[ 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。
Kelvin : 指甲裡面有異物感
病患者男 - 26歲 本人兩個月前反甲，傷口範圍只有1-2mm。 甲床康復期間手指一直無故感到劇痛。 .......chillson : 肩頸痛
病患者男 - 34歲 一個月前早上起床,頸突然很痛(不知道是訓矮頸/工作還是健身扭傷),不能轉右,這樣持.......Fanny Wong : 膝內側痛
病患者女 - 46歲 做運動時，特別是一些轉圈動作，膝內側會痛；做伸展動作，一些屈曲腳做嘅動作，做完後膝.......Hill Tang : 腰痛纏身 請問是什麼事？
病患者女 - 31歲 左後下腰痛左成一年了 曾睇過西醫 望都無望話係腰肌勞損 無論有時坐低或做緊野.......Gordon : 手指公屈曲痛
病患者男 - 48歲 手指公不能完全屈曲並於屈曲及按落手指骨時都十分痛楚, 曾到政府求診, 照過X-ra.......Banana : 神經痛應該怎麼辦
病患者女 - 18歲 醫生你好 前一個星期一直頭痛，當時間中會感覺到手的神經會刺痛，過了幾日頭不痛了，.......Janice Cheng : 坐和睡 屁股和脚有割肉感覺
病患者女 - 80歲 我的母親患有嚴重骨質疏鬆症， 要打骨針和吃鈣片，事隔幾年後 在家中對腳冇力跌倒 之.......unilkcj86 : 膝關節炎
病患者男 - 35歲 之前玩跑山好密下之後發現落樓梯膝痛就照MRI話髂脛束慢性增厚同膝發炎又有small....... 發出提問使用細則
致錢炳航醫生 提問
