Sanada Takaki, Taketomi Shuji, Inui Hiroshi, Yamagami Ryota, Tanaka Sakae
Department of Sports Orthopedic Surgery, Kanto Rosai Hospital, Kawasaki, Japan.
Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
JBJS Case Connect. 2019 Jul-Sep;9(3):e0216. doi: 10.2106/JBJS.CC.18.00216.
A 21-year-old college soccer player suffered from knee joint pain, but neither preoperative clinical examination nor magnetic resonance imaging could detect a precise diagnosis. Arthroscopy showed that medial meniscus hypermobility led to impingement of the femorotibial joint surface. After inside-to-outside meniscus suture, the abnormal hypermobility could no longer be observed. The player returned to sports without any previously experienced symptoms.
We present a case report of the hypermobile medial meniscus without substantial tear treated by meniscal suture. A careful arthroscopy inspection was the key element of the diagnosis and subsequent successful surgical treatment.
一名21岁的大学足球运动员患有膝关节疼痛,但术前临床检查和磁共振成像均无法做出准确诊断。关节镜检查显示内侧半月板活动度过高导致股骨胫关节面撞击。经由内向外半月板缝合后,异常的活动度过高现象不再出现。该运动员恢复运动,未再出现之前的症状。
我们报告一例通过半月板缝合治疗的无明显撕裂的活动度过高内侧半月板病例。仔细的关节镜检查是诊断及后续成功手术治疗的关键因素。