膝关节内侧滑膜皱襞综合征的关节镜诊治

目的探讨膝关节内侧滑膜皱襞综合征的临床诊断、关节镜诊断及疗效。方法回顾分析1996年1月～2007年12月收治的420例诊断为膝关节痛或半月板损伤或滑膜皱襞综合征的患者,其中有70例内侧滑膜皱襞综合征患者。按Sakakibara法分析其关节镜下形态,在镜视下行皱襞切除术、挛缩内侧支持带松解术,随访分析其疗效。结果70例内侧滑膜皱襞综合征中,镜下A型8例,B型13例,C型24例,D型25例。经镜下行皱襞切除,获得随访43例,随访时间为6个月～5年,平均32个月,按Lysholm法进行疗效评定,优良率90.7%。结论关节镜仍是该病确诊的"金标准",镜下彻底切除滑膜皱襞、松解挛缩内侧支持带是治疗该病有效的方法。

Diagnosis and treatment of medial plica syndrome by arthroscopy

Objective To discuss the accuracy of clinical diagnosis, the classifications and curative effect of medial plica syndrome by arthroscopy. Methods A retrospective survey was performed in 420 patients who were admitted into hospital by the complaint of knee ache or meniscal injury or plica syndrome from January 1996 to December 2007. There were 70 patients with medial plica syndrome treated by arthroscopy. Arthroscopic classification were done according to Sakakibara classification scheme. Arthroscopic plicaectomy alone or Arthroscopic plicaectomy plus retinacular band excision were performed. Results Among 70 cases medial plica syndrome, there were 8 cases graded into type A, 13 cases into B, 24 cases into C, 25 cases into D. Mean follow up time was 32 months （ range from 6 to 60 months）. The rates of excellent and good were 90. 7% according to Lysholm scores. Conclusions The diagnosis standard of medial plica syndrome by arthroscopy is still the golden standard. Arthroscopic plicaectomy or plus retinacular band excision is an effective therapy.