侧侧侧关节带化:慢性膝关节疼痛的罕见和具有挑战性的原因
José Eduardo Sousa1, Nuno Madureira1, Paula Freire1
1Physical Medicine and Rehabilitation, Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais, Coimbra, PRT.
Cureus
|January 12, 2026
概括
本案例报告详细介绍了一种罕见的膝盖侧侧侧带化 (LCL) 病例. 放射性体外冲击波疗法 (rESWT) 有效地解决了由LCL化引起的慢性膝盖疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 侧侧关节带 (LCL) 化是一种不常见的疾病,涉及膝关节带纤维中的矿物沉积.
- 它可以是退行性或创伤后的,经常呈现慢性侧侧膝痛.
- 最初的放射性发现可能是微不足道的,使诊断复杂化.
研究的目的:
- 报告一个罕见的LCL化病例,该病例发生在49岁的女性身上,她患有慢性侧膝痛.
- 为了说明床边超声波和MRI的诊断实用性.
- 评估放射性体外冲击波疗法 (rESWT) 作为保守治疗的疗效.
主要方法:
- 一名49岁的女性患有慢性右侧膝关节疼痛和轻度创伤史被评估.
- 身体检查,床边超声波和MRI用于诊断.
- 治疗涉及保守的管理计划,包括放射性体外冲击波疗法 (rESWT).
主要成果:
- 床边超声检查发现LCL内存在超声波病变,与沉积相一致.
- 核磁共振扫描证实了LCL化的诊断.
- 患者经历了三个月的rESWT治疗后,症状完全消失.
结论:
- 液体结是慢性侧膝关节疼痛的罕见原因,难以诊断.
- 床边超声波和MRI是诊断LCL化的宝贵工具.
- 放射性体外冲击波疗法 (rESWT) 为LCL化提供了一种有效的保守治疗选择,导致症状完全消失.
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