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关节镜治疗腘肌腱钙化性肌腱炎:一例报告。

Arthroscopic treatment of calcific tendinitis of the popliteal tendon: A case report.

作者信息

Deng Zhi, Zhang Zhiwei, Li Xiaobing, Xu Wenhe, Peng Yuewen

机构信息

Department of Sports Medicine, Yueyang Hospital Affiliated to Hunan Normal University, Yueyang, Hunan Province, China.

Department of Sports Medicine, Yueyang Hospital Affiliated to Hunan Normal University, Yueyang, Hunan Province, China.

出版信息

Int J Surg Case Rep. 2025 Jan;126:110781. doi: 10.1016/j.ijscr.2024.110781. Epub 2024 Dec 24.

Abstract

INTRODUCTION AND IMPORTANCE

Calcific tendinitis occurring in the popliteal tendon is extremely rare and has rarely been reported in the past. This case describes a patient who underwent arthroscopic surgery to remove the calcification of the popliteal tendon and achieved satisfactory results after surgery, providing valuable evidence for the feasibility of arthroscopic treatment of calcific tendinitis of the popliteal tendon.

CASE PRESENTATION

The patient was a 55-year-old female who was admitted to the hospital due to right knee pain and limited mobility. Physical examination revealed right knee swelling with increased skin temperature and flexion and extension disorders. Imaging, arthroscopy and pathological examinations confirmed "calcific tendinitis of the popliteal tendon". After the operation, the patient's right knee pain disappeared and her movements were normal.

CLINICAL DISCUSSION

Calcific tendinitis of the popliteal tendon is extremely rare. The pathogenesis of this disease is relatively complex. Conservative treatment is usually chosen. If it is ineffective, arthroscopic removal of the lesion is chosen. The patient's symptoms can be relieved immediately after the operation, and after reasonable rehabilitation exercises, the patient can quickly resume daily work and life.

CONCLUSION

Calcification foci at the popliteal tendon are the main factors causing knee pain and dysfunction. Arthroscopic surgery to completely remove calcification foci at the popliteal tendon can achieve satisfactory clinical results. It has the advantages of less trauma, immediate pain relief, and rapid functional recovery. It is especially suitable for patients after conservative treatment has failed.

摘要

引言与重要性

腘肌腱钙化性肌腱炎极为罕见,过去鲜有报道。本病例描述了一名接受关节镜手术以清除腘肌腱钙化的患者,术后取得了满意的效果,为关节镜治疗腘肌腱钙化性肌腱炎的可行性提供了有价值的证据。

病例介绍

患者为一名55岁女性,因右膝疼痛和活动受限入院。体格检查发现右膝肿胀,皮肤温度升高,屈伸障碍。影像学、关节镜及病理检查确诊为“腘肌腱钙化性肌腱炎”。术后患者右膝疼痛消失,活动正常。

临床讨论

腘肌腱钙化性肌腱炎极为罕见。该病的发病机制较为复杂。通常选择保守治疗。若无效,则选择关节镜下切除病灶。术后患者症状可立即缓解,经过合理的康复锻炼,患者可迅速恢复日常工作和生活。

结论

腘肌腱钙化灶是导致膝关节疼痛和功能障碍的主要因素。关节镜手术完全清除腘肌腱钙化灶可取得满意的临床效果。它具有创伤小、疼痛立即缓解、功能恢复快等优点。尤其适用于保守治疗失败的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dfb/11755085/2799bb68495f/gr1.jpg

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