Akagawa Manabu, Kimura Yoshiaki, Saito Hidetomo, Kijima Hiroaki, Saito Kimio, Segawa Toyohito, Wakabayashi Ikuko, Kashiwagura Takeshi, Miyakoshi Naohisa, Shimada Yoichi
Department of Orthopedic Surgery, Akita City Hospital, 4-30 Kawamoto-Matsuokacho, Akita 010-0933, Japan.
Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
Case Rep Orthop. 2020 Feb 28;2020:1783813. doi: 10.1155/2020/1783813. eCollection 2020.
We report the case of painful snapping pes syndrome caused by the gracilis tendon. A 26-year-old man presented with acute right knee pain and restricted extension. Although snapping could not be reproduced due to severe pain, the snapping of the gracilis tendon could be specifically diagnosed using ultrasonography and lidocaine injection. Because of the failure of conservative treatment, surgery was performed. The distal attachment of the gracilis tendon was released, and the symptom disappeared quickly. There was no recurrence at the 10-month follow-up.
我们报告一例由股薄肌腱引起的疼痛性弹响足综合征病例。一名26岁男性出现右膝急性疼痛和伸展受限。尽管由于剧痛无法重现弹响，但通过超声检查和利多卡因注射可明确诊断为股薄肌腱弹响。由于保守治疗无效，遂行手术。松解了股薄肌腱的远端附着点，症状迅速消失。10个月随访时无复发。
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