[ 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？
葉紹亮醫生回覆: [ 6/30/2018 ]
Joby 你好，
骨科醫生可先為你作詳細檢查，診斷是否因爲osteochondral lesion 引致你膝頭不適。
微創膝關節鏡手術可醫治 osteochondral lesion.
祝早日康復。
葉紹亮醫生
骨科醫生可先為你作詳細檢查，診斷是否因爲osteochondral lesion 引致你膝頭不適。
微創膝關節鏡手術可醫治 osteochondral lesion.
祝早日康復。
葉紹亮醫生
阮小姐 : 右手二頭肌痛
病患者女 - 53歲 葉醫生，你好，本人由2019年8月份開始右手痛，由膊頭拉緊到落去手肘位，手肘位痛楚.......Shirley : 脊柱側彎
病患者男 - 16歲 本人兒子 12歲時 ，檢查到有脊柱側彎 26度 經過 幾年 醫治 ，包括脊醫中醫手.......Kevin : 骨質疏鬆骨折
病患者女 - 82歲 母親因骨質疏鬆因致L1骨折，照了X光和磁力共振發現L1的椎體已大部分消失，並發現L.......WT : 膝頭 上下樓梯痛
病患者男 - 38歲 我記憶半年內都無任何跌偒. 撞膝頭。 但近日右腳膝頭 無故行路痛. 特別上落樓梯.......wingo : 膝内侧半月板撕裂
病患者男 - 55歲 証實膝内侧半月板撕裂，是否一定要做微創手術治療呢？每次坐下起來都膝内侧非常痛，一受.......Cherry chan : 膝頭突然緊痛，不能屈……
病患者女 - 44歲 膝頭突然緊痛，不能屈？是什麼事情？.......Ray Wong : 肋骨受傷
數年前第6節肋骨胸前的軟骨受傷，致增生變硬隆起，現該位置常有“拿“住感覺，觸碰及俯仰時亦會痛，請問可否動手術磨.......Cheng Shui Fong : 中指關節問題
病患者女 - 48歲 本人6年前, 中指中間的關節位無故腫脹, 當時有看骨科，驗過血，不是類風濕, 卻找.......VLN : 手指尾界傷,現沒有感覺有麻痺燭電痛
病患者男 - 43歲 10天前手指尾第二節給花盤界傷,現在手指頭仍沒有感覺,但有麻痺燭電痛. 請問.......Trista Poon : 阿基里斯腱
病患者女 - 40歲 葉醫生 您好 本人上年9月份打羽毛球時以為拉傷韌帶，但已超過一年仍未痊癒，早2星.......
發出提問使用細則
致葉紹亮醫生 提問
即時提問 ?
