Résumé
Intrameniscal ossicles are rare lesions in humans. They are usually located in the posterior horn of the medial meniscus and are frequently misdiagnosed on roentgenogram as intraarticular loose body. We report a case of meniscal ossicle that occured in a 58-year-old male who had diffuse pain and intermittent locking sensation in the knee. We successfully treated the case with arthroscopic resection of the intrameniscal ossicle and partial meniscectomy of the surrounding meniscus. There was no recurrence of symptom during more than six months after operation.
Sujets)
Animaux , Humains , Mâle , Adulte d'âge moyen , Arthroscopie , Cornes , Genou , Ménisques de l'articulation du genou , Récidive , SensationRésumé
Because of congenital deficiency of the superior sacral facet of S1 or the arch of L5 in dysplastic spondylolisthesis, progression of slippage may occur even in the presence of a posterior solid arthrodesis, especially in the patients with high degree of slippage and lumbosacral kyphsis. Therefore, the anterior interbody fusion may be necessary additionally. But the operation is very difficult because of a little supporting structure anteriorly for bone grafting. We have a case of dysplastic spondylolisthesis which showed progressive slippage even though solid posterolateral fusion. On which case we performed additional anterior interbody fsuion by the technique of anterior open wedge osteotomy on the superior dome of sacrum to support the L5 on S1. And this is the case report of the result.