Billières Julien, Hopper Graeme P, Carrozzo Alessandro, Ferreira Alexandre, Guy Sylvain, Vieira Thais Dutra, Sonnery-Cottet Bertrand
Hôpital de La Tour, Meyrin, Switzerland.
Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Générale de Santé, Hopital Privé Jean Mermoz, Lyon, France.
Arthrosc Tech. 2022 Apr 22;11(5):e763-e766. doi: 10.1016/j.eats.2021.12.034. eCollection 2022 May.
Acute injuries of the knee medial collateral ligament complex concomitant with anterior cruciate ligament injuries are common. The exact site of the injury may be difficult to diagnose preoperatively on magnetic resonance imaging. This study describes an arthroscopic sign that helps determine the site of the knee medial collateral ligament complex injury. The "medial compartment drive-through sign," visualized during arthroscopy, is described as an excessive opening of the medial compartment. If this excessive opening is above the meniscus, it corresponds to a femoral-sided injury; conversely, if the excessive opening is below the meniscus, then it is a tibial-sided injury. This allows a precise surgical incision to be made, thereby avoiding extensive approaches and possible wound-related complications.
膝关节内侧副韧带复合体急性损伤合并前交叉韧带损伤很常见。术前通过磁共振成像可能难以准确诊断损伤的确切部位。本研究描述了一种有助于确定膝关节内侧副韧带复合体损伤部位的关节镜征象。关节镜检查时可见的“内侧间室贯通征”，表现为内侧间室过度张开。如果这种过度张开在半月板上方，则对应股骨侧损伤；相反，如果过度张开在半月板下方，则为胫骨侧损伤。这使得能够进行精确的手术切口，从而避免广泛的手术入路及可能的伤口相关并发症。
