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半膜肌滑囊破裂——膝关节运动损伤后的一种罕见并发症。

Ruptured semimembranosus bursa--an unusual complication following sports injury of the knee.

作者信息

Andersen-Ranberg F, Hejgaard N

出版信息

Br J Sports Med. 1986 Mar;20(1):23-4. doi: 10.1136/bjsm.20.1.23.

DOI:10.1136/bjsm.20.1.23
PMID:3697597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1478288/
Abstract

An exceptional complication of a slight sports injury of the knee with rupture of the semimembranosus bursa in a 29-year-old male football player is reported. The diagnosis was verified by immediate arthrography, consequently the possibility of thrombophlebitis could be ruled out. Anticoagulation is dangerous and contraindicated in rupture of the semimembranosus bursa due to the risk of developing compartment syndrome. Simple bed-rest for a week gave complete relief of pain.

摘要

报告了一名29岁男性足球运动员因轻微的膝部运动损伤导致半膜肌滑囊破裂的罕见并发症。通过立即进行关节造影确诊,因此可以排除血栓性静脉炎的可能性。由于存在发生骨筋膜室综合征的风险,抗凝治疗在半膜肌滑囊破裂时是危险的且禁忌使用。简单卧床休息一周后疼痛完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/517e/1478288/5e159a81ffa4/brjsmed00045-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/517e/1478288/5e159a81ffa4/brjsmed00045-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/517e/1478288/5e159a81ffa4/brjsmed00045-0025-a.jpg

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本文引用的文献

1
Popliteal cyst rupture in septic arthritis.化脓性关节炎中的腘窝囊肿破裂
Med J Aust. 1982 Oct 16;2(8):385-6. doi: 10.5694/j.1326-5377.1982.tb132484.x.
2
Evaluation of popliteal cysts and painful calves with ultrasonography: comparison with arthrography.超声检查评估腘窝囊肿和小腿疼痛:与关节造影术的比较。
Ann Rheum Dis. 1982 Aug;41(4):355-9. doi: 10.1136/ard.41.4.355.
3
Ruptured semimembranosus bursa--a complication of arthroscopy. A short case report.半膜肌滑囊破裂——关节镜检查的一种并发症。一则简短病例报告。
Injury. 1983 Nov;15(3):182-3. doi: 10.1016/0020-1383(83)90010-4.
4
Intra-articular pressures and intraosseous pressure in the human knee and its implication for patello-femoral pain syndromes. An experimental study using simulated joint effusion.人体膝关节的关节内压力和骨内压及其对髌股疼痛综合征的影响。一项使用模拟关节积液的实验研究。
Acta Orthop Belg. 1984;50(6):791-801.
5
Comparison of ultrasound and positive contrast arthrography in the diagnosis of popliteal and calf swellings.超声与阳性对比关节造影在诊断腘窝和小腿肿胀中的比较。
Ann Rheum Dis. 1974 May;33(3):221-4. doi: 10.1136/ard.33.3.221.
6
Popliteal cyst mimicking thrombophlebitis as the first indication of knee disease.腘窝囊肿酷似血栓性静脉炎作为膝关节疾病的首发表现
Clin Orthop Relat Res. 1979 Oct(144):215-9.