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膝关节置换术后鹅足滑囊炎综合征。一例罕见病例报告。

Pes anserine syndrome in post knee arthroplasty. A rare case report.

作者信息

Kamudin Nur Azree Ferdaus, Rani Rizal Abd, Yahaya Nor Hamdan Mohamad

机构信息

Department of Orthopedics and Traumatology, Pusat Perubatan Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, 56000, Cheras, Kuala Lumpur, Malaysia.

Faculty of Medicine, Universiti Sultan Zainal Abidin, Jalan Sultan Mahmud, 20400, Kuala Terengganu, Terengganu, Malaysia.

出版信息

J Clin Orthop Trauma. 2020 Jan-Feb;11(1):171-174. doi: 10.1016/j.jcot.2018.11.007. Epub 2018 Nov 20.

DOI:10.1016/j.jcot.2018.11.007
PMID:32002008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6985012/
Abstract

Pes anserine syndrome is a cause of inferomedial knee pain. It occurs in patients with diabetes mellitus, osteoarthritis, rheumatoid arthritis and in overweight patients. It is a challenge to identify the causes of knee pain following knee replacement surgery. We present a case report of pes anserine syndrome in a 79-year-old female who had undergone knee arthroplasty 13 years prior. She was pain free until one year ago when her knee pain resurfaced without any symptoms of infection or history of trauma. She was successfully treated with a combination of stretching exercise and steroid local steroid injection. We want to highlight that such common condition as pes anserine syndrome, could occur in total knee arthroplasty, and should be considered as one of the possible diagnosis.

摘要

鹅足滑囊炎是膝内侧疼痛的一个原因。它发生于糖尿病、骨关节炎、类风湿关节炎患者以及超重患者中。识别膝关节置换术后膝关节疼痛的原因是一项挑战。我们报告一例79岁女性鹅足滑囊炎病例,该患者13年前接受了膝关节置换术。她一直没有疼痛,直到一年前膝关节疼痛再次出现,没有任何感染症状或外伤史。通过拉伸运动和局部注射类固醇的联合治疗,她获得了成功治愈。我们想强调的是,像鹅足滑囊炎这样的常见病症可能发生在全膝关节置换术中,应被视为可能的诊断之一。

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本文引用的文献

1
Rehabilitation after total joint replacement: a scoping study.全关节置换术后康复:一项范围界定研究。
Disabil Rehabil. 2018 Jul;40(14):1718-1731. doi: 10.1080/09638288.2017.1300947. Epub 2017 Mar 23.
2
Comparison of the efficacy of physical therapy and corticosteroid injection in the treatment of pes anserine tendino-bursitis.物理治疗与皮质类固醇注射治疗鹅足肌腱滑囊炎的疗效比较。
J Phys Ther Sci. 2016 Jul;28(7):1993-7. doi: 10.1589/jpts.28.1993. Epub 2016 Jul 29.
3
PAIN FOLLOWING TOTAL KNEE ARTHROPLASTY - A SYSTEMATIC APPROACH.全膝关节置换术后疼痛——一种系统的方法
Rev Bras Ortop. 2015 Dec 12;45(5):384-91. doi: 10.1016/S2255-4971(15)30424-9. eCollection 2010 Sep-Oct.
4
Anserine syndrome.鹅肌肽综合征
Rev Bras Reumatol. 2010 May-Jun;50(3):313-27.
5
Current applications of advanced cross-sectional imaging techniques in evaluating the painful arthroplasty.先进的横断面成像技术在评估疼痛性关节置换术中的当前应用。
Skeletal Radiol. 2007 Mar;36(3):183-93. doi: 10.1007/s00256-006-0226-x. Epub 2006 Dec 6.