31例膑股关节滑膜嵌入症观察

<正> 近年来随着临床经验的不断丰富及膝关节镜的日趋广泛使用,对膝关节滑膜嵌入症已有所认识。此症也是膝关节内紊乱的重要原因之一。近年来文献中虽有报导,但描述较简单。国内除我所于1974年有三例个案报导外,尚未见其它报告,鉴于此症在运动员中并不少见,又很难与髌骨软骨病、股骨髁软骨病相鉴别,为引起注意,现将我所1971—1980年手术治疗的31例粗加分析,以供参考。

INTERPOSITION OF SYNOVIAL MEMBRANE INTO PATELLO-FEMORAL JOINT

Thirty-one cases of this condition are reported.Based upon operative findings, the pathological anatomical changes can be divided into six types.Diagnosis: In some cases, a definite diagnosis was established without difficulty. For example, when pseudo-chondromalacia was detected and the pain was immediately relieved by local procaine injection, the diagnosis was confirmed. However, in most of the cases, a correct diagnosis was not easy to make, especially when a large portion of the membrane was caught in, where arthroscscopy was primarily adopted.Treatment: Conservative treatment such as local injection of prednisolone was the first choice, ln persistent cases, excision of the damaged abnormal fold of the membrane or displacement of the caught in portion by suturing and anchoring it to normal membrane outside the joint was performed. The treatment was good for simple interposition. In cases with associated injuries, the results varied, depending closely on the severity of the associated injuries.