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关节镜下胫骨结节骨赘清理及痛风结晶清除术治疗伴有前膝痛的奥斯古德-施拉特病合并痛风

Arthroscopic Tibial Tubercle Osteophyte Debridement and Gout Crystal Clearance for the Treatment of Osgood-Schlatter Disease Complicated With Gout in Patients With Anterior Knee Pain.

作者信息

Liu Zhen-Long, Chen Ling-Jie, Qiu Yu-Chen, Hou Yue-Yang, He Zhi-Hui, Gao Jian-Li, Huang Hong-Shi, Yang Yu-Ping

机构信息

Peking University Health Science Center, Beijing, P. R. China.

Department of Sports Medicine, Peking University Third Hospital, Beijing, P. R. China.

出版信息

Arthrosc Tech. 2025 Jan 3;14(5):103369. doi: 10.1016/j.eats.2024.103369. eCollection 2025 May.

DOI:10.1016/j.eats.2024.103369
PMID:40547983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12177389/
Abstract

We describe the arthroscopic tibial tubercle osteophyte debridement and gout crystal clearance for treating Osgood-Schlatter disease combined with gout in patients experiencing anterior knee pain. Preoperative assessment includes medical history review, physical examination, and imaging studies. The surgical procedure involves arthroscopic entry, osteophyte and calcification clearance, and crystal removal. Postoperative rehabilitation allows for full weightbearing, with moderate knee flexion exercises. This approach offers a promising treatment option for patients with Osgood-Schlatter disease and gout, providing new insights into surgical management strategies.

摘要

我们描述了关节镜下胫骨结节骨赘清理和痛风结晶清除术,用于治疗前膝痛患者的奥斯古德-施拉特病合并痛风。术前评估包括病史回顾、体格检查和影像学检查。手术过程包括关节镜入路、骨赘和钙化清除以及结晶清除。术后康复允许完全负重,并进行适度的膝关节屈曲练习。这种方法为患有奥斯古德-施拉特病和痛风的患者提供了一种有前景的治疗选择,为手术管理策略提供了新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/cdfa912e0a9c/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/4a9e09cf2939/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/79828dfb6024/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/d8874a114b73/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/7f8d082fa2c7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/f0e44c6f3fb3/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/a6bc6a789548/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/806d50c853f0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/3d0d0aaa0f51/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/871c84ee4968/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/cdfa912e0a9c/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/4a9e09cf2939/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/79828dfb6024/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/d8874a114b73/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/7f8d082fa2c7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/f0e44c6f3fb3/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/a6bc6a789548/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/806d50c853f0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/3d0d0aaa0f51/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/871c84ee4968/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc72/12177389/cdfa912e0a9c/gr10.jpg

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本文引用的文献

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Int J Surg Case Rep. 2024 Sep;122:110066. doi: 10.1016/j.ijscr.2024.110066. Epub 2024 Jul 25.
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[Recommendations for the diagnosis and treatment of gout in China].《中国痛风诊断和治疗指南》
Zhonghua Nei Ke Za Zhi. 2023 Sep 1;62(9):1068-1076. doi: 10.3760/cma.j.cn112138-20221027-00796.
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Arthroscopic Resection of Symptomatic Tibial Tubercle Ossicles for Recalcitrant Osgood-Schlatter Disease Using a 2-Portal Technique.
采用双入路技术经关节镜切除有症状的胫骨结节小骨治疗难治性胫骨结节骨软骨炎
Arthrosc Tech. 2022 Apr 22;11(5):e813-e818. doi: 10.1016/j.eats.2021.12.041. eCollection 2022 May.
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Septic Arthritis Complicating a Gout Flare: Report of Two Cases and Review of the Literature.痛风发作并发感染性关节炎:两例报告及文献复习
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[Clinical characteristics of crystal deposits in joints and tendons in patients with gout].[痛风患者关节和肌腱中晶体沉积的临床特征]
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