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半月板突出:批判性分析综述。

Meniscal Extrusion: A Critical Analysis Review.

机构信息

Midwest Orthopaedics at Rush University Medical Center, Chicago, Illinois.

University of South Florida College of Medicine, Tampa, Florida.

出版信息

JBJS Rev. 2022 Aug 4;10(7). doi: e22.00019. eCollection 2022 Jul 1.

Abstract

➢: Pathologic meniscal extrusion can compromise meniscal function, leading to increased contact forces in the tibiofemoral compartment and the acceleration of osteoarthritic changes.

➢: Extrusion is typically defined as radial displacement of ≥3 mm outside the tibial border and is best diagnosed via magnetic resonance imaging, although ultrasonography has also demonstrated encouraging diagnostic utility.

➢: Surgical management of meniscal extrusion is based on the underlying etiology, the patient's symptom profile, the preexisting health of the articular surface, and the risk of future chondral injury and osteoarthritis.

摘要

➢:半月板病理性外突会影响半月板的功能,导致胫骨股骨间的接触力增加,加速骨关节炎的发展。

➢:外突通常被定义为径向位移超过胫骨边界外侧 3 毫米,最好通过磁共振成像诊断,尽管超声检查也显示出令人鼓舞的诊断效用。

➢:半月板外突的手术治疗基于潜在病因、患者的症状特征、关节表面的原有健康状况,以及未来软骨损伤和骨关节炎的风险。

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