問題詳情

12. 一位 25 歲沒有任何膝關節損傷史的女性患者,因膝關節疼痛來尋求評估與處置。 她主訴:蹲下樓梯時,會感到疼痛。久坐了一段時間後,反復出現疼痛性膝蓋卡卡的(painful pseudolocking)。經防護員評估後,膝蓋沒有腫脹,也沒有韌帶鬆弛,但膝關節線無壓痛感,但是髕骨內側緣有明顯的壓痛感且向下延伸下脂肪墊(infrapatellar fat pad)。 再進一步評估,當膝蓋經過 15 到 20 度的屈曲時,有感覺到或聽見聲音(snap)。 根據上述,最有可能是什麼問題?
(A) 內側半月板磨損 ( medial meniscus lesion)
(B) 皺襞症候群 (plica syndrome)
(C) 髕骨軟化症 (chondromalacia patella)
(D) 輕度膝內側副韌帶扭傷 (grade 1 MCL sprain)

參考答案

答案:B
難度:計算中-1
書單:沒有書單,新增

用户評論

黃新傑】評論

Medial plica irritation of the knee is a very common source of anterior knee pain. Patients can complain of pain over the anteromedial aspect of their knees and describe episodes of crepitation, catching, and pseudo-locking events with activities. Patients commonly have pain on physical examination upon rolling the plica fold of tissue over the anteromedial aspect of their knees and often have tight hamstrings.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684145/