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关节镜下切除疼痛性滑膜皱襞(髌内侧滑膜皱襞)

Resection of painful shelf (plica synovialis mediopatellaris) under arthroscopy.

作者信息

Koshino T, Okamoto R

出版信息

Arthroscopy. 1985;1(2):136-41. doi: 10.1016/s0749-8063(85)80045-1.

DOI:10.1016/s0749-8063(85)80045-1
PMID:4091919
Abstract

In a series of 3,250 patients with knee disorders, a painful shelf was diagnosed and resected in 39 knees of 32 patients. Thirty of them were done by arthroscopy and nine by arthrotomy. There were 10 men and 22 women whose ages ranged from 4 to 55 years, with an average of 19 years. The follow-up period ranged from 1 to 6 years. Postoperatively, the pain was relieved in 26 knees and diminished in 13. A cord-like mass, palpable in 30 knees, disappeared in 25 postoperatively. Clicks were noted in 34 knees; 28 of these were not audible or palpable postoperatively. The provocation test 1 result was positive in 23 of 28 knees preoperatively, negative in 21, and diminished in 2 postoperatively. The provocation test 2 was performed in 23 knees; it produced pain and/or palpable click in 14 preoperatively, and was negative in 12 and diminished in 2 postoperatively.

摘要

在一组3250例膝关节疾病患者中,诊断出32例患者的39个膝关节存在疼痛性滑膜皱襞并进行了切除。其中30例通过关节镜手术完成,9例通过切开手术完成。患者中有10名男性和22名女性,年龄从4岁到55岁不等,平均年龄为19岁。随访时间为1至6年。术后,26个膝关节疼痛缓解,13个膝关节疼痛减轻。30个膝关节可触及条索状肿块,术后25个消失。34个膝关节有弹响;其中28个术后听不到或触不到弹响。术前28个膝关节中23个激发试验1结果为阳性,21个为阴性,2个术后减轻。对23个膝关节进行了激发试验2;术前14个出现疼痛和/或可触及弹响,术后12个为阴性,2个减轻。

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Arthroscopy. 1985;1(2):136-41. doi: 10.1016/s0749-8063(85)80045-1.
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