与慢性前交叉韧带损伤相关的内侧和外侧半月板桶柄样撕裂：三后交叉韧带征的罕见表现。
Both medial and lateral bucket-handle meniscus tears associated with chronic ACL injury: A rare presentation of triple-PCL sign.
作者信息
Santoso Asep, Poetera Cakradenta Yudha, Marindratama Hasmeinda, Anugrah Jiva Yori, Anwar Iwan Budiwan, Sibarani Tangkas S M H S
机构信息
Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; Division of Adult Reconstructive Surgery and Sport Injury, Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia.
Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
出版信息
Int J Surg Case Rep. 2021 Oct;87:106413. doi: 10.1016/j.ijscr.2021.106413. Epub 2021 Sep 15.
BACKGROUND
Several types of meniscal tear could be presented in both acute and chronic anterior cruciate ligament injury. The incidence of bucket-handle meniscus tears can be up to 30% of the overall meniscus tears cases. The case of both compartment (medial and lateral) bucket-handle meniscus is rarely occurred.
CASE
A case of both medial and lateral bucket-handle meniscus tears was reported in a male of 21 years old. The patient also had a chronic anterior cruciate ligament injury. The magnetic resonance imaging also showed a rare presentation of the triple-PCL sign with the sagittal view. Arthroscopic surgery with a meniscus repair and anterior cruciate ligament reconstruction was performed on the patient.
CONCLUSIONS
Several specific imaging signs including triple-PCL sign could be presented in a rare case of both medial and lateral bucket-handle meniscus tears. Recognition of this sign is important to have accurate preoperative diagnosis and proper treatment plan.
背景
多种类型的半月板撕裂可出现在急性和慢性前交叉韧带损伤中。桶柄状半月板撕裂的发生率可达所有半月板撕裂病例的30%。双侧（内侧和外侧）桶柄状半月板的病例很少见。
病例
报告了一名21岁男性双侧桶柄状半月板撕裂的病例。该患者还患有慢性前交叉韧带损伤。磁共振成像在矢状面上还显示出罕见的三联后交叉韧带征。对该患者进行了半月板修复和前交叉韧带重建的关节镜手术。
结论
在双侧桶柄状半月板撕裂的罕见病例中可能出现包括三联后交叉韧带征在内的几种特定影像学征象。认识到这一征象对于准确的术前诊断和恰当的治疗方案很重要。
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