踢足球扭伤后,26岁小伙膝关节活动受限
作者 | 王健
文章首发于 | 骨科王健医生头条号
今年26岁的小刘,是一家烤鱼连锁店的经理,酷爱运动。虽然平时工作忙,但一到休假时间,就会好好放下工作,在运动场一呆就呆一整天。然而,就在1个月前的一次运动中,因踢足球而摔倒,右膝不慎扭伤。
当时出现了右膝关节疼痛,表现为酸痛不适,行走时加重,伸膝时疼痛较为明显,右膝关节稍肿胀,外侧膝眼处压痛明显,休息后症状可稍缓解。
于是,在朋友帮助下去了运动场附近的小诊所做了紧急的处理。但一个星期后,右膝关节疼痛越来越严重,只能去了附近医院就诊,行MRI检查提示:1.右膝关节外侧半月板前角撕裂,2.右膝关节积液,3.右膝内外侧半月板后角变性。予保守治疗后症状稍缓解,未行其他特殊处理。
然而,近段时间来,疼痛明显加重,为针刺样疼痛,稍行走时即出现,右膝关节向前伸直时疼痛明显,屈曲时疼痛缓解。无奈之下,在朋友介绍下来我院就诊,希望能做进一步的治疗。
入院后完善检查,X片检查示: 1、双下肢等长。2、右膝关节骨质未见明显异常,软组织略肿胀。3、胸部X线平片未见明显异常。
入院相关术前检查检验结果未发现明显手术禁忌症,且患者目前膝关节活动受限,影响日常工作和生活,非手术治疗无良效,患者及其家属强要求手术治疗。
随即在腰麻下行“半月板切除术+关节滑膜切除术+肌腱探查术+下肢血管探查术+肌腱粘连松解术+关节镜下手术” ,术后做好止痛,护胃以及止吐、补液等治疗。
术后第一天,患者自诉久卧起身时头痛,考虑为腰麻的术后反应,嘱患者多饮水,头痛有缓解。
目前,患者病情稳定,一般情况可,切口愈合良好,右下肢活动可,且患者及患者家属有出院意愿,经上级医生批准,为患者办理出院。
出院诊断:1.膝关节扭伤(右侧);2.外侧半月板撕裂(右膝)
出院医嘱:注意休息,加强营养;保持切口敷料干洁,每2-3天当地医院换药一次,术后2周拆线;出院带药,遵医嘱服用;循序渐进行患肢功能恢复锻炼,术后1个月返院复查,不适随诊。
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