[1]覃健,侯之启,郑民庆,等.关节镜手术治疗31例运动员髌下脂肪垫撞击综合征[J].陆军军医大学学报(原第三军医大学学报),2008,30(15):1422-1423.
 QIN Jian,HOU Zhi-qi,ZHENG Min-qing,et al.Arthroscopic surgery for Hoffa’s disease in 31 athletes[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(15):1422-1423.
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关节镜手术治疗31例运动员髌下脂肪垫撞击综合征(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第15期
页码:
1422-1423
栏目:
论著
出版日期:
2008-08-15

文章信息/Info

Title:
Arthroscopic surgery for Hoffa’s disease in 31 athletes
作者:
覃健侯之启郑民庆余存泰王新亮鞠洪斌
广州医学院附属广州市第一人民医院:关节外科,骨科
Author(s):
QIN Jian HOU Zhi-qi ZHENG Min-qing YU Cun-tai WANG Xin-liang JU Hong-bin
Department of Joint Surgery, Department of Orthopaedics, The First People’ s Hospital of Guangzhou, Guangzhou Medical College, Guangzhou 510180, China
关键词:
关节镜髌下脂肪垫手术
Keywords:
arthroscopy infrapatellar fat pad surgery
分类号:
R684; R687.4; R873.05
文献标志码:
A
摘要:
目的  探讨使用关节镜诊治运动员髌下脂肪垫撞击综合征的疗效。 方法  对31例膝关节髌下脂肪垫撞击综合征(Hoffa病)运动员患者进行关节镜下髌下脂肪垫部分切除术,对部分患者同时施行外侧支持带松解术,术后按Insall 膝关节评定量表评估疗效。 结果  所有患者获得7~34(18±4.8)个月随访,疗效评价:优17例(54.8%), 良8例(25.8%), 可4例(12.9%),差2例(6.5%),关节镜技术治疗髌下脂肪卡压综合征优良率达80.6%。获得优良效果的运动员患者在7.1~14.5(9.2±3.7)周后恢复正常训练和比赛。 结论  Hoffa病是引起运动员膝前痛的常见病因,关节镜下行髌下脂肪垫部分切除术治疗Hoffa病具有创伤小、康复快、疗效可靠的优点。
Abstract:
Objective    To explore the efficacy of arthroscopic surgery for Hoffa’s disease in athletes.     Methods    From September 2002 to February 2007, the infrapatellar fat pad excision under arthroscope was performed on 31 athletes with Hoffa’s disease, some of whom underwent lateral retinaculum lysis. Their outcomes were evaluated by Insall score system.     Results    All the patients were followed up for 7-34 months (average 18±4.8 months). The outcomes were excellent in 17 patients (54.8%), good in 8 (25.8%),fair in 4 (12.9%) and poor in 2 (6.5%). The patients who achieved excellent and good outcomes, resumed routine exercises and competitions at (9.2±3.7) weeks (range 7.1-14.5) after surgery.      Conclusion    To athletes, Hoffa’s disease is the common cause of anterior pain of knee. The infrapatellar fat pad excision under arthroscope is an effective and minimally invasive management of Hoffa’s disease.

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更新日期/Last Update: 2008-07-24