[Pain in the knee joint. A report of non-cartilage or meniscus-induced changes. A presentation based on own patients].

H E van Alste, H H Nölcke, H M von Rheinbaben
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Abstract

Based on experiences made with the arthroscopy of the knee joint in our hospital since 1985 and also based on studies made in treatment of plicae synovialis, 155 patients were operated between 1. January 1987 and 31. December 1989 by an arthroscopy, where only synovial changes are found and treated. In 135 cases the anamnesis, the result of the clinical examination and the operation report are analyzed. 110 patients could be examined postoperative. In listing the results there is made a difference between patients, where a synovial change at the medial condylus is operated and such where synovial changes round the femoropatellar joint are treated. All patients were investigated by a questionnaire action. A discrimination by intraoperative foundings was not made, it should rather be clarified, whether the arthroscopic operative treatment of those synovial changes leads to a removal or a clear reduction of the pain in the knee joint, which exists preoperative and leads to the operative treatment. Especially was asked for changes in sporting activities, because the pain mostly appears at physical exercise.

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膝关节疼痛。非软骨或半月板引起的改变的报告。以自己的病人为基础的报告]。
根据我院1985年以来膝关节关节镜检查的经验和对滑膜皱襞治疗的研究,于1 ~ 12月间对155例患者进行了手术治疗。1987年1月31日。1989年12月通过关节镜检查,仅发现滑膜病变并进行治疗。对135例患者的记忆、临床检查结果及手术报告进行分析。110例患者可术后检查。在列出的结果中有不同的患者,在内侧髁处的滑膜改变手术和在股髌关节周围的滑膜改变治疗。采用问卷调查法对所有患者进行调查。术中发现并没有区别,应该澄清的是,关节镜下手术治疗这些滑膜改变是否会导致膝关节疼痛的去除或明显减轻,这是术前存在的,需要手术治疗。特别是被要求改变体育活动,因为疼痛大多出现在体育锻炼中。
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