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近端胫腓关节关节炎合并内侧半月板撕裂:一例报告

Proximal Tibiofibular Joint Arthritis Co-existing With a Medial Meniscal Tear: A Case Report.

作者信息

Pappa Eleni, Kakridonis Fotios, Trantos Ioannis A, Ioannidis Kyriakos, Koundis George, Kokoroghiannis Constantine

机构信息

5th Orthopaedic Department, KAT General Hospital, Athens, GRC.

出版信息

Cureus. 2022 Jun 11;14(6):e25849. doi: 10.7759/cureus.25849. eCollection 2022 Jun.

Abstract

Proximal tibiofibular joint (PTFJ) arthritis is rare and, thus, not regularly considered as a source of knee pain. In this report, we present the case of a patient with posterior knee pain attributed to a medial meniscal tear rather than to a co-existing PTFJ arthritis, which was not appreciated. Based on the initial diagnosis, the patient underwent knee arthroscopy that did not alleviate his symptoms. The presence of established tibiofibular joint arthritis was diagnosed on subsequent clinical and MRI reassessment. An intra-articular corticosteroid injection settled the patient's symptoms. The aim of this report is to raise awareness about tibiofibular joint arthritis as a possible cause of posterior or lateral knee pain.

摘要

胫腓近侧关节(PTFJ)关节炎较为罕见,因此通常不被视为膝关节疼痛的病因。在本报告中,我们介绍了一例患者,其膝关节后方疼痛归因于内侧半月板撕裂,而非同时存在的未被识别的PTFJ关节炎。基于初始诊断,该患者接受了膝关节镜检查,但症状并未缓解。后续经临床和MRI重新评估,确诊存在胫腓关节关节炎。关节内注射皮质类固醇使患者症状得到缓解。本报告旨在提高对胫腓关节关节炎作为膝关节后方或外侧疼痛可能病因的认识。

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