Durkin William, Vohra Arjun, Galal Youssef, Paul Ben, Lynch Austin, Lederman Evan, Shah Anup
Banner University Medical Center-Phoenix, University of Arizona College of Medicine-Phoenix, Phoenix, AZ.
Radiol Case Rep. 2024 Feb 17;19(5):1791-1796. doi: 10.1016/j.radcr.2024.01.055. eCollection 2024 May.
Traumatic dislocations of the knee can result in significant soft tissue damage including multiligamentous and meniscal knee injury. When a meniscal tear involves the posterior horn, the meniscus loses one of its attachments to the tibia and can become extruded from the joint. Stener-like lesions of the knee have been reported throughout the literature; however, they have been exclusively described as a distal tear of the medial collateral ligament (MCL) lying superficial to the pes anserine tendon which prevents anatomic healing. The purpose of this report is to present a previously unreported unique variant of a lateral meniscus tear in the setting of a MLKI. In this case presentation, the lateral meniscus became extruded superficial to the intact lateral collateral ligament (LCL) resulting in a Stener-like lesion. Corrective recognition of lesions like these and timely surgical intervention is recommended to restore native anatomy and prevent chronic pain, instability, and premature degenerative disease. Level IV, Case report.
膝关节创伤性脱位可导致严重的软组织损伤,包括膝关节多韧带和半月板损伤。当半月板撕裂累及后角时,半月板失去其与胫骨的一个附着点,可能会从关节中挤出。膝关节类似斯滕纳(Stener)病变在文献中已有报道;然而,它们仅被描述为位于鹅足肌腱浅面的内侧副韧带(MCL)远端撕裂,这会妨碍解剖学愈合。本报告的目的是介绍一种在多韧带膝关节损伤(MLKI)情况下外侧半月板撕裂的先前未报道的独特变异。在本病例报告中,外侧半月板在完整的外侧副韧带(LCL)浅面挤出,导致类似斯滕纳病变。建议正确识别此类病变并及时进行手术干预,以恢复正常解剖结构,预防慢性疼痛、不稳定和过早的退行性疾病。四级,病例报告。