CAJ | 학술논문

目的:回顾性分析总结股骨髁间窝非骨性撞击综合征病例的临床特点,探讨诊断及治疗方案.方法:2004年10月至2007年12月对膝关节伸直受限的115例患者(120膝)行关节镜手术,依据镜下检查筛选出股骨髁间窝非骨性撞击综合征患者15例,其中半月板桶柄状裂伤3例,前交叉韧带囊肿1例,前交叉韧带胫骨止点部分损伤3例,滑膜嵌顿3例,滑膜软骨瘤病5例;术前9例患者经MRI明确诊断,2例经X线明确诊断;15例均经关节镜检查得以确诊.结果:手术治疗15例患者(15膝),术后均得到随访,随访时间4～24个月,平均13个月.Lysholm评分术前平均65分(41～75分),术后平均89分(75～100分).术前伸膝受限5～25度(平均8.1度).术后伸膝受限0度(均为0度).结论:关节镜检查可准确诊断股骨髁间窝非骨性撞击综合征,术前MRI有助于诊断,X线片和MRI阴性者行诊断性关节镜检查;关节镜手术治疗可以获得满意的主、客观疗效.
목적:회고성분석총결고골과간와비골성당격종합정병례적림상특점,탐토진단급치료방안.방법:2004년10월지2007년12월대슬관절신직수한적115례환자(120슬)행관절경수술,의거경하검사사선출고골과간와비골성당격종합정환자15례,기중반월판통병상렬상3례,전교차인대낭종1례,전교차인대경골지점부분손상3례,활막감돈3례,활막연골류병5례;술전9례환자경MRI명학진단,2례경X선명학진단;15례균경관절경검사득이학진.결과:수술치료15례환자(15슬),술후균득도수방,수방시간4～24개월,평균13개월.Lysholm평분술전평균65분(41～75분),술후평균89분(75～100분).술전신슬수한5～25도(평균8.1도).술후신슬수한0도(균위0도).결론:관절경검사가준학진단고골과간와비골성당격종합정,술전MRI유조우진단,X선편화MRI음성자행진단성관절경검사;관절경수술치료가이획득만의적주、객관료효.
Objective To summarize clinical features and explore diagnosis and treatment of femoral intercondylar notch non-bony impingement syndrome. Methods 15 patients of femoral intercondylar notch non-bony impingement syndrome were identified during arthroscopic operation of 115 patients (120 knees) with restricted knee joint extention during Oct 2004 to Dec 2007. Among these 15 patients, there were 3 cases of Bucket Handle Tear(BHT), 1 case of ACL's cyst, 3 cases of ACL tibial avulsion injury, 3 cases of synovial incarceration, and 5 cases of synovial chondroma. 9 patients were diagnosed by MRJ and 2 by X-ray before operation. All 15 patients were confirmed under arthroscopy. Results 15 patients( 15 knees) were operated and followed up for a period of 4～24 months, mean 13 months. Mean Lysholm score was 65(range, 41～75) before operation and 89(range, 75～100) after operation. Joint extension restrict was 5～25 degrees (mean 8.1 degree) before operation and 0 degree after operation. Conclusion Arthroscopy could accurately diagnose femoral Intercondylar notch non-bony impingement syndrome. Pre-operation MRI was helpful for diagnosis. If MRI and X-ray showed negative findings, diagnostic arthroscopic examination could be applied. Good subjective and objective effects could be achieved with arthroscopic operation.