[ 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？
錢炳航醫生回覆: [ 7/3/2018 ]
謝謝來信，磁力共振顯示有軟骨和其他軟組織的損耗現象，在相對年輕的你身上來說是較少見的，但磁力共振顯示的只是結構上的缺損，不過四十歲的膝蓋，也會表現在六十歲的膝關節上，並不一定和你的痛楚有關，下肢附近其他的軟組織受損其實也和你的症狀相仿，應由資深的痛症或骨科專科醫生親手檢查，才能肯定，不應隨便動手術。
M0769 : 腰椎間盤突出
病患者男 - 44歲 睇了幾個骨科,都話唔洗做手術,只是微微的突出,入了兩次qe,話唔到源頭,我圖片是右.......kwok : 大腿內則及外則痛
病患者女 - 38歲 右大腿內側及外側痛，行路也痛，右膝蓋行路也痛，左大腿內侧輕鞍痛，行路無痛。什麼原.......Alex : 雙腳不平衡
病患者男 - 31歲 驗左兩隻腳相差1cm，有扁平足，膊頭有高低，已經做左矯形鞋墊，左腳腳弓比較疆硬，但.......Chan Siu Ki : 经常会阴不舒服以及双脚脚麻痹
病患者男 - 69歲 请问我经常会阴不舒服及双脚麻痹是什么原因 ?.......Diana Hung : 2017跌斷右手,過去幾年都有覆，2019後無得再覆診
病患者女 - 53歲 2017跌斷右手手腕及第四，五隻手指做完手術，半年覆診完，就以為無得再覆骨科，現在.......meilan : 雙手麻痺
病患者女 - 50歲 醫生你好，我有糖尿病，最近早上起床時感到雙手麻痺，不知是否跟因血糖高有關係？ 請問.......PERRY : 腳踝痛
跑步 和上斜坡時腳踝上前位置痛 慢慢整個腳板有麻痺拉扯感覺, 平時走路沒有問題.......Christy : 行路大腿痛
病患者男 - 20歲 幾星期前開始,行10分鐘左右,大腿連接上身嘅筋會痛,係大腿前方,而家仲未好,想知係.......hiupan ng : 肩不適
病患者男 - 20歲 手側向上舉個時 會發出d 聲響 .......jojo law : 舉重物 拉傷膊頭
病患者女 - 44歲 一個半月前工作期間高舉重物拉傷右邊膊頭，腫了一片還伴隨患處發熱，試過食消炎止痛葯和.......
發出提問使用細則
致錢炳航醫生 提問
即時提問 ?
