Rooney R C, Fernicola P J, Pitcher J D
Madigan Army Medical Center, Tacoma, Washington, USA.
Am J Orthop (Belle Mead NJ). 1996 Jun;25(6):437-40.
The first reported case of arthroscopic removal of an intra-articular ossified fragment is presented in a patient with melorheostosis of the knee. In this case, the patient's medical history revealed that prior to presentation the patient had experienced transient locking problems with the same knee that spontaneously resolved. Roentgenograms confirmed a 2-cm loose body in the intra-articular space of the left knee and multiple calcified aggregations in the distal femur and proximal tibia. The patient underwent arthroscopy to remove the loose body in the knee, an an intraoperative exam revealed no other abnormalities. Two years postoperatively, the patient reported no knee problems.
本文报道了首例膝关节蜡油样骨病患者关节镜下切除关节内骨化碎片的病例。该病例中,患者病史显示在此次就诊前,同一膝关节曾出现过短暂性交锁问题,但自行缓解。X线片证实左膝关节关节腔内有一个2厘米的游离体,股骨远端和胫骨近端有多个钙化团块。患者接受了关节镜检查以取出膝关节内的游离体,术中检查未发现其他异常。术后两年,患者报告膝关节无问题。