Mesh : Humans Male Adolescent Tibial Meniscus Injuries / surgery diagnostic imaging Knee Injuries / surgery diagnostic imaging Menisci, Tibial / surgery diagnostic imaging Anterior Cruciate Ligament Reconstruction Anterior Cruciate Ligament Injuries / surgery diagnostic imaging

来  源:   DOI:10.2106/JBJS.CC.23.00439   PDF(Pubmed)

Abstract:
METHODS: This report describes a new pattern of meniscal tear in an 18-year-old man after a knee sprain; he had undergone anterior cruciate ligament revision (ACL-R) 3 years earlier. He was diagnosed with an anterior cruciate ligament (ACL) graft rupture, a ramp lesion (Thaunat type 4), and a posterior root avulsion fracture of the medial meniscus (MM) (LaPrade type 5). He was treated successfully with an all-inside repair of the ramp lesion, a transtibial pull-out repair of the root tear, and ACL graft revision and anterolateral stabilization.
CONCLUSIONS: This specific meniscal injury pattern should be recognized and documented, potentially warranting consideration as a new addition to Thaunat and LaPrade classifications as type 6.
摘要:
方法:本报告描述了一名18岁男子膝关节扭伤后半月板撕裂的新模式;他在3年前接受了前交叉韧带翻修术(ACL-R)。他被诊断为前交叉韧带(ACL)移植物破裂,斜坡病变(Thaunat4型),内侧半月板后根撕脱骨折(MM)(LaPrade5型)。他成功地进行了斜坡病变的全内部修复,根撕裂的经胫骨拔出修复,ACL移植物翻修和前外侧稳定。
结论:应识别并记录这种特定的半月板损伤模式,可能需要考虑将其作为Thaunat和LaPrade分类的6型新补充。
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