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半月板断裂

最后审阅: 10 Nov 2024
最后更新: 14 Feb 2023

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 膝关节肿胀
  • 感到膝关节不稳定或屈曲/交锁
  • 膝关节疼痛
  • 关节线触痛和关节线捻发音
完整详情

其他诊断因素

  • 慢性病例中的腘窝囊肿(贝克囊肿)
  • 关节活动度受限
完整详情

危险因素

  • 急性创伤(旋转或扭转损伤)
  • 膝关节炎
  • 膝关节不稳定
  • 前交叉韧带损伤史
  • 膝关节对线差
  • 粗糙或不平坦的运动场地
  • 较差的地面或天气条件
  • 老年
  • 建筑工人和体力劳动者
  • 盘状半月板
  • 体重指数较高
完整详情

诊断性检查

首要检查

  • 临床检查
  • MRI 扫描
  • X 光
完整详情

需考虑的检查

  • 关节镜检查
完整详情

治疗流程

急症处理

所有患者

撰稿人

作者

Hideki Takeda, MD

Orthopedic Surgeon

Department of Sports Orthopedics

NTT Medical Center Tokyo

Tokyo

Japan

利益声明

HT declares that he has no competing interests.

鸣谢

Dr Hideki Takeda would like to gratefully acknowledge Dr Lars Engebretsen and Dr Kevin R. Stone, previous contributors to this topic.

利益声明

LE declares that he has no competing interests. KRS is an author of several references cited in this topic.

同行评议者

Daniel Solomon, MD

Co-Director of Orthopedic Sports and Shoulder Service

Department of Orthopedic Surgery

Naval Medical Center San Diego

San Diego

CA

利益声明

DS declares that he has no competing interests.

Jung-Ro Yoon, MD

Orthopedic Surgeon

Department of Orthopedic Surgery

Seoul Veterans Hospital

Seoul

South Korea

利益声明

JRY declares that she has no competing interests.

Nikunj N. Trivedi, MD

Fellow

Sports Medicine and Shoulder Surgery

Stanford University

Stanford

CA

利益声明

NNT declares that he has no competing interests.

Seth L. Sherman, MD

Associate Professor of Orthopedic Surgery

Fellowship Director

Sports Medicine and Shoulder Surgery

Stanford University

Stanford

CA

利益声明

SLS declares that he has no competing interests.

  • 半月板断裂 images
  • 鉴别诊断

    • 前交叉韧带撕裂
    • 内侧副韧带拉伤
    • 后交叉韧带扭伤
    更多 鉴别诊断
  • 指南

    • 创伤性半月板撕裂的管理:2019 年 ESSKA 共识
    • 美国放射学会 (ACR) 适用性标准:膝关节急性外伤
    更多 指南
  • 患者教育信息

    骨关节炎

    更多 患者教育信息
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