膝外側部腫脹を伴った外側半月板中後節フラップ断裂に対する縫合術の検討

DOI 参考文献18件
  • 古松 毅之
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 阿部 信寛
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 伊達 宏和
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 雑賀 建多
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 横山 裕介
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 高田 直樹
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 尾崎 敏文
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科

書誌事項

タイトル別名
  • Meniscal Repair for Flap Tear Accompanying Meniscal Cyst A Case Report

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The formation of meniscal cysts is usually related to meniscal tears. Several authors have reported surgical treatments for meniscal cysts, such as arthroscopic decompression, partial menisectomy, and open cystectomy. However, there have been no previous reports of treatment for meniscal cyst accompanied by meniscal flap tear in a young athlete.<br>We report a case of lateral meniscal cyst arising from the middle segment of a flap-torn meniscus in a 19-year-old football player. The patient experienced pain and local swelling lateral to the left knee. MR images showed a radial tear of the lateral meniscus and a small lesion resembling a lateral meniscal cyst. Non-operative treatment was performed for 4 months, but the knee pain and local swelling persisted. In addition, MR images suggested expansion of the meniscal tear and cyst. Arthroscopic meniscal suturing was therefore carried out using both the inside-out and all-inside techniques for repair of the flap tear and reduction of the meniscal cyst. The FasT-Fix meniscal repair system (Smith and Nephew) was used for stabilizing the radial tear with a horizontal mattress suture. The Lysholm knee scores were 64 preoperatively and 94 at the 4-month follow-up point after surgery.

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