Suppr超能文献

完全盘状外侧半月板体部中部放射状撕裂:一例报告

Radial Tear of the Midbody in Complete Discoid Lateral Meniscus: A Case Report.

作者信息

Iuchi Ryo, Shiozaki Yoshiki, Horibe Shuji

机构信息

Department of Orthopedic Sports Medicine, Seifu Hospital, Sakai, JPN.

Department of Orthopedic Sports Medicine, Kansai Rosai Hospital, Amagasaki, JPN.

出版信息

Cureus. 2024 Dec 15;16(12):e75750. doi: 10.7759/cureus.75750. eCollection 2024 Dec.

Abstract

To the best of our knowledge, there are no reports on the results of the repair of radial tears of the midbody of the complete discoid lateral meniscus (DLM). A 14-year-old female underwent meniscal replacement with autologous tendon transplantation for early re-tear after repair of the radial tear in the midbody of complete DLM. Two years after the tendon transplantation, there was no effusion or swelling, and the patient was able to exercise completely without symptoms. Repair without saucerization did not allow the placement of multiple sutures at the periphery and allowed destructive forces from the lateral femoral condyle to impact the tear site. Therefore, meniscectomy of the medial zone might be necessary to repair the radial tear of the midbody of complete DLM. Further follow-up is needed to conclude whether the tendon graft can replace the meniscus in the long term.

摘要

据我们所知,目前尚无关于完全盘状外侧半月板(DLM)体部放射状撕裂修复结果的报道。一名14岁女性因完全DLM体部放射状撕裂修复术后早期再撕裂,接受了自体肌腱移植半月板置换术。肌腱移植两年后,无积液或肿胀,患者能够完全无症状地进行锻炼。未进行碟形化的修复无法在周边放置多根缝线,且允许来自股骨外侧髁的破坏力冲击撕裂部位。因此,可能有必要切除内侧区域的半月板以修复完全DLM体部的放射状撕裂。需要进一步随访以确定肌腱移植物能否长期替代半月板。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a480/11732250/f90f478ecff1/cureus-0016-00000075750-i01.jpg

相似文献

1
Radial Tear of the Midbody in Complete Discoid Lateral Meniscus: A Case Report.
Cureus. 2024 Dec 15;16(12):e75750. doi: 10.7759/cureus.75750. eCollection 2024 Dec.
2
Discoid lateral meniscus can be overlooked by magnetic resonance imaging in patients with meniscal tears.
Knee Surg Sports Traumatol Arthrosc. 2018 Aug;26(8):2317-2323. doi: 10.1007/s00167-017-4704-6. Epub 2017 Sep 11.
4
Second look arthroscopic evaluation of repaired radial/oblique tears of the midbody of the lateral meniscus in stable knees.
J Orthop Sci. 2018 Jan;23(1):122-126. doi: 10.1016/j.jos.2017.09.023. Epub 2017 Oct 18.
6
Factors associated with bilateral discoid lateral meniscus tear in patients with symptomatic discoid lateral meniscus tear using MRI and X-ray.
Orthop Traumatol Surg Res. 2019 Nov;105(7):1389-1394. doi: 10.1016/j.otsr.2019.08.007. Epub 2019 Oct 10.
7
9
Characteristics and Outcomes of Operatively Treated Discoid Lateral Meniscus in Pediatric and Young Adult Patients: A Multicenter Study.
Am J Sports Med. 2024 Sep;52(11):2758-2763. doi: 10.1177/03635465241272393. Epub 2024 Sep 2.
10
[Adult lateral meniscus].
Rev Chir Orthop Reparatrice Appar Mot. 2006 Sep;92(5 Suppl):2S169-2S194.

本文引用的文献

1
Symptomatic discoid lateral meniscus shows a relationship between types and tear patterns, and between causes of clinical symptom onset and the age distribution.
Knee Surg Sports Traumatol Arthrosc. 2022 Apr;30(4):1436-1442. doi: 10.1007/s00167-021-06635-3. Epub 2021 Jun 10.
2
All-Inside Suture Repair for Isolated Radial Tears at the Midbody of the Lateral Meniscus.
Arthrosc Tech. 2019 Nov 11;8(12):e1451-e1456. doi: 10.1016/j.eats.2019.07.032. eCollection 2019 Dec.
3
Discoid lateral meniscal repair without saucerization for adolescents with peripheral longitudinal tear.
Knee. 2019 Jun;26(3):803-808. doi: 10.1016/j.knee.2019.03.007. Epub 2019 May 7.
4
Second look arthroscopic evaluation of repaired radial/oblique tears of the midbody of the lateral meniscus in stable knees.
J Orthop Sci. 2018 Jan;23(1):122-126. doi: 10.1016/j.jos.2017.09.023. Epub 2017 Oct 18.
5
Post-operative deformation and extrusion of the discoid lateral meniscus following a partial meniscectomy with repair.
Knee Surg Sports Traumatol Arthrosc. 2017 Feb;25(2):390-396. doi: 10.1007/s00167-016-4393-6. Epub 2016 Dec 23.
6
Long-term results of arthroscopic reshaping for symptomatic discoid lateral meniscus in children.
Arthroscopy. 2015 May;31(5):867-73. doi: 10.1016/j.arthro.2014.12.012. Epub 2015 Feb 7.
7
Meniscal repair for radial tears of the midbody of the lateral meniscus.
Am J Sports Med. 2010 Dec;38(12):2472-6. doi: 10.1177/0363546510376736. Epub 2010 Sep 8.
8
Results of subtotal/total or partial meniscectomy for discoid lateral meniscus in children.
Arthroscopy. 2009 May;25(5):496-503. doi: 10.1016/j.arthro.2008.10.025.
10
Collagenous fibril texture of the discoid lateral meniscus.
Arthroscopy. 2007 Jun;23(6):635-41. doi: 10.1016/j.arthro.2007.01.018.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验