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采用关节镜经间隔入路切除后交叉韧带囊肿

Excision of a Posterior Cruciate Ligament Cyst Using an Arthroscopic Trans-septal Approach.

作者信息

Abreu Felipe Galvão, de Abreu Guilherme Venturi, Pioger Charles, Franck Florent, Vieira Thais Dutra, Bulle Stephane, Sonnery-Cottet Bertrand

机构信息

Centre Orthopédique Santy, FIFA Medical Center of Excellence, Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Lyon.

Centre de Consultation Spécialisé de Décines, Pôle Médical du Grand Large-OL City, Décines, France.

出版信息

Arthrosc Tech. 2020 Mar 27;9(4):e581-e585. doi: 10.1016/j.eats.2020.01.007. eCollection 2020 Apr.

DOI:10.1016/j.eats.2020.01.007
PMID:32368482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7189734/
Abstract

Posterior cruciate ligament (PCL) cysts are rare. Although they are usually asymptomatic and benign, in a few cases they may cause knee discomfort and restricted movements. Nonsurgical treatment is the initial approach, with medication and corticosteroid injections. However, there may be treatment failures, with some cysts needing to be excised surgically. Arthroscopic excision of PCL cysts located in the posterior compartment of the knee can be technically challenging. We describe the arthroscopic excision of a PCL cyst using a trans-septal portal, which is an easy and safe method for accessing and completely removing the lesion under direct vision.

摘要

后交叉韧带（PCL）囊肿较为罕见。尽管它们通常无症状且为良性，但在少数情况下可能会导致膝关节不适和活动受限。非手术治疗是初始治疗方法，包括药物治疗和皮质类固醇注射。然而，可能会出现治疗失败的情况，一些囊肿需要手术切除。膝关节后室的PCL囊肿的关节镜切除在技术上具有挑战性。我们描述了一种使用经间隔入路的PCL囊肿关节镜切除术，这是一种在直视下进入并完全切除病变的简单且安全的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/3e148b61c369/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/57cc5750985d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/5fe4fb5cc5f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/0dbdbecfa1cd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/26fe63419945/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/c5ba707dc97a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/3e148b61c369/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/57cc5750985d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/5fe4fb5cc5f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/0dbdbecfa1cd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/26fe63419945/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/c5ba707dc97a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8903/7189734/3e148b61c369/gr6.jpg

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本文引用的文献

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J Orthop Surg Res. 2018 Apr 13;13(1):84. doi: 10.1186/s13018-018-0798-x.
2
Ganglion cysts of the cruciate ligaments: a series of 31 cases and review of the literature.交叉韧带腱鞘囊肿：31 例系列病例并文献复习。
BMC Musculoskelet Disord. 2012 Aug 3;13:137. doi: 10.1186/1471-2474-13-137.
3
Symptomatic Posterior Cruciate Ganglion Cyst Causing Impingement between Posterior Root of the Medial Meniscus and Anterior to the Posterior Cruciate Ligament.
使用经隔和后内侧入路的四股肌腱自体移植重建后交叉韧带
Arthrosc Tech. 2023 Apr 24;12(5):e751-e755. doi: 10.1016/j.eats.2023.02.003. eCollection 2023 May.
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Arthroscopic Decompression of a Posterior Knee Cyst Causing Vascular Compression.关节镜下对引起血管压迫的后膝囊肿进行减压
Arthrosc Tech. 2022 Sep 17;11(10):e1715-e1719. doi: 10.1016/j.eats.2022.06.006. eCollection 2022 Oct.
引起内侧半月板后根与后交叉韧带前方之间压迫的有症状的后交叉神经节囊肿。
Knee Surg Relat Res. 2012 Mar;24(1):52-5. doi: 10.5792/ksrr.2012.24.1.52. Epub 2012 Feb 28.
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Arthroscopic excision of ganglion cysts of the posterior cruciate ligaments using posterior trans-septal portal.关节镜下后交叉韧带腱鞘囊肿切除术采用后隔室经皮入路。
Arthroscopy. 2012 Jan;28(1):95-9. doi: 10.1016/j.arthro.2011.07.013. Epub 2011 Oct 20.
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Diagnosis and treatment of ganglion cysts of the cruciate ligaments.诊断和治疗十字韧带腱鞘囊肿。
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Knee Surg Sports Traumatol Arthrosc. 2004 Mar;12(2):123-9. doi: 10.1007/s00167-003-0372-9. Epub 2003 Sep 18.
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