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中华关节外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (03) : 383 -386. doi: 10.3877/cma.j.issn.1674-134X.2020.03.024

所属专题: 经典病例 文献

个案报道

膝关节内侧半月板前角解剖变异1例
钟名金1, 陈锦富1, 欧阳侃1, 陈康1, 朱伟民1, 陆伟1,()   
  1. 1. 518000 深圳大学第一附属医院(深圳市第二人民医院)运动医学科
  • 收稿日期:2019-05-04 出版日期:2020-06-01
  • 通信作者: 陆伟
  • 基金资助:
    深圳市第二人民医院临床研究项目(20193357019)

Case report on anatomic variation of anterior horn of medial meniscus

Mingjin Zhong1, Jinfu Chen1, Kan Ouyang1   

  • Received:2019-05-04 Published:2020-06-01
引用本文:

钟名金, 陈锦富, 欧阳侃, 陈康, 朱伟民, 陆伟. 膝关节内侧半月板前角解剖变异1例[J]. 中华关节外科杂志(电子版), 2020, 14(03): 383-386.

Mingjin Zhong, Jinfu Chen, Kan Ouyang. Case report on anatomic variation of anterior horn of medial meniscus[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(03): 383-386.

图1 AMMFL(内侧半月板前角附着部)示意图。LM-外侧半月板;MM-内侧半月板;ACL-前交叉韧带;PCL-后交叉韧带
图2 左膝关节MRI检查。图A内侧半月板损伤;图B矢状位示AMMFL(内侧半月板前角附着部)为低信号条带状结构;图C冠状位示AMMFL起自内侧半月板前角,止于髁间窝外侧壁
图3 左膝关节镜下显示AMMF(内侧半月板前角附着部)L的解剖结构。图A~C为前外侧入路观察,示AMMFL起自于内侧半月板前角,与中下部ACL融合,从ACL的前内方向外上斜行,止于ICN外侧壁,止点与ACL的止点临近,但并未融合。图D~E为前内侧入路观察,示内侧半月板前角与AMMFL移行连接;图F示外侧半月板前角与ACL融合。LM-外侧半月板;MM-内侧半月板;LF-股骨外髁;MF-股骨内髁;ACL-前交叉韧带;PCL-后交叉韧带
图4 左膝关节镜探查修补内侧半月板。图A~B示内侧半月板后部撕裂,呈波浪征,探钩触之不稳定;图C示予以缝合修复
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