交锁性膝关节的疾病的临床诊断.pdf

2 2 2 2 · 032 · 中国矫形外科杂志 　2002 年 3 月第 9 卷第 3 期 　Orthop J Chin , Vol. 9 ,No. 3 March 2002 ·论　著· 交锁性膝关节疾病的临床诊断 尚希福 　朱六龙 　戴克寸戎 2 　　摘　要　目的 :找出有助于膝关节交锁性疾患的临床特点 。方法 :回顾性分析我院 1980 年 5 月～2000 年 12 月间的 交锁性膝关节疾病的临床资料 。结果 :交锁性膝关节病变约占整个膝关节病变的 10 % ,交锁原因有半月板损伤 、关节内 游离体 、滑膜病变等 ,其交锁各有其特点 。结论 :最常见的膝关节交锁原因是半月板损伤 ,掌握交锁特点有助于正确诊 断 。 关键词 　膝关节 ; 　交锁 ; 　诊断 中图分类号 　R684 　　　文献标识码 　A 　　　文章编号 　1005 - 8478(2002) 03 - 0230 - 03 The Clinical Diagnosis of the Locked Knee ∥S HA N G Xi f u , ZHU L iu long , DA I Ke rong. Department of Orthopaedics , The Ninth People’s Hospital , The S hanghai Second Medical U niversity , S hanghai 200011. Abstract 　Objective : To find out some clinical characteristics which is helpful to the diagnosis of the locked knees. Method : To analyze retrospectively clinical materials of the locked knees which we treated in our hospital from May 1980 to December 2000. Result : The incidence of the locked knee among total knee diseases is approximately 10 % , the causes of the lesion are meniscal tear ,loose body and synovial lesions ,et al. The locking characteristic is different with the different causes. Conclusion : The major cause of the locked knees is meniscal tears ,the knowledge of the characteristics of the locked knees is helpful to its ac curate diagnosis. Key words 　 Knee ; 　locked knee ; 　Diagnosis 　　膝关节疾患是临床上常见病 ,病因不同临床表现 病人一般资料、交锁发生时