膝外侧隐窝滑膜挤夹症的诊断与治疗  

Diagnosis and treatment of lateral crypta synovialcrush syndrome of knee

作　　者：张龙海[1] 张建新[1] 李京生[1] 李增洲[1] 姜金卫[1] 

机构地区：[1]北京军区总医院骨科

出　　处：《中华外科杂志》1995年第10期584-585,共2页Chinese Journal of Surgery

摘　　要：作者报告１３例膝外侧隐窝滑膜挤夹症，其中１１例在屈膝２０°～８０°位时膝关节外侧有疼痛弧。步行痛及站立负重痛各１例。１３例均有胫骨外侧平台近关节缘处局限性压痛，１０例在压痛点处可触及有一定韧性的小结节。１０例行关节镜检，发现外侧隐窝有增生的滑膜赘状物或异常的滑膜皱襞，当屈膝到２０°～８０°位时可挤夹于膝关节，切除挤夹物后症状消失。３例行小结节封闭治愈。强地松龙小结节封闭即有诊断价值又有治疗作用。封闭后症状解除不满意者是关节镜检的适应证。１３例均发生在外侧隐窝，考虑与内侧隐窝滑膜解剖存在差异有关。AbstractLateral crypta synovial crush syndrorne is oftenconfused with lateral meniscus injury。Thirteen caseswere reported in this paper.Of them,eleven cases hadpain at the lateral of their knees which were flexedfrom twenty degrees to eighty degrees,One patienthad knee pain in erect position and other one on walL-ing. Local tenderness at lateral tibial plateau of kneeexisted in all cases and small nodule could be palpatedat tenderness point in ten cases。 Ten cases were exam-ined by arthroscope. Synovial neoplasm or abnormalsynovial fold was discovered in lateral crypta of kneewhich could be pushed into joint space at flexed twentydegrees to eighty degrees. After removing them,syrnptom disappeared.Three cases were cured bynodule block therapy.The block therapy of injection ofprednisolonum was available for not only diagnosis,but also treatment. The indication of arthroscope isthat effect of block therapye is unsatisfactory. That allcases occurred on the lateral side might be related tothe diffierence in anotomic structue.

关 键 词：关节镜术 膝外侧隐窝 滑膜挤夹症 诊断 治疗 

分 类 号：R684[医药卫生—骨科学]