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前交叉韧带黏液样变性——减容的系统方法

Mucoid Degeneration of Anterior Cruciate Ligament-A Systematic Approach for Debulking.

作者信息

Choukimath Shivaprasad K, Kodi Harish, Nedumparampil Mevin Mathew, Pilar Anoop, Pruthviraj Prunav Adhav, Krishnan Rinju, George Cherian, Amaravathi Rajkumar S

机构信息

Division of Arthroscopy, Sports Injuries, Joint Preservation and Regenerative Medicine, Department of Orthopaedics, St. John's Medical College, Bangalore, India.

出版信息

Arthrosc Tech. 2024 Jun 8;13(9):103053. doi: 10.1016/j.eats.2024.103053. eCollection 2024 Sep.

DOI:10.1016/j.eats.2024.103053
PMID:39308589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11411365/
Abstract

Anterior cruciate ligament (ACL) mucoid degeneration is an underdiagnosed condition that occurs when mucinous material develops in the ACL in the absence of synovial lining. Several authors have diagnosed this condition, discussed their own personal observations, and put forward their own suggestions for management. When diagnosed, one important strategy for management entails "debulking" the ACL using an arthroscopic debridement. No protocol has been described on the sequence of steps for ACL debridement during arthroscopy. We present our own in this Technical Note, with the addition of video footage that describes our arthroscopic technique for ACL mucoid degeneration debridement using radiofrequency ablation and the sequence of steps. This Technical Note aims to demonstrate the procedure needed for arthroscopic debulking of a mucoid ACL, which will lessen ACL impingement while maintaining a stable knee.

摘要

前交叉韧带（ACL）黏液样变性是一种诊断不足的疾病，它发生在ACL中出现黏液样物质且无滑膜衬里的情况下。几位作者已诊断出这种疾病，讨论了他们自己的个人观察结果，并提出了自己的治疗建议。诊断出来后，一种重要的治疗策略是使用关节镜清创术对ACL进行“减容”。目前尚未有关于关节镜检查时ACL清创步骤顺序的方案描述。在本技术说明中，我们介绍了自己的方案，并附上视频片段，描述了我们使用射频消融术对ACL黏液样变性进行清创的关节镜技术及步骤顺序。本技术说明旨在展示关节镜下对黏液样ACL进行减容所需的操作，这将减轻ACL撞击，同时保持膝关节稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/e4b2663fd04b/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/b48077e3e2b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/e003f3a19b8a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/d122f33b555d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/33193248f4f9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/4af390133b7c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/387b3061bc58/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/edf037a3051d/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/e4b2663fd04b/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/b48077e3e2b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/e003f3a19b8a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/d122f33b555d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/33193248f4f9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/4af390133b7c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/387b3061bc58/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/edf037a3051d/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c353/11411365/e4b2663fd04b/gr10.jpg

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本文引用的文献

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Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study.清理黏液样前交叉韧带在单髁膝关节置换术中的作用：一项前瞻性多中心研究。
Knee Surg Relat Res. 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9.
2
Management of mucoid degeneration of the anterior cruciate ligament: a systematic review.前交叉韧带黏液样变性的管理：一项系统评价
Knee Surg Relat Res. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6.
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Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament.
前交叉韧带黏液样变性的关节镜治疗结果
Clin Orthop Surg. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. Epub 2018 Aug 22.
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Mucoid degeneration of the anterior cruciate ligament: Management and outcome.前交叉韧带黏液样变性：治疗与结果
Indian J Orthop. 2014 Mar;48(2):197-202. doi: 10.4103/0019-5413.128765.
5
Symptomatic mucoid degeneration of the anterior cruciate ligament.前交叉韧带的症状性黏液样变性。
Knee Surg Sports Traumatol Arthrosc. 2013 Mar;21(3):658-63. doi: 10.1007/s00167-012-1991-9. Epub 2012 Apr 24.
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Anterior cruciate ligament mucoid degeneration: selecting the best treatment option.前交叉韧带黏液样变性：选择最佳治疗方案。
Orthop Traumatol Surg Res. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Epub 2010 May 8.
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Mucoid degeneration of the anterior cruciate ligament.前交叉韧带黏液样变性
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Case report: intra-tendinous ganglion of the anterior cruciate ligament in a young footballer.病例报告：一名年轻足球运动员前交叉韧带内腱鞘囊肿
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