Department of Orthopaedics, Brugmann University Hospital, Brussels, Belgium.
J Med Case Rep. 2022 Feb 26;16(1):83. doi: 10.1186/s13256-022-03298-7.
Meniscoid lesions have been reported in patients with chronic ankle injuries, especially in soccer athletes, and such lesions cause soft-tissue impingement and pain. To our knowledge, we are the first to report a meniscoid lesion in the ankle joint presenting as a long-term sequela of avascular necrosis of the talus that developed in childhood.
In this paper, we describe a 55-year-old Caucasian male patient who presented with a 1-year history of intermittent locking, "giving way," weight-bearing pain, and swelling over the anterior aspect of the ankle joint. Imaging showed a rare case of avascular necrosis of the talus associated with an unstable plica-like lesion that was removed arthroscopically after unsuccessful conservative treatment.
We demonstrate that unstable meniscoid lesions of the ankle joint can be treated successfully with arthroscopic debridement. We obtained satisfactory short-term clinical results at the 2-year follow-up, even though advanced osteoarthritis was present.
在患有慢性踝关节损伤的患者中，尤其是在足球运动员中，已经报道了半月板样病变，这些病变会导致软组织嵌顿和疼痛。据我们所知，我们是第一个报告距骨坏死儿童期发展后出现踝关节半月板样病变的长期后遗症的。
本文描述了一名 55 岁的白人男性患者，他因间歇性锁定、“失去支撑”、负重疼痛和踝关节前侧肿胀而就诊，病史长达 1 年。影像学显示距骨缺血性坏死伴不稳定的类似半月形皱襞样病变，在保守治疗失败后，通过关节镜进行了切除。
我们证明关节镜下清创术可成功治疗不稳定的踝关节半月板样病变。在 2 年的随访中，我们获得了满意的短期临床结果，尽管存在晚期骨关节炎。
