膝关节滑膜皱襞综合征的治疗结果
RESULTS OF TREATMENT OF PLICA SYNDROME OF THE KNEE.
作者信息
Camanho Gilberto Luis, Gobbi Riccardo Gomes, Andrade Marta Halasz DE
机构信息
Universidade de São Paulo, Medical School, Hospital das Clínicas, Orthopedics and Traumatology Institute, São Paulo, SP, Brazil.
Instituto Ortopédico Camanho, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2021 Mar-Apr;29(2):72-75. doi: 10.1590/1413-785220212902241609.
OBJECTIVE
The synovial fold is an intra-articular structure found in more than 50% of the knees, which can cause symptoms similar to meniscal injuries. These symptoms are mostly related to hypertrophy of the synovial fold resulting from inadequate physical activity. Conservative treatment with readjustment of sports activity and muscle rebalancing solves most cases. Rare cases require surgical treatment, which is indicated due to the persistence of instability, blockage and pain. We present our experience in the treatment of this pathology.
METHODS
58 patients (70 knees), with 62 knees treated conservatively and 8 treated surgically exclusively for the pathological synovial fold. Results: Description of the series and treatment results are reported.
CONCLUSION
The non-surgical treatment of the pathological synovial fold of the knee provided good results within 60 days of rehabilitation program in almost 90% of the patients. Arthroscopic resection of the synovial fold is a surgery that has a longer and laborious rehabilitation period, despite good results in most cases.
目的
滑膜皱襞是一种关节内结构，在超过50%的膝关节中存在，可引起与半月板损伤相似的症状。这些症状大多与因体育活动不足导致的滑膜皱襞肥大有关。通过调整体育活动和肌肉再平衡进行保守治疗可解决大多数病例。罕见病例需要手术治疗，手术指征为存在持续的不稳定、卡顿和疼痛。我们介绍我们在治疗这种病变方面的经验。
方法
58例患者（70个膝关节），其中62个膝关节仅接受针对病理性滑膜皱襞的保守治疗，8个接受手术治疗。结果：报告了该系列病例的描述及治疗结果。
结论
膝关节病理性滑膜皱襞的非手术治疗在康复计划60天内使近90%的患者取得了良好效果。滑膜皱襞的关节镜下切除术虽然在大多数病例中效果良好，但康复期较长且过程繁琐。
Zotero 插件