Hospital Universitari Sagrat Cor, Barcelona, España.
International Sports Medicine Clinic, Sevilla, España.
Rev Esp Cir Ortop Traumatol (Engl Ed). 2020 Sep-Oct;64(5):361-364. doi: 10.1016/j.recot.2020.04.008. Epub 2020 Jul 14.
The fabella is a sesamoid bone present in 30% of the population and, in the majority of cases, it is shown in the proximal head of the lateral gastrocnemius articulating with the lateral femoral condyle. Fabella syndrome is an uncommon disease and it must be considered when dealing with posterolateral pain that increases with extension of the knee. Because of its rarity and underdiagnosis, the literature reports few articles relating to its therapeutic management. The articles reviewed demonstrate that conservative treatment has high recurrence rates, surgical excision being the most effective treatment to eradicate symptoms. We found exceptional articles in the literature related to the surgical treatment of fabella syndrome in professional athletes. In this article we report the surgical experience of a 21-year-old elite swimmer who achievedcomplete pain relief and fast recovery after surgical excision of the fabella.
籽骨是一种存在于 30%人群中的籽骨，在大多数情况下，它位于外侧腓肠肌近端头部，与外侧股骨髁关节。籽骨综合征是一种不常见的疾病，当处理膝关节伸展时加重的后外侧疼痛时，必须考虑到这种疾病。由于其罕见性和诊断不足，文献中很少有文章涉及到其治疗管理。回顾的文章表明，保守治疗的复发率很高，手术切除是消除症状最有效的治疗方法。我们在文献中发现了一些与职业运动员的籽骨综合征的手术治疗相关的特殊文章。在本文中，我们报告了一名 21 岁的精英游泳运动员的手术经验，他在接受籽骨切除手术后完全缓解疼痛并快速恢复。
