconstruction.关节支降膝动脉假性动脉瘤在双束前交叉韧带重建术后。
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Anatomical variability of descending genicular artery.膝降动脉的解剖变异
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Transient lateral patellar dislocation: review of imaging findings, patellofemoral anatomy, and treatment options.短暂性髌骨外侧脱位：影像学表现、髌股关节解剖及治疗选择综述
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