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[老年患者的半月板损伤]

[Meniscal injuries in the aged patient].

作者信息

Camanho G L

机构信息

Instituto Ortopedia do HC, Faculdade de Medicina, Universidade de São Paulo.

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1997 May-Jun;52(3):127-31.

PMID:9435385
Abstract

The author analyses clinical and radiographic aspects of 46 patients with meniscal injuries, with age over 60 years, and submitted to arthroscopic procedures for treatment. The relations of the clinical and arthroscopic findings with the surgical results were evaluated. The night pain complain, joint swelling, the knee flexion deformity were the most frequent clinical findings. The fact of being female, having injuries of lateral meniscus, narrowing of the joint space at the X-ray were bad prognosis signs. The medial femural condile osteonecrosis was the main cause of bad result in patients with medial meniscus injuries.

摘要

作者分析了46例年龄超过60岁、接受关节镜手术治疗的半月板损伤患者的临床和影像学表现。评估了临床和关节镜检查结果与手术效果之间的关系。夜间疼痛主诉、关节肿胀、膝关节屈曲畸形是最常见的临床表现。女性、外侧半月板损伤、X线显示关节间隙变窄是预后不良的征象。股骨内侧髁骨坏死是内侧半月板损伤患者预后不良的主要原因。

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