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胫骨结节骨折合并半月板嵌顿

Tibial Tuberosity Fracture Combined With Entrapped Meniscus.

作者信息

Mahoney J Ryan, Pendleton Albert

出版信息

Orthopedics. 2023 Jan-Feb;46(1):e62-e65. doi: 10.3928/01477447-20220831-01. Epub 2022 Sep 7.

Abstract

Tibial tubercle fractures are rare injuries that occur in adolescents most commonly during athletic activities. Fractures are typically identified by physical examination and radiographs alone; however, this often underestimates the extent of injury. Soft tissue injuries are often associated with tibial tubercle fractures and can be missed by plain radiographs. The authors report on a patient whose meniscus was entrapped in the fracture site during the initial operative reduction and fixation. Magnetic resonance imaging performed 1 year after continued symptoms revealed that a tear of the anterior horn of the lateral meniscus was entrapped within the fracture during the initial surgery. This could have been prevented by using arthroscopy or doing an arthrotomy during open reduction to visualize the articular surface and meniscus during initial surgical intervention. [. 2023;46(1):e62-e65.].

摘要

胫骨结节骨折是一种罕见的损伤,最常发生于青少年的体育活动中。骨折通常仅通过体格检查和X线片来诊断;然而,这往往会低估损伤的程度。软组织损伤常与胫骨结节骨折相关,普通X线片可能会漏诊。作者报告了1例患者,其半月板在初次手术复位和固定时被卡在骨折部位。持续出现症状1年后进行的磁共振成像显示,初次手术时外侧半月板前角撕裂被卡在骨折处。这原本可以通过在切开复位时使用关节镜或进行关节切开术来预防,以便在初次手术干预期间观察关节面和半月板。[. 2023;46(1):e62 - e65.]

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