Jung Y B, Yum J K, Bae Y J, Song K S
Department of Orthopaedic Surgery, Yong San General Hospital, Chung-Ang University, Seoul, Korea.
Arthroscopy. 1998 Jul-Aug;14(5):505-7. doi: 10.1016/s0749-8063(98)70080-5.
Many types of meniscal anomalies have been reported. The authors encountered two cases of anomalous insertion of the anterior horn of the medial menisci to the lateral femoral condyle, which ran up along the course of the anterior cruciate ligament (ACL), but was independent of the ACL. These anomalies were noted during arthroscopic examination and surgery of the ipsilateral knee for a torn discoid meniscus and a patellar fracture. A 34-year-old woman had a horizontal tear of the lateral discoid meniscus. We performed arthroscopic partial meniscectomy of the inner torn portion of the lateral discoid meniscus and contoured it to resemble a normal meniscus. An anomalous insertion of the medial meniscus was found on examination of the joint during surgery. A 32-year-old man had a patellar fracture and we performed reduction under arthroscopy and internal fixation with cannulated screws. The same anomalous insertion of the medial meniscus was also found on examination of the joint during surgery. We report the cases with a review of the literature.
已报道了多种半月板异常情况。作者遇到两例内侧半月板前角异常附着于外侧股骨髁的病例，其沿着前交叉韧带（ACL）的走行向上，但与ACL无关。这些异常是在同侧膝关节因盘状半月板撕裂和髌骨骨折进行关节镜检查及手术时发现的。一名34岁女性患有外侧盘状半月板水平撕裂。我们对外侧盘状半月板内侧撕裂部分进行了关节镜下部分半月板切除术，并将其修整成类似正常半月板的形状。手术中检查关节时发现了内侧半月板的异常附着。一名32岁男性患有髌骨骨折，我们在关节镜下进行了复位并用空心螺钉进行了内固定。手术中检查关节时也发现了内侧半月板同样的异常附着。我们报告这些病例并对文献进行回顾。
