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前交叉韧带股骨囊肿的罕见表现——病例报告

ACL Femur Cyst Very Rare Presentation - A Case Report.

作者信息

Babu Chadalavada Aravind, Kareemulla Syed, Chadalavada Aditya, Kumar Naveen, Nutalapati Pranavi

机构信息

Department of Orthopaedics and Traumatology, Amulya Nursing Home, Narasaraopet, Andhra Pradesh, India.

出版信息

J Orthop Case Rep. 2024 Oct;14(10):188-191. doi: 10.13107/jocr.2024.v14.i10.4858.

Abstract

INTRODUCTION

A ganglion cyst is just an accumulation of gelatinous fluid in thick covering that develops from the capsules around tendons or joints . The cause is unknown; however, several suggestions have been put forth, including ectopic tissue development, synovial herniation, and trauma . The clinical symptoms differ based on the location. Management techniques such as non-operative, computed tomography-guided aspiration, open debridement, arthroscopic debridement, and decompression are advised.

CASE REPORT

Here, we report a 32-year-old man who had no history of severe trauma but had been complaining of knee flexion pain for the previous 3 years. There is no clinical laxity, and no additional injuries were observed. The patient had a magnetic resonance imaging (MRI) and an X-ray conducted. X-ray appears normal. The femur foot print location has a big cystic lesion seen on the MRI, located behind the ACL. No other anomalies are found.

CONCLUSION

Femoral ganglion cysts are frequently missed but can be diagnosed with the use of a clinical examination and a link between the clinical findings and MRI. The pain is reduced with arthroscopic cyst decompression.

摘要

引言

腱鞘囊肿是指在厚包膜内积聚的胶冻样液体,由肌腱或关节周围的囊发展而来。病因不明,但已提出多种假说,包括异位组织发育、滑膜疝和创伤。临床症状因囊肿位置而异。建议采用非手术、计算机断层扫描引导下抽吸、切开清创、关节镜清创及减压等治疗技术。

病例报告

在此,我们报告一名32岁男性,他没有严重创伤史,但在过去3年中一直抱怨膝关节屈曲时疼痛。临床上没有松弛现象,也未观察到其他损伤。对该患者进行了磁共振成像(MRI)和X线检查。X线检查结果正常。MRI显示在股骨足迹部位有一个大的囊性病变,位于前交叉韧带(ACL)后方。未发现其他异常。

结论

股骨腱鞘囊肿常被漏诊,但通过临床检查以及临床发现与MRI之间的关联可作出诊断。关节镜下囊肿减压可减轻疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aab5/11458239/11c1f0e64059/JOCR-14-188-g001.jpg

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