[1]柴卫兵　 朱天岳　 卢宏章　 吕传勇.诊断不明膝关节交锁症的病因探讨和疗效观察[J].中国微创外科杂志,2002,02(4):199-200.
　Chai Weibing,Zhu Tianyue,LuHongzhang,et al.A Study on the causes and therapeutic effects of locking knee of unclear causes[J].Chinese Journal of Minimally Invasive Surgery,2002,02(4):199-200.
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诊断不明膝关节交锁症的病因探讨和疗效观察()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
02
期数:
2002年4期
页码:
199-200
栏目:
出版日期:
2002-08-31

文章信息/Info

Title:
A Study on the causes and therapeutic effects of locking knee of unclear causes
作者:
柴卫兵　 朱天岳　 卢宏章　 吕传勇
北京大学第一医院骨科,北京,100034
Author(s):
Chai Weibing; Zhu Tianyue;  LuHongzhang; et al.
Department ofOrthopaedics,FirstHospital,Peking University,Beijing100034,China
关键词:
膝关节 交锁 关节镜
Keywords:
Knee Joint　Locking　Arthroscopy　
分类号:
R684
文献标志码:
A
摘要:
目的探讨诊断不明膝关节交锁症的病因、症状特点,经关节镜治疗后的临床疗效. 方法对47例膝关节不明原因交锁的病例均施行关节镜检查.镜下发现的病变:34例滑膜疾病、4例Hoffa病、9例髌股关节排列异常,滑膜疾病镜下刨削切除滑膜皱襞、增生肥厚的滑膜团块及滑膜瘤样病变,Hoffa病镜下部分切除髌下脂肪垫,髌骨半脱位行髌骨外侧支持带松解、胫骨结节前内侧移位. 结果平均随访1年,全部病例术后交锁症状消失,46例膝关节疼痛完全消失或明显缓解,术前存在膝关节功能障碍的大多数病例术后恢复或接近正常. 结论诊断不明膝关节交锁症的原因较多,其主要病因是滑膜疾病、Haffa病、髌股关节排列异常.关节镜术是一个重要的诊断和治疗手段,并可获得满意的临床效果.
Abstract:
Objective　To study the causes and symptoms about locking knee of unclear causes and analyze the thrapeutic effects of arthroscopy.　Methods　Arthroscopy was performed for 47 cases who suffered from locking knee of unclear causes.The main focuses observed were synovial shelf(16 cases),synovial hyperplasia(15 cases),sy- novial cyst(3 cases),Hoffa disease(4 cases)and patellofemoral malalignment(9 cases).These synovial focuses were resected by arthroscopic shaving.ForHoffa disease,arthroscopic partial resection of the infrapatellar fat pad was done. For patellofemoral malalignment,the procedures consisted of a standard lateral retinacular release and distal realign- ment of the patella.　Results　All patients were followed up for 2 months to 3 years on (an average of 1 year).The locking of knee disappeared for all cases and painless of knee for46 cases.The functional recoveries ofKnee jointwere mostly excellent.　Conclusions　The main causes consisted of synovial shelf、hyperplasia、cyst,Hoffa disease and pa- tellofemoral malalignment for locking knee of unclear causes.Arthroscopy is not only an important diagnostic method, but also a significant procedure of treatment and the therapeutic effects are satisfactory.

参考文献/References:

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更新日期/Last Update: 2014-07-31