Background: Fabella is a natural occurring sesamoid bone, cartilage or a mixture of both that is usually located at the posterolateral corner (PLC) of the knee [1]. Recently the PLC of the knee has been extensively in...Background: Fabella is a natural occurring sesamoid bone, cartilage or a mixture of both that is usually located at the posterolateral corner (PLC) of the knee [1]. Recently the PLC of the knee has been extensively investigated because it is a common site of injuries and diseases [2] [3]. The complexity of PLC anatomy needs to be fully understood because the fabella could be missed diagnosis as an osteochondral defect, osteochondritis dissecans (OCD), calcific tendinitis, or foreign body. We present a case report of fabella syndrome triggered by trauma and also performed a review of literature for the various diagnoses that might be confused with fabella syndrome. Case presentation: A 29-year-old, Sudanese male presented to the trauma center in King Khalid Hospital in KSA, complaining of pain and partial swelling in his left knee joint due to trauma. Fabella was detected in the posterior lateral corner (PLC) of the knee joint embedded in the lateral head of the gastrocnemius muscle. All other pathological conditions were excluded. Conclusion: Fabella is sesamoid bone with variable size, found in the PLC. Commonly if present it causes periodic pain especially in the fully extended knee or it remains asymptomatic. Trauma, surgery, sports or heavy extreme activities may trigger the pain of asymptomatic fabella. Clinicians should consider that pain in the PLC of the knee can result from the presence of the fabella in a condition called fabella syndrome.展开更多
Acute calcific tendinitis of the shoulder is a well-known condition, but it is rare in the hand or finger. It is often misdiagnosed when it occurs outside the shoulder. We report an unusual case of acute calcific tend...Acute calcific tendinitis of the shoulder is a well-known condition, but it is rare in the hand or finger. It is often misdiagnosed when it occurs outside the shoulder. We report an unusual case of acute calcific tendinitis of the flexor digitorum superficialis insertion of the 4th finger in a young female martial art athlete after minor trauma history, and discuss with a review of the literature.展开更多
目的:探讨钙化性肌腱炎关节镜下打孔"拉花"术的临床效果。方法:选取2014年1月-2016年6月本院门诊收治的因钙化性肌腱炎保守治疗效果欠佳患者16例。患者均行关节镜下打孔"拉花"术治疗,术后进行随访,观察治疗效果及...目的:探讨钙化性肌腱炎关节镜下打孔"拉花"术的临床效果。方法:选取2014年1月-2016年6月本院门诊收治的因钙化性肌腱炎保守治疗效果欠佳患者16例。患者均行关节镜下打孔"拉花"术治疗,术后进行随访,观察治疗效果及术前与末次随访时的Constant-Murley评分及美国加州大学肩关节评分系统(University of California at Los Angels,UCLA)。结果:16例患者平均随访(12.0±7.5)个月,症状均得到改善;术后X-ray显示钙化灶消失15例(93.75%),可见散在钙化灶残留1例(6.25%),但均对术后效果满意,功能良好。末次随访时的Constant-Murley评分、UCLA评分为(91.4±5.8)、(33.2±1.7)分,均高于术前的(41.5±5.6)、(11.5±1.4)分,比较差异均有统计学意义(P<0.05);其中1例患者术后1年对侧肩出现钙化灶,给予对侧肩行同样手术治疗。结论:经保守治疗无效的钙化性肌腱炎可行关节镜下打孔"拉花"技术,其效果良好,且具有创伤小且安全,不会造成肌腱的副损伤,不必缝合冈上肌等特点。展开更多
目的:探讨关节镜治疗髋关节周围钙化性肌腱炎的可行性以及临床疗效。方法:回顾分析2013年5月至2018年7月采用关节镜手术治疗髋关节周围钙化性肌腱炎16例患者的病例资料,男10例,女6例,年龄35~63(44.50±6.67)岁,左髋9例,右髋7例,病程...目的:探讨关节镜治疗髋关节周围钙化性肌腱炎的可行性以及临床疗效。方法:回顾分析2013年5月至2018年7月采用关节镜手术治疗髋关节周围钙化性肌腱炎16例患者的病例资料,男10例,女6例,年龄35~63(44.50±6.67)岁,左髋9例,右髋7例,病程1~8(3.18±1.97) d。术前、术后1 d及末次随访采用疼痛视觉模拟评分(visual analogue scale,VAS),改良髋关节Harris评分(Harris hip scores,HHS),髋关节非骨性关节炎评分(nonarthritic hip score,NAHS)以及影像学进行髋关节功能评估。结果:所有患者顺利完成关节镜下髋关节周围钙化灶清除术,手术时间0.5~1.2(0.75±0.21) h。患者术后切口均Ⅰ期愈合,无感染、血肿以及血管神经损伤等并发症。所有患者获得随访,时间6~12(9.6±2.3)个月。术前患者VAS评分(7.88±0.72)分,改良HHS评分(29.25±3.23)分,NAHS评分(27.42±3.08)分,术后第1天患者髋关节疼痛以及活动度均明显改善,VAS评分(2.19±0.66)分,改良HHS评分(82.56±5.64)分,NAHS评分(82.11±2.94)分,与术前比较差异均有统计学意义(P<0.05)。末次随访所有患者影像学检查显示钙化灶完全消失,未见髋关节钙化灶复发,仅1例患者诉髋关节稍有酸胀感,VAS评分(0.38±0.50)分,改良HHS评分(94.31±2.82)分,NAHS评分(94.84±2.85)分,与术前比较差异均有统计学意义(P<0.05)。结论:采用关节镜治疗髋关节周围钙化性肌腱炎创伤小,可快速缓解疼痛改善髋关节功能,疗效确切。展开更多
文摘Background: Fabella is a natural occurring sesamoid bone, cartilage or a mixture of both that is usually located at the posterolateral corner (PLC) of the knee [1]. Recently the PLC of the knee has been extensively investigated because it is a common site of injuries and diseases [2] [3]. The complexity of PLC anatomy needs to be fully understood because the fabella could be missed diagnosis as an osteochondral defect, osteochondritis dissecans (OCD), calcific tendinitis, or foreign body. We present a case report of fabella syndrome triggered by trauma and also performed a review of literature for the various diagnoses that might be confused with fabella syndrome. Case presentation: A 29-year-old, Sudanese male presented to the trauma center in King Khalid Hospital in KSA, complaining of pain and partial swelling in his left knee joint due to trauma. Fabella was detected in the posterior lateral corner (PLC) of the knee joint embedded in the lateral head of the gastrocnemius muscle. All other pathological conditions were excluded. Conclusion: Fabella is sesamoid bone with variable size, found in the PLC. Commonly if present it causes periodic pain especially in the fully extended knee or it remains asymptomatic. Trauma, surgery, sports or heavy extreme activities may trigger the pain of asymptomatic fabella. Clinicians should consider that pain in the PLC of the knee can result from the presence of the fabella in a condition called fabella syndrome.
文摘Acute calcific tendinitis of the shoulder is a well-known condition, but it is rare in the hand or finger. It is often misdiagnosed when it occurs outside the shoulder. We report an unusual case of acute calcific tendinitis of the flexor digitorum superficialis insertion of the 4th finger in a young female martial art athlete after minor trauma history, and discuss with a review of the literature.
文摘目的:探讨钙化性肌腱炎关节镜下打孔"拉花"术的临床效果。方法:选取2014年1月-2016年6月本院门诊收治的因钙化性肌腱炎保守治疗效果欠佳患者16例。患者均行关节镜下打孔"拉花"术治疗,术后进行随访,观察治疗效果及术前与末次随访时的Constant-Murley评分及美国加州大学肩关节评分系统(University of California at Los Angels,UCLA)。结果:16例患者平均随访(12.0±7.5)个月,症状均得到改善;术后X-ray显示钙化灶消失15例(93.75%),可见散在钙化灶残留1例(6.25%),但均对术后效果满意,功能良好。末次随访时的Constant-Murley评分、UCLA评分为(91.4±5.8)、(33.2±1.7)分,均高于术前的(41.5±5.6)、(11.5±1.4)分,比较差异均有统计学意义(P<0.05);其中1例患者术后1年对侧肩出现钙化灶,给予对侧肩行同样手术治疗。结论:经保守治疗无效的钙化性肌腱炎可行关节镜下打孔"拉花"技术,其效果良好,且具有创伤小且安全,不会造成肌腱的副损伤,不必缝合冈上肌等特点。
文摘目的:探讨关节镜治疗髋关节周围钙化性肌腱炎的可行性以及临床疗效。方法:回顾分析2013年5月至2018年7月采用关节镜手术治疗髋关节周围钙化性肌腱炎16例患者的病例资料,男10例,女6例,年龄35~63(44.50±6.67)岁,左髋9例,右髋7例,病程1~8(3.18±1.97) d。术前、术后1 d及末次随访采用疼痛视觉模拟评分(visual analogue scale,VAS),改良髋关节Harris评分(Harris hip scores,HHS),髋关节非骨性关节炎评分(nonarthritic hip score,NAHS)以及影像学进行髋关节功能评估。结果:所有患者顺利完成关节镜下髋关节周围钙化灶清除术,手术时间0.5~1.2(0.75±0.21) h。患者术后切口均Ⅰ期愈合,无感染、血肿以及血管神经损伤等并发症。所有患者获得随访,时间6~12(9.6±2.3)个月。术前患者VAS评分(7.88±0.72)分,改良HHS评分(29.25±3.23)分,NAHS评分(27.42±3.08)分,术后第1天患者髋关节疼痛以及活动度均明显改善,VAS评分(2.19±0.66)分,改良HHS评分(82.56±5.64)分,NAHS评分(82.11±2.94)分,与术前比较差异均有统计学意义(P<0.05)。末次随访所有患者影像学检查显示钙化灶完全消失,未见髋关节钙化灶复发,仅1例患者诉髋关节稍有酸胀感,VAS评分(0.38±0.50)分,改良HHS评分(94.31±2.82)分,NAHS评分(94.84±2.85)分,与术前比较差异均有统计学意义(P<0.05)。结论:采用关节镜治疗髋关节周围钙化性肌腱炎创伤小,可快速缓解疼痛改善髋关节功能,疗效确切。
