[ 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 ]
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。
其他陳禮樂醫生醫務信箱回覆Kl : 強直性脊椎炎
病患者男 - 32歲 背痛了一段時間，尤其是朝早瞓醒會彊硬（好崩緊）同痛。轉身都會有拉扯既感覺同痛楚。但.......Tam Ho Ming : 運動時扭傷手腕
病患者男 - 32歲 尺骨凸出 上網了解過情況懷疑係tfcc 扭傷大約半個月時間 是否應盡快詳細檢查？.......朱小姐 : 跟腓韌帶受傷？應該睇乜科
病患者女 - 30歲 請問懷疑係跟腓韌帶受傷，（足踝位置）？長期腫脹左，腳趾外翻扁平足，應該睇乜科！.......Tabo : 腳板底腫痛
病患者男 - 49歲 我的腳板灣位腫痛，不是落床踩地痛，是休息坐時痛及腫，應睇那一科醫生，請指教.......choi : 手腳麻痺
病患者男 - 56歲 醫生您好，想請教，本人今年2月開始左手手指有少少麻痹，到現在在已經左右手加腳趾都有.......Ricky : L2-3 及 L4-5 椎間盤突出
病患者男 - 46歲 醫生您好,想請教 我8月尾早上扭親腰,當時約10分鐘下半身神經痛不能動,之後.......李生 : 走路不順
病患者男 - 39歲 半年前因意外傷了腳部腳掌，2至4節蹠骨骨折斷了，經醫生在腳趾位置串燒連接起來，復健.......au : 右腳係力 麻痺
病患者女 - 28歲 跌倒後， 一開始只是輕微的腰痛，右腳少少無力。過兩日後， 行幾步路已經無力到要停一.......Michael Cheung : 如何分辨腱鞘囊腫和腱鞘巨細胞瘤？
你好，家母近日發現手掌近無名指指骨及掌骨間出現約2cm長的橢圓形腫塊，如不擠壓則不會痛，摸下去時是腫脹但不是硬.......suetching Lo : 左边膝内侧都痛
病患者女 - 67歲 左边臀部左边髋关节左边膝内侧都痛是甚么原因呢？麻烦醫生已照X光只説是退化....... 發出提問使用細則
致陳禮樂醫生 提問
即時提問 ?
