髌内侧滑膜皱襞综合征患者髌股关节疼痛的神经病理学观察分析

《髌内侧滑膜皱襞综合征患者髌股关节疼痛的神经病理学观察分析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、第三军医大学硕士学位论文ThecorrelationbetweenpateUfemoralpainandneUron-eIementlntneSVmDtomanCmenlalDllCa：●J●』●JJ●'●l'●apreliminaryclinicalpatholOgyStudyaDreIlmlnarVCllnlCalDatnOIOgVStUnVAbStractMedialplicaisthenomalsynoVialmembranestrIlctureinknee．AmesenchynlaltissueoruIlchon嘶fiedblastemafillsthesp

2、acebe似eenmedistalfemoralandtheproximaltibialepiphysesresorbsunconlpletelyinareastobetweenmef-emoralepiphysisaIldthepatellatofomthemediopatellarplica．Themedialplicacommonlyispresentedasanomalnndingofthehee，aswen嬲alesion，觚ailment，apath0109iccondition，orahypertrophy．Mallyauthorsfocusonthed

3、efinitionofmedialplicaaseitherno吼a1orabno肌a1．Histologicstudyofmedialplicaconfimsmechanical觚dcllronicconnictwithpatll0109icchaIlgesasde印舶rosisandabrasionofthesuperficialsynoVial1ayer．Suchasinfiltrationofinfl锄matoWcellsandhypertrophyofasyIloVitis，thickeningofVesselswallsareinconstant．Butt

4、hesesigIlsarenotcharaCteristic．砒chmondandMcGintyreported40％ofthepatientswithgoodresultsaRerplicaresectionhadanomalpam0109yex锄ination；K1einandHanspalr印ortedthat15-66％ofthepatientsfeltobViouslypatellfemoralpain，whichhadgoodresultsaRerplicaresection，foundplicafibrosis，33％foundabnonnal6ndin

5、gswithinflammation．Itisnecessarytodomoreresearchtodemonsratetherealdifferencebetweennomalanda_bnormalmediopatellarplica．Themediopatellarplicasylldromealmostresutpatellf-emoralpain。Theanatomyandmctionneedfhrthermoreresearch．Someauthorsreportedthatmedialplicaassociated1esionofcanilageresu

6、ltpain．ButwefoundmatsomepatientsfeltpaineVenmoughtheirpatellfemoralcartilagehadnolesion．Thinmedialplicaecaninfactbesyrnptomatic，肌dthepatiem’scomplaintsrelieVedbyexcision．Wide，tense，andthickplicaemaybetotallyasylIlptomatic，asthereisnostrictrelationshipbe俩eentheaspectoftheplicaandthepossi

7、blesyl】叩toms．Neuro-immunohist0109ysuggestthatinnen，ationofsynoVialmembraIleupgoinginmepatientswhofeltanteriorkneepain．WepresumethatmeimleⅣationofmedialplicaeresponsefbrtheanteriorkneepain．2第三军医大学硕士学位论文Thestudyf．ocusontheneurotomiaofplicabyusingneuron—inununology．Obtainingmedial