股骨内髁软骨波纹征对内侧半月板纵形撕裂损伤的诊断意义  

SPECIFIC DIAGNOSTIC SIGNIFICANCE OF “RIPPLE SIGN” OF MEDIAL FEMORAL CONDYLE UNDER ARTHROSCOPE IN MEDIAL LONGITUDINAL MENISCAL TEARS

作　　者：任士友 孙礼氓 陈国飞[1] 江长青[2] 张新涛[2] 张文涛[2] 

机构地区：[1]安徽医科大学北京大学深圳医院临床学院,广东深圳518036 [2]北京大学深圳医院运动医学与康复科

出　　处：《中国修复重建外科杂志》2015年第1期24-26,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨股骨内髁软骨波纹征诊断膝内侧半月板纵形撕裂损伤的特异性。方法 2013年6月-2014年6月,对56例半月板损伤患者关节镜下探查股骨内髁软骨是否存在波纹征,明确半月板损伤类型;同时行半月板修复及韧带重建术。男35例,女21例;年龄12-38岁,平均22.2岁。致伤原因：运动伤40例,摔伤10例,交通事故伤6例。左膝22例,右膝34例。病程10-40 d,平均20.2 d10单纯内侧半月板损伤15例;合并前交叉韧带损伤38例,后交叉韧带损伤2例,髌骨脱位1例。结果关节镜下探查示患者股骨内髁软骨均出现波纹征,其中轻度23例、中度28例、重度5例;内侧半月板损伤均为纵形撕裂损伤。结论关节镜下发现股骨内髁波纹征提示可能存在内侧半月板纵形撕裂损伤。Objective To investigate the reliability of the ＂ripple sign＂ on the upper surface of the medial femoral condyle in the diagnosis of medial longitudinal meniscal tears under arthroscope. Methods Between June 2013 and June 2014,56 patients with knee injuries were included. There were 35 males and 21 females with an average age of 22.2 years（range,12-38 years）. The causes of injury were sports in 40 cases,falling in 10 cases,and traffic accident in 6 cases. The injury was located at the left knee in 22 cases and at the right knee in 34 cases. The disease duration was 10-40 days（mean,20.2 days）. Of 56 patients,15 cases had simple medial meniscal injury; 41 cases had combined injuries,including anterior cruciate ligament injury in 38 cases,posterior cruciate ligament injury in 2 cases,and patellar dislocation in 1 case. The ＂ripple sign＂ was observed under arthroscope before operation. Repair of medial meniscal injury and reconstruction of cruciate ligament were performed. Results The positive ＂ripple sign＂ was seen under arthroscope in all patients,who were diagnosed to have longitudinal meniscal tears,including 23 cases of mild ＂ripple sign＂,28 cases of moderate ＂ripple sign＂,and 5 cases of severe ＂ripple sign＂. Conclusion The ＂ripple sign＂ on the upper surface of the medial femoral condyle is a reliable diagnostic evidence of medial longitudinal meniscal tears.

关 键 词：股骨内髁软骨 波纹征 内侧半月板纵形撕裂 诊断 

分 类 号：R687.4[医药卫生—骨科学]