摘要
[背景]观察胫骨近端内侧骨软骨瘤对膝关节运动稳定性的影响.[病例报告]回顾性分析2011年1月至2014年3月间收治的28例随访记录完整的胫骨近端骨软骨瘤病例的临床资料.术前均有膝关节内侧疼痛症状,活动时疼痛加重,且膝关节功能受到影响.行骨软骨瘤切除术后,膝关节疼痛症状得到改善,术后膝关节Lysholm评分较术前明显提高(P<0.05),术后2周VAS评分较术前明显降低(P<0.05).术后病理检查结果显示,全部病例均为良性肿瘤.[讨论]骨软骨瘤患者膝关节内侧疼痛及膝关节功能受限的原因可能与肿物生长改变膝关节内侧稳定结构的解剖位置从而影响膝关节功能有关.
BACKGROUND To observe the effects of proximal medial tibial osteochondroma on the movement stability of knee joint. CASE REPORTS The clinical data for 28 cases of proximal medial tibial osteochondroma from January 2011 to March 2014 were retrospectively analyzed. All the patient＇s complained the medial knee pain, exacerbated by activity, and the functions of the knee were affected before operation. The pain was alleviated and the Lysholm score was improved after operation （P〈0.05）. The VAS score was significantly decreased 2 weeks after operation. The pathological examination results showed that all the cases were benign tumors. DISCUSSION The reason of the pain and limitation of movement of the affected knee was related to the variable anatomy position which was caused by tumor growth
作者
玄锋学
刘彦群
XUAN Fengxue LIU Yanqun(Department of Bone and Joint Surgery, Affiliated Hospitat of Yanbian University, Yanji 133000, Jilin, China)
出处
《延边大学医学学报》
CAS
2016年第3期203-204,共2页
Journal of Medical Science Yanbian University
关键词
骨软骨瘤
膝关节
稳定性
胫骨近端
osteoenchondroma
knee joint
stability
medial proximal tibia
