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病例报告:内侧副韧带钙化的手术治疗

Case Report: Surgical management of medial collateral ligament calcification.

作者信息

You Yihang, Li Zhenhua, Guo Jie, Zhang Tao

机构信息

Department of Orthopedics, Jinan Central Hospital, Jinan, Shan Dong, China.

出版信息

Front Surg. 2024 Dec 2;11:1506867. doi: 10.3389/fsurg.2024.1506867. eCollection 2024.

Abstract

Calcification is a self-limiting disease, characterized by the deposition of calcium, causing severe pain, swelling, and movement disorder. It is mainly found in the shoulder joint but has also been reported in other joints such as the wrist, hip, knee, foot, and ankle. However, calcification of the medial collateral ligament (MCL) has been rarely reported. The patient was a 47-year-old female without any trauma, whose chief complaint was pain and impaired flexion-extension of the affected knee joint. The diagnosis was calcification of the MCL, subsequently demonstrated by imaging examination. Conservative treatment was initially attempted, followed by arthroscopic surgery, and the postoperative pathological results confirmed the calcified tendon. The patient had a favorable prognosis 1 month after the procedure. This study demonstrates that arthroscopic surgery can result in effective and swift recovery of clinical outcomes for patients with calcification of the MCL.

摘要

钙化是一种自限性疾病,其特征为钙沉积,可导致严重疼痛、肿胀及活动障碍。该病主要见于肩关节,但也有报道称在腕关节、髋关节、膝关节、足部和踝关节等其他关节出现。然而,内侧副韧带(MCL)钙化鲜有报道。该患者为一名47岁女性,无任何外伤史,主要诉求为患侧膝关节疼痛及屈伸功能受限。诊断为MCL钙化,随后经影像学检查得以证实。最初尝试保守治疗,之后进行了关节镜手术,术后病理结果证实为肌腱钙化。术后1个月患者预后良好。本研究表明,关节镜手术可使MCL钙化患者的临床疗效有效且快速恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6d/11646854/8e8007f6a537/fsurg-11-1506867-g001.jpg

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