首页> 外文期刊>Open Journal of Urology >Mucoid Degeneration of Posterior Cruciate Ligament Leads to Roof Impingement with Anterior Cruciate Ligament: Case Report
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Mucoid Degeneration of Posterior Cruciate Ligament Leads to Roof Impingement with Anterior Cruciate Ligament: Case Report

机译:后十字韧带的粘液样变性导致前十字韧带屋顶撞击:病例报告

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Mucoid degeneration of cruciate ligament is rare cause of knee pain, however there are some cases causing pain and restriction of extension. A 60-year-old man came to our clinic complaining of pain in knee joint on full range of extension about 3 months ago. The range of motion (ROM) was a flexion contracture of 5 degree and a further flexion of 140 degree with pain aggravation by forced extension. Magnetic resonance imaging of the knee joint showed thickened posterior cruciate ligament (PCL) mucoid degeneration. Arthroscopic treatment consists of PCL reduction-plasty by debridement of yellowish material in the PCL fiber and reduces the volume of the hypertrophied PCL. Immediately after surgery, patient gain the full ROM without any symptom of impingement. Enlarged PCL can make impingement in femoral notch with anterior cruciate ligament (ACL). Then, Partial debulking surgery of PCL is an effective treatment to pain relief and restore ROM of knee.
机译:十字韧带的粘液样变性很少引起膝关节疼痛,但是在某些情况下会引起疼痛和伸展受限。大约3个月前,一名60岁的男子来到我们的诊所,抱怨膝关节全范围伸展疼痛。运动范围(ROM)为5度屈曲挛缩,再度为140度屈曲,并因强迫伸展而加重疼痛。膝关节的磁共振成像显示后十字韧带(PCL)粘液样变性变厚。关节镜治疗包括通过清除PCL纤维中的淡黄色物质来清除PCL,并减少肥大PCL的体积。手术后,患者立即获得完整的ROM,没有任何撞击症状。 PCL增大可累及前交叉韧带(ACL)进入股骨槽口。因此,PCL的部分减体手术是缓解疼痛和恢复膝盖ROM的有效方法。

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