[ 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。
Ma Bik Fong : 退化性膝關節炎
病患者女 - 84歲 醫生。您好 想問在暖水泳池郁動雙腿對退化性膝關節炎 有否幫助？（在池邊）.......kass : 向後拗腰痛
病患者女 - 40歲 最近游水比較多，多游蛙式和蝶式， 最近發現向後拗腰會痛。拗腰時按尾龍骨上兩，三節位.......陳小姐 : 背痛
病患者女 - 52歲 醫生：你好，最近脊柱其中一節位置（近高腰位置的一節）有少少脹大疼痛，每天近左邊的肌.......Andy lam : 打葡萄糖針消炎
病患者男 - 62歲 患足底筋膜炎超過七年，三年前開始做过物理治療，包括衝擊波超聲波仍未痊癒，最近使用一.......Ling : 小腿每隔一陣突然痛幾下
病患者女 - 39歲 感冒發燒後開始左小腿會成日無端端劇痛，食咗醫生啲都係咁，唔食就發作，是咩原因和睇邊.......Dan Chan : 手中指痛
病患者男 - 55歲 你好，我右手中指痛了3個月，之後屈曲伸直會 kick住有時要用另一隻手幫助先可以伸.......suetching Lo : 膝关节痛可以食止痛药嗎？
病患者女 - 68歲 我一個月前小中风入院治疗现要每天食亞士匹靈和胆固醇药现在我膝关节痛可以食止痛药嗎？.......yan : 突然腳痺
病患者女 - 47歲 本人突然腳痺巳有一星期 近日特別嚴重 我的情況是坐下時反而沒有症狀 企的時候會.......chan king king : 大腿外部有火燒感
病患者女 - 60歲 最近2,3個, 右腿外側偶爾有火燒感, 會很疼的.現在經常有輕微電擊感, 請問是什.......Raymond : 右腳神經抽痛
病患者男 - 50歲 因工作關係，需要長期，長時間烏低身做嘢。近日，尾龍骨附近位置肌肉痛楚，附除右腳神經.......
發出提問使用細則
致錢炳航醫生 提問
即時提問 ?
