Iwaasa Tomoya, Tensho Keiji, Koyama Suguru, Shimodaira Hiroki, Horiuchi Hiroshi, Saito Naoto, Takahashi Jun
Department of Orthopedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, Nagano, Japan.
Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, Nagano, Japan.
J Surg Case Rep. 2020 Apr 3;2020(4):rjaa036. doi: 10.1093/jscr/rjaa036. eCollection 2020 Apr.
A 16-year-old female with a history of left recurrent patellar dislocation underwent medial patellofemoral ligament (MPFL) reconstruction surgery. Two months postoperatively, the patient presented with medial patellar pain. Left medial plica syndrome was suspected, and we performed a partial arthroscopic resection of the medial synovial plica. The symptom gradually improved after surgery. To the best of our knowledge, there are no reports that discuss the relationship between postoperative pain of MPFL reconstruction and synovial plica as found in this case report. Surgeons should be aware of the possibility that asymptomatic synovial plica could become symptomatic.
一名有左髌骨复发性脱位病史的16岁女性接受了髌股内侧韧带（MPFL）重建手术。术后两个月，患者出现髌骨内侧疼痛。怀疑为左内侧皱襞综合征，我们进行了内侧滑膜皱襞的部分关节镜下切除术。术后症状逐渐改善。据我们所知，尚无报告讨论本病例报告中发现的MPFL重建术后疼痛与滑膜皱襞之间的关系。外科医生应意识到无症状滑膜皱襞可能会出现症状的可能性。
