Leão Renata Vidal, De Souza Thais Rossana Cruz, Helito Paulo Victor Partezani, Correa Marcos Felippe de Paula, Helito Camilo Partezani
Department of Radiology, Hospital Sírio-Libanês, R. Adma Jafet, 91, São Paulo, Brazil 01308-050.
Department of Orthopaedics, Hospital Sírio-Libanês, R. Adma Jafet, 91, São Paulo, Brazil 01308-050.
Radiol Case Rep. 2022 Nov 26;18(2):556-562. doi: 10.1016/j.radcr.2022.11.003. eCollection 2023 Feb.
We describe a unique case of 43-year-old male who presented with a persistent lateral knee pain caused by impingement between a femoral surgical screw and the iliotibial band, which was treated with surgical resection of the screw debris. The patient had reincidence of the symptoms and a magnetic resonance showed a wide and unrepairable tear of the iliotibial band, which was treated with interposition of a folded fasciae latae allograf. After the procedure, the patient had excellent clinical results and imaging evaluation showed progressive allograft integration. This case highlights the imaging findings and surgical aspects of an iliotibial band reconstruction, a novel surgical procedure that could be considered in patients with an unrepairable iliotibial band injury.
我们描述了一例独特的病例,一名43岁男性因股骨手术螺钉与髂胫束之间的撞击而出现持续性膝关节外侧疼痛,通过手术切除螺钉碎片进行治疗。患者症状复发,磁共振成像显示髂胫束出现广泛且无法修复的撕裂,遂采用折叠阔筋膜异体移植进行治疗。术后,患者取得了出色的临床效果,影像学评估显示异体移植逐渐融合。该病例突出了髂胫束重建的影像学表现和手术要点,这是一种可考虑用于治疗无法修复的髂胫束损伤患者的新型手术方法。