期刊文献+

膝内侧半月板“湾征”对内侧副韧带断裂的诊断意义

DIAGNOSTIC SIGNIFICANCE OF "BAY SIGN" OF MEDIAL MENISCUS UNDER ARTHROSCOPE IN MEDIAL COLLATERAL LIGAMENT RUPTURE OF KNEE
收藏 分享 导出
摘要 目的内侧副韧带损伤后,关节镜下可见内侧半月板上滑膜缘完全显示,类似海湾形状,称为"海湾全景征"(简称"湾征"),判断其作为诊断膝内侧副韧带断裂标志体征的可靠性及意义。方法 2007年3月-2011年3月,纳入59例MRI检查提示内侧副韧带断裂患者作为观察组,其中男38例,女21例;年龄16~39岁,平均23.2岁;单纯内侧副韧带断裂12例,合并外侧半月板损伤16例,前交叉韧带损伤27例,前、后交叉韧带损伤3例,髌骨脱位1例。68例MRI检查提示无内侧副韧带断裂患者作为对照组,其中男45例,女23例;年龄25~49岁,平均31.8岁;前交叉韧带损伤38例,前、后交叉韧带损伤4例,前交叉韧带合并外侧半月板损伤26例。两组治疗前后行关节镜探查比较"湾征"出现情况。结果观察组膝内侧副韧带修复重建前关节镜探查均见"湾征",明确内侧副韧带断裂;修复重建后"湾征"消失。对照组交叉韧带重建前后均未见"湾征"。结论 "湾征"可作为关节镜下膝内侧副韧带断裂的诊断指征,以及术中韧带修复重建成功与否的判断依据。 Objective When knee medial collateral ligament(MCL) rupture,the upper surface of medial meniscus is exposed totally,like the gulf panoramic,which is called "panoramic views of the bay sign" or the "bay sign".To investigate the reliability and significance of the "bay sign" in diagnosis of knee MCL rupture under arthroscope.Methods Between March 2007 and March 2011,127 patients with knees injuries were divided into the observation group(n=59) and control group(n=68) based on the MRI results.In the observation group,59 patients had MCL rupture by MRI,including 12 cases of MCL injury alone,16 cases of MCL injury with lateral meniscus torn,27 cases of MCL injury with anterior cruciate ligament(ACL) injury,3 cases of MCL injury with ACL and posterior cruciate ligament(PCL) injury,and 1 case of MCL injury with patellar dislocation;there were 38 males and 21 females with an average age of 23.2 years(range,16-39 years).In the control group,68 patients had no MCL rupture by MRI,including 38 cases of ACL injury,4 cases of ACL and PCL injury,and 26 cases of ACL and lateral meniscus injury;there were 45 males and 23 females with an average age of 31.8 years(range,25-49 years).The "bay sign" was observed under arthroscope in 2 groups before and after operation.Results The positive "bay sign" was seen under arthroscope in the patients of the observation group before MCL repair;the "bay sign" disappeared after repair.No "bay sign" was seen in patients of the control group before and after ACL reconstruction.Conclusion The "bay sign" is a reliable diagnostic evidence of MCL injury.It can be used as a basis to judge the success of MCL reconstruction during operation.
作者 张文涛 张新涛 黄伟 ZHANG Wentao,ZHANG Xintao,HUANG Wei.Department of Sports Medicine,Peking University Shenzhen Hospital,Shenzhen Guangdong,518036,P.R.China
出处 《中国修复重建外科杂志》 CAS CSCD 北大核心 2012年第3期 305-307,共3页 Chinese Journal of Reparative and Reconstructive Surgery
关键词 膝关节 内侧副韧带损伤 海湾全景征 关节镜 Knee joint Medial collateral ligament injury Panoramic views of the bay sign Arthroscope
作者简介 通讯作者:张文涛,主任医师,硕士生导师,研究方向:关节镜技术在各关节及关节外组织的应用,E-marl:zhangwt2007@gmail.com
  • 相关文献

参考文献4

二级参考文献1

  • 1Thomas R. Brown M.D.,Stephen F. Quinn M.D.,J. P. Wensel M.D.,Jin Ho Kim M.D.,Thomas Demlow M.D.. Diagnosis of popliteus injuries with MR imaging[J] 1995,Skeletal Radiology(7):511~514 被引量:1

共引文献4

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈