Kerlan R K, Glousman R E
Kerlan-Jobe Orthopaedic Clinic, Inglewood, California.
Am J Sports Med. 1988 Jul-Aug;16(4):344-6. doi: 10.1177/036354658801600407.
In 91 patients evaluated between 1982 and 1985, tibial collateral ligament bursitis was diagnosed. This entity has not been described since the work of Brantigan and Voshell in 1943. The diagnosis was based on the findings of tenderness over the tibial collateral ligament at the joint line, without a history of mechanical symptoms. With a nonsurgical program, 62% of the patients improved and subsequently required no further treatment. Fifteen percent did not improve; of this group, one-third had a negative arthrogram or arthroscopy. Another 23% did not improve and ultimately underwent an arthroscopic partial medial meniscectomy. Tibial collateral ligament bursitis is an entity that should be considered in any patient with medial joint pain in the knee. Treatment is simple, effective, and offers low morbidity.
在1982年至1985年间接受评估的91例患者中，诊断为胫侧副韧带滑囊炎。自1943年布兰特igan和沃舍尔的研究以来，这一病症尚未被描述过。诊断依据是关节线处胫侧副韧带压痛的表现，且无机械性症状史。采用非手术方案治疗后，62%的患者病情好转，随后无需进一步治疗。15%的患者病情未改善；在这组患者中，三分之一的关节造影或关节镜检查结果为阴性。另外23%的患者病情未改善，最终接受了关节镜下部分内侧半月板切除术。胫侧副韧带滑囊炎是任何膝关节内侧疼痛患者都应考虑的一种病症。治疗简单、有效，且并发症发生率低。
