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单髁膝关节置换术后滑膜皱襞撞击症

Synovial Folds Impingement After Unicondylar Knee Arthroplasty.

作者信息

Kikuchi Naoya, Taniguchi Yu, Kanamori Akihiro, Yamazaki Masashi

机构信息

Department of Orthopaedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba, JPN.

Department of Orthopaedic Surgery, Ichihara Hospital, Tsukuba, JPN.

出版信息

Cureus. 2024 Feb 13;16(2):e54147. doi: 10.7759/cureus.54147. eCollection 2024 Feb.

Abstract

Soft tissue impingement after total knee arthroplasty has been reported; however, complications after unicondylar knee arthroplasty (UKA) have rarely been reported. We report a rare case of synovial fold impingement that occurred after UKA and caused severe pain with clicking during knee flexion and extension. Diagnostic arthroscopy was performed 3 weeks after UKA and found that a hypertrophied and congested synovial fold in the medial compartment impinged on the femoral component during knee flexion and extension. After excising the synovial fold, the patient's symptoms improved.  is a complication that should be considered when patients complain of severe pain with clicking in the knee after UKA.

摘要

全膝关节置换术后软组织撞击已有报道;然而,单髁膝关节置换术(UKA)后的并发症鲜有报道。我们报告1例罕见的UKA术后滑膜皱襞撞击病例,该病例在膝关节屈伸时导致严重疼痛并伴有弹响。UKA术后3周进行了诊断性关节镜检查,发现内侧间室肥厚充血的滑膜皱襞在膝关节屈伸时撞击股骨假体。切除滑膜皱襞后,患者症状改善。当患者抱怨UKA术后膝关节严重疼痛并伴有弹响时,应考虑这种并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6216/10940247/c2c24efffd1a/cureus-0016-00000054147-i01.jpg

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