前交叉韧带囊肿的临床表现与关节镜治疗

目的：探讨膝关节前交叉韧带囊肿的临床表现和关节镜手术疗效.方法：回顾性分析自2005年1月至2010年12月收治的12例症状性膝关节前交叉韧带囊肿的资料.男8例,女4例;年龄19～53岁,平均（33.7±9.5）岁;左膝5例,右膝7例;病程3～48个月,平均（15.8±13.2）个月.术中关节镜下完整切除前交叉韧带囊肿.记录术前术后膝关节的活动度,膝关节功能采用Lysholm评分标准进行评定.结果：术后患者切口均Ⅰ期愈合,无相关并发症发生.12例均获随访,时间24～48个月,平均（32.3±6.6）个月.患膝关节疼痛、肿胀、交锁症状均消失,随访期间无复发.术后关节活动度及Lysholm评分均较术前明显改善.结论：关节镜诊治症状性前交叉韧带囊肿具有创伤小、恢复快的优点,是治疗症状性膝关节前交叉韧带囊肿的有效治疗手段.

Arthroscopic treatment of symptomatic anterior cruciate ligament cysts of the knee

Objective: To explore the clinical symptom and effect of arthroscopic treatment of symptomatic anterior cruciate ligament(ACL) cysts of the knee.Methods: Clinical data from 12 symptomatic ACL cysts patients from January 2005 to December 2010 were retrospectively analyzed,including 8 males and 4 females,with an average age of (33.7±9.5) years old (ranged,19 to 53 years old). The locations were the left knee in 5 cases and the right knee in 7 cases. The disease duration ranged from 3 to 48 months,with a mean of (15.8±13.2) months. All cysts were arthroscopically resected. Range of motion was measured preoperatively and postoperatively,and Lysholm scoring system was used to evaluate the knee function.Results: All the incisions healed by first intention,and no complications occurred. Twelve patients were followed up for an average of (32.3±6.6) months(ranged,24 to 48 months). The symptoms of arthralgia,swelling and interlocking of the affected knees disappeared. There was no recurrence during the follow-up. There were significant differences in the range of motion and Lysholm score between pre-operation and post-operation.Conclusion: Arthroscopic surgery,showing its advantages of minimal invasion and rapid recovery,is an effective measure in the treatment of ACL cysts.