当前位置: X-MOL 学术Case Rep. Orthop. Res. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Knee Squeaking in Native Joint after Anterior Cruciate Ligament Reconstruction
Case Reports in Orthopedic Research Pub Date : 2022-09-23 , DOI: 10.1159/000525503
Matteo Izzo , Pierre Ranger

Articular squeaking sounds cause discomfort, frustration, and embarrassment for affected patients, especially in social contexts. Postsurgical native knee squeaking is rare, and only limited data on the subject are available in the literature. This study presents a case of knee squeaking after anterior cruciate ligament (ACL) reconstruction. A 22-year-old woman underwent reconstructive ACL surgery for an isolated tear in her right knee using an outside-in bone-patellar tendon-bone technique. Two months after the surgery, squeaking sound at knee flexion in both weight-bearing and non-weight-bearing conditions appeared without any further symptoms. The audible squeaking sound was a source of frustration and embarrassment for the patient. Given the unsuccessful attempts at diagnostic imaging, a diagnostic arthroscopy was performed during which a multistrand, long-chain, ultra-high molecular weight polyethylene suture was found moving freely in the joint. This suture, originally attached to the patellar bone portion of the graft, was removed during the arthroscopy. After the procedure, the patient reported having no more knee squeaking sound episodes. Friction of a nonabsorbable suture between the cartilage of a femoral condyle and a tibial plateau can produce a characteristic articular high-pitch squeaking sound. This should alert the surgeon to the possible presence of a freely moving fixation material in the knee. Diagnosis is clinical, as diagnostic imaging techniques have poor sensitivity.
Case Rep Orthop Res 2022;5:85–89


中文翻译:

前交叉韧带重建术后膝关节自体吱吱声

关节发出的吱吱声会使受影响的患者感到不适、沮丧和尴尬,尤其是在社交环境中。术后自然膝盖吱吱声是罕见的,文献中只有有限的数据可用。本研究介绍了前交叉韧带 (ACL) 重建后膝关节吱吱声的案例。一名 22 岁的女性使用由外向内的骨-髌腱-骨技术因右膝孤立性撕裂而接受了 ACL 重建手术。手术后两个月,在负重和非负重条件下,膝关节屈曲时出现吱吱声,没有任何进一步的症状。可听见的吱吱声使患者感到沮丧和尴尬。鉴于诊断成像的失败尝试,进行了诊断性关节镜检查,期间发现多股长链超高分子量聚乙烯缝合线在关节中自由移动。该缝合线最初附着在移植物的髌骨部分,在关节镜检查期间被移除。手术后,患者报告不再出现膝盖吱吱声。股骨髁软骨和胫骨平台之间的不可吸收缝线的摩擦可以产生特征性的关节高音调的吱吱声。这应该提醒外科医生注意膝关节中可能存在自由移动的固定材料。诊断是临床的,因为诊断成像技术的敏感性较差。最初附着在移植物的髌骨部分,在关节镜检查过程中被移除。手术后,患者报告不再出现膝盖吱吱声。股骨髁软骨和胫骨平台之间的不可吸收缝线的摩擦可以产生特征性的关节高音调的吱吱声。这应该提醒外科医生注意膝关节中可能存在自由移动的固定材料。诊断是临床的,因为诊断成像技术的敏感性较差。最初附着在移植物的髌骨部分,在关节镜检查过程中被移除。手术后,患者报告不再出现膝盖吱吱声。股骨髁软骨和胫骨平台之间的不可吸收缝线的摩擦可以产生特征性的关节高音调的吱吱声。这应该提醒外科医生注意膝关节中可能存在自由移动的固定材料。诊断是临床的,因为诊断成像技术的敏感性较差。股骨髁软骨和胫骨平台之间的不可吸收缝线的摩擦可以产生特征性的关节高音调的吱吱声。这应该提醒外科医生注意膝关节中可能存在自由移动的固定材料。诊断是临床的,因为诊断成像技术的敏感性较差。股骨髁软骨和胫骨平台之间的不可吸收缝线的摩擦可以产生特征性的关节高音调的吱吱声。这应该提醒外科医生注意膝关节中可能存在自由移动的固定材料。诊断是临床的,因为诊断成像技术的敏感性较差。
案例代表 Orthop Res 2022;5:85–89
更新日期:2022-09-23
down
wechat
bug