Painful locking of the knee due to bucket handle tear of mediopatellar plica

被引:2
|
作者
He Rui [1 ]
Yang Liu [1 ]
Guo Lin [1 ]
机构
[1] Third Mil Med Univ, South West Hosp, Ctr Joint Surg, Chongqing 400038, Peoples R China
关键词
Knee injuries; Arthroscopy; Patellofemoral joint;
D O I
10.3760/cma.j.issn.1008-1275.2011.02.012
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A case of swelling and anterior painful knee due to tear of mediopatellar plica is reported. The patient also felt clunk of the patellofemoral joint and knee locking. Under arthroscopic examination, a thick and fibrous plica was found medial to patellar, and a bucket tear along the plica from medial patellar retinaculum to infrapatellar fat pad. Polarized microscopic examination showed collagen fiber fragment and loss of light reflecting property. Neuro-immunohistology suggested up-regulation of synovial plica innervation in the area around the crack. This may be related to the pain. The bucket tear of mediopatellar plicacaused pain and lock of knee are more common than previously reported.
引用
收藏
页码:117 / 119
页数:3
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