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一名45岁男性复杂膝关节病变的关节镜治疗:病例报告

Arthroscopic Management of Complex Knee Pathologies in a 45-Year-Old Male: A Case Report.

作者信息

Mohammed Alshareef Hatim, Elbarbari Ahmed A, Munshi Abdulaziz A, Hennawi Yasser B, Al-Otibi Batool M

机构信息

Orthopaedic Surgery, King Fahad Armed Forces Hospital, Jeddah, SAU.

Medicine, Umm Al-Qura University, Makkah, SAU.

出版信息

Cureus. 2024 Jul 18;16(7):e64808. doi: 10.7759/cureus.64808. eCollection 2024 Jul.

Abstract

Knee disorders can present in various forms, often involving complex pathologies. The diagnosis and management of these conditions can be challenging, particularly in the absence of associated trauma. A 45-year-old male with a history of chronic right knee pain and clicking presented after failure of conservative treatment modalities. Imaging of the right knee identified multiple pathologies, including a ligament sprain, bone marrow edema, lateral maltracking of the patella, and advanced chondromalacia patella. Following these findings, the patient underwent arthroscopic surgery. A rare lateral meniscal cyst in the anterior horn was found during the surgery. Debridement, irrigation, and excision of the cyst were performed. Following the surgery, the patient experienced successful symptom resolution. Opting for arthroscopic surgery post other method failures can enhance patient outcomes.

摘要

膝关节疾病可以有多种表现形式,常常涉及复杂的病理状况。这些病症的诊断和治疗可能具有挑战性,尤其是在没有相关创伤的情况下。一名45岁男性,有慢性右膝疼痛和弹响病史,在保守治疗方法失败后前来就诊。右膝影像学检查发现多种病变,包括韧带扭伤、骨髓水肿、髌骨外侧轨迹不良以及晚期髌骨软骨软化症。基于这些检查结果,患者接受了关节镜手术。手术中发现前角有一个罕见的外侧半月板囊肿。对囊肿进行了清创、冲洗和切除。手术后,患者症状成功缓解。在其他方法失败后选择关节镜手术可以提高患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee7/11330091/d5fc7cc8c6a1/cureus-0016-00000064808-i01.jpg

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