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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?
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。



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