[ 會員#14208 ] jobylww
膝關節有什麼損傷？
病患者男 - 42.5歲
半年前因為跑步，左膝在屈膝上落樓梯，某個角度就會痛，於是去了照MRI，得出以後結果：
Findings
The knee alignment is normal. There is minor joint fluid. No popliteal cyst is noted
There is abnormal signal on T2FS images in the distal medial femoral condyle due to bone oedema / bruises. This is associated with cartilage loss due to osteochondral lesion (OCL)
The anterior cruciate ligament is thickened. The fibres are still well defined. There is no loss of continuity of the fibres. These are due to a sprain. The posterior cruciate ligament is redundant and the fibres remain intact. No tears is seen.
There is abnormal signal with thinning of the lateral facet patellar articular cartilage. This is seen down to the patellar bone due to Grade 3 / 4 chondromalacia.
On T2* and PD images, there is abnormal meniscal signal seen in the posterior horn of the medial meniscus due to degeneration. No definite tear.
There is no abnormality detected in the medial and lateral collateral ligaments. No soft tissue swelling or oedema is seen. No tear is detected.
The patella is normal in position. There is no dislocation. The quadriceps and the inferior patellar tendon are unremarkable.
Comment
1. Minor joint fluid.
2. Bone oedema distal medial femoral condyle with OCL
3. Sprain ACL
4. Chondromalacia
5. Degenerative signal in the posterior horn of the medial meniscus. No definite tear.
想問骨科專科醫生，我的傷勢如何？要做什麼治療才可以？
半年前因為跑步，左膝在屈膝上落樓梯，某個角度就會痛，於是去了照MRI，得出以後結果：
Findings
The knee alignment is normal. There is minor joint fluid. No popliteal cyst is noted
There is abnormal signal on T2FS images in the distal medial femoral condyle due to bone oedema / bruises. This is associated with cartilage loss due to osteochondral lesion (OCL)
The anterior cruciate ligament is thickened. The fibres are still well defined. There is no loss of continuity of the fibres. These are due to a sprain. The posterior cruciate ligament is redundant and the fibres remain intact. No tears is seen.
There is abnormal signal with thinning of the lateral facet patellar articular cartilage. This is seen down to the patellar bone due to Grade 3 / 4 chondromalacia.
On T2* and PD images, there is abnormal meniscal signal seen in the posterior horn of the medial meniscus due to degeneration. No definite tear.
There is no abnormality detected in the medial and lateral collateral ligaments. No soft tissue swelling or oedema is seen. No tear is detected.
The patella is normal in position. There is no dislocation. The quadriceps and the inferior patellar tendon are unremarkable.
Comment
1. Minor joint fluid.
2. Bone oedema distal medial femoral condyle with OCL
3. Sprain ACL
4. Chondromalacia
5. Degenerative signal in the posterior horn of the medial meniscus. No definite tear.
想問骨科專科醫生，我的傷勢如何？要做什麼治療才可以？
陳禮樂醫生回覆:
7/2/2018
7/2/2018
從文中所述的徵狀及磁力共振報告內容顯示，讀者好大機會是患上股骨內顆受傷腫瘀和髕骨軟骨軟化症。這些徵狀通常是受到嚴重撞擊之後，而引起的其中一種常見的膝關節後遺症。就文中所述之情況，有可能傷至部分軟骨脫落。
如需詳細了解，建議聯絡相熟的骨科專科醫生商討是否有需要作微創軟骨修補手術。
祝健康愉快
如需詳細了解，建議聯絡相熟的骨科專科醫生商討是否有需要作微創軟骨修補手術。
祝健康愉快
以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
Alice : 左腳趾公腫痛
病患者男 - 45歲 三個月前因意外弄傷腳指公，一直未有好轉，腳趾公外側間中會有腫脹，不能多行半小時，否.......KPT : 手指向其中一邊彎曲
病患者男 - 21歲 醫生我最近發現我右手手指係傾向右手邊, 即係如果我平放隻手喺枱面, 手指係會傾斜向.......Denise : 左邊手腳麻痺
病患者女 - 40歲 醫生你好 本人自從上年8月打第2針新冠疫苗後出現左邊身手腳麻痺, 無力及如螞蟻行.......unilkcj86 : 膝關節炎
病患者男 - 35歲 之前玩跑山好密下之後發現落樓梯膝痛就照MRI話髂脛束慢性增厚同膝發炎又有small.......Anna : 腳指腳板越來越藍
病患者男 只能臥床的病人有下肢動脈堵塞（可能有組織壞死）並且越來愈藍（可能有組織壞死），準備照CT Sc.......Roger : avulsion bony injury (韌帶)
病患者男 - 37歲 MRI Findings: There is avulsion bony inj....... 發出提問使用細則
致陳禮樂醫生 提問
