Dynamic ultrasonic research mediopatellary synovial folding knee joint
- 作者: Eskin N.1, Ochkurenko A.1, Kusova F.1, Kurpyakov A.2, Gorokhvodatsky A.1, Matveeva N.1
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隶属关系:
- N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- 期: 卷 28, 编号 3 (2021)
- 页面: 37-45
- 栏目: Original study articles
- URL: https://journals.rcsi.science/0869-8678/article/view/82526
- DOI: https://doi.org/10.17816/vto82526
- ID: 82526
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BACKGROUND: One of the reasons for the formation of pain syndrome in the anterior part of the knee joint is a pathologically thickened mediopatellar synovial plica (MP). MP most often pathologically changes and as a result leads to changes in the nearby structures of the knee joint. However, there are difficulties in assessing the direct impact of MPSS on the articular cartilage of the patella and medial condyle of the femur, for this it is advisable to perform ultrasound examination using functional tests.
AIM: To study the effectiveness of ultrasound examination with the use of functional tests in the diagnosis of MP pathology, which are important in determining tactics and evaluating treatment results.
MATERIALS AND METHODS: The results of a comparative survey of 80 patients are presented. The first stage of the MRI was performed on patients, according to which the type of change in MP was evaluated. The second stage was ultrasound with the use of functional tests.
RESULTS: According to MRI data, type A was detected in 11, type B in 17, type C in 38 and type D in 14 patients. Ultrasound results showed that type A and B MP were not infringed in any case, and type C and D MP were infringed in 24 (63.2%) and 12 (85.7%) cases, respectively.
CONCLUSION: The study made it possible to determine not only the presence or absence of pathologically thickened MP, but also to assess the degree of its influence on nearby joint structures, such as thickness, the degree of vascularization of both the fold itself and the synovial membrane around it, the presence or absence of infringement during flexion and extension of the knee joint and SHELF syndrome, and therefore, the degree of its participation in the formation of pain syndrome.
作者简介
Nikolay Eskin
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: cito-uchsovet@mail.ru
ORCID iD: 0000-0003-4738-7348
SPIN 代码: 1215-9279
MD, PhD, Dr. Sci. (Med.), professor, head of the department of ultrasound diagnostics
俄罗斯联邦, MoscowAlexander Ochkurenko
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: cito-omo@mail.ru
ORCID iD: 0000-0002-1078-9725
SPIN 代码: 8324-2383
MD, PhD, Dr. Sci. (Med.), professor, traumatologist-orthopedist
俄罗斯联邦, MoscowFatima Kusova
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: kusova_cito@mail.ru
MD, PhD, Cand. Sci. (Med.), ultrasound diagnostics doctor
俄罗斯联邦, MoscowAnton Kurpyakov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: Avodatskiy@mail.ru
SPIN 代码: 3398-7972
MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist
俄罗斯联邦, MoscowAlexandr Gorokhvodatsky
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
编辑信件的主要联系方式.
Email: Avodatskiy@mail.ru
ORCID iD: 0000-0002-5855-1214
SPIN 代码: 8033-8688
MD, traumatologist-orthopedist
俄罗斯联邦, MoscowNatalya Matveeva
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: nymatveeva@gmail.com
MD, PhD, Cand. Sci. (Med.), ultrasound diagnostics doctor
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