請懂解剖學的人谘詢一下膝蓋拉伸之痛

來源: 2018-04-16 11:30:08 [舊帖] [給我悄悄話] 本文已被閱讀:

 

我做完運動會喜歡做hip flexor的拉伸。左邊沒問題。右邊基本上每次都會很快覺得右膝蓋骨靠內側會抻(chen)得很痛,以至於幾乎不能堅持滿一分鍾。兩年前曾經有半月板傷(附報告如下)。沒有手術,痛逐漸自行消失。但是從此的確覺得右膝蓋不是很穩定強健,偶爾有卡住感,但是隻要不強行push through,一般能活動開。做負荷深蹲可以聽/感到咯嘣響。但是隻要自己小心,沒痛感。這是這個拉伸,屢做屢痛。

問內行人,這是我哪根筋緊的表征,或是哪邊肌肉weak的表征?怎樣最有效穩定一個曾經受傷的膝蓋?

(加兩張照片以示具體拉伸動作。)

 

 

 

 

 

 

 

 

 

TECHNIQUE: MRI KNEE RIGHT WO CONTRAST  Coronal T1, coronal proton density with 

 
fat saturation, sagittal proton density with fat saturation, sagittal proton   
density, axial proton density with fat saturation.   
 
REPORT: Predominant horizontal linear regions of abnormal increased signal   
posterior horn and body of the medial meniscus extending to the inferior surface   
consistent with tear. There appears to be a bucket-handle component to this tear   
flipped towards the intercondylar notch   
 
There is a partially discoid lateral meniscus measuring 1.4 cm in transverse   
dimension at midline but no evidence of tear.   
 
There is mild T2 hyperintensity superficial to the medial collateral ligament   
which could be grade 1 sprain. Lateral collateral ligament complex intact.   
 
Cartilage thinning in the medial compartment. No focal cartilage defects.   
Normal bone marrow signal within the osseous structures.   
 
Thin mildly elongated medial patellar plica. Patellofemoral compartment   
otherwise essentially intact.   
 
Small moderate joint effusion.   
 
There is feathery T2 hyperintensity within the popliteus muscle consistent with   
a grade 1 strain.