[ 會員#14208 ] jobylww
膝關節有什麼損傷？
病患者男 - 42.5歲
半年前因為跑步，左膝在屈膝上落樓梯，某個角度就會痛，於是去了照MRI，得出以後結果：
Findings
The knee alignment is normal. There is minor joint fluid. No popliteal cyst is noted
There is abnormal signal on T2FS images in the distal medial femoral condyle due to bone oedema / bruises. This is associated with cartilage loss due to osteochondral lesion (OCL)
The anterior cruciate ligament is thickened. The fibres are still well defined. There is no loss of continuity of the fibres. These are due to a sprain. The posterior cruciate ligament is redundant and the fibres remain intact. No tears is seen.
There is abnormal signal with thinning of the lateral facet patellar articular cartilage. This is seen down to the patellar bone due to Grade 3 / 4 chondromalacia.
On T2* and PD images, there is abnormal meniscal signal seen in the posterior horn of the medial meniscus due to degeneration. No definite tear.
There is no abnormality detected in the medial and lateral collateral ligaments. No soft tissue swelling or oedema is seen. No tear is detected.
The patella is normal in position. There is no dislocation. The quadriceps and the inferior patellar tendon are unremarkable.
Comment
1. Minor joint fluid.
2. Bone oedema distal medial femoral condyle with OCL
3. Sprain ACL
4. Chondromalacia
5. Degenerative signal in the posterior horn of the medial meniscus. No definite tear.
想問骨科專科醫生，我的傷勢如何？要做什麼治療才可以？
半年前因為跑步，左膝在屈膝上落樓梯，某個角度就會痛，於是去了照MRI，得出以後結果：
Findings
The knee alignment is normal. There is minor joint fluid. No popliteal cyst is noted
There is abnormal signal on T2FS images in the distal medial femoral condyle due to bone oedema / bruises. This is associated with cartilage loss due to osteochondral lesion (OCL)
The anterior cruciate ligament is thickened. The fibres are still well defined. There is no loss of continuity of the fibres. These are due to a sprain. The posterior cruciate ligament is redundant and the fibres remain intact. No tears is seen.
There is abnormal signal with thinning of the lateral facet patellar articular cartilage. This is seen down to the patellar bone due to Grade 3 / 4 chondromalacia.
On T2* and PD images, there is abnormal meniscal signal seen in the posterior horn of the medial meniscus due to degeneration. No definite tear.
There is no abnormality detected in the medial and lateral collateral ligaments. No soft tissue swelling or oedema is seen. No tear is detected.
The patella is normal in position. There is no dislocation. The quadriceps and the inferior patellar tendon are unremarkable.
Comment
1. Minor joint fluid.
2. Bone oedema distal medial femoral condyle with OCL
3. Sprain ACL
4. Chondromalacia
5. Degenerative signal in the posterior horn of the medial meniscus. No definite tear.
想問骨科專科醫生，我的傷勢如何？要做什麼治療才可以？
錢炳航醫生回覆:
7/3/2018
7/3/2018
謝謝來信，磁力共振顯示有軟骨和其他軟組織的損耗現象，在相對年輕的你身上來說是較少見的，但磁力共振顯示的只是結構上的缺損，不過四十歲的膝蓋，也會表現在六十歲的膝關節上，並不一定和你的痛楚有關，下肢附近其他的軟組織受損其實也和你的症狀相仿，應由資深的痛症或骨科專科醫生親手檢查，才能肯定，不應隨便動手術。
以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
Kwankwanyee : 心口及背部痛
病患者女 心口經常感到比人撕開感覺..而且背部右邊經常感到痛...會否心血管有問題.......Connor L : 腳踭腫痛
病患者男 - 22歲 本人腳踭痛已有3年多 之前被手推車撞到，之後看過很多次跌打，針灸，推拿都沒有改善，.......Connor L : 腳踭痛已有3年多
病患者男 - 22歲 本人腳踭痛已有3年多 之前被手推車撞到，之後看過很多次跌打，針灸，推拿都沒有改善，.......kwan : 頸梗,膊頭及手痛
病患者女 - 48歲 本人因為頸梗,膊頭及手痛看了骨科醫生, 照了X-ray 報告是Minimal an.......Patrick : 行路不穩已七年，港台陸醫生找不到原因
病患者男 - 73歲 自2012開始有問題，看過幾個港陸醫生教授，在頭頸肩的MRI影像沒有看到血管問題地.......Alvin : 關節鏡手術後
病患者男 - 25歲 做完關節鏡手術（韌帶修補）三個月 晚上或平坦休息是還會感痛 但日間活動沒有痛 .......Jimmy : 女童8歲經常膝頭哥痛
各位醫生好，我既8歲女童，經常跳繩，跳彈彈床後，回家晚飯時叫膝頭哥痛，有時一邊，有時2邊，女童比其他同齡矮，8.......fukloi : 椎間盤凸出
病患者男 - 50歲 暫時痛比較輕微, 可以唔需要食止藥約, 但因為廿年前試過對celebrex有敏感,.......L Wai : 膝痺痛，痺到行唔倒
病患者男 - 72歲 開頭爸爸話膝痛同痺，痺到行唔倒。 o念住可直接帶佢去物理治療，去到做過簡單脊骨檢....... 發出提問使用細則
致錢炳航醫生 提問
