男,80多歲,糖尿病不能換膝關節,照片子結論如下,怎麽能改善呢?
打過幾次封閉了,貌似效果越來越短,這藥也有耐藥性?
Left knee:
There is severe left narrowing of the medial tibiofemoral joint compartment. moderate size suprapatellar knee joint effusion is present on the left. Fabella in place. Severe patellofemoral osteoarthritis, patellofemoral joint space is nearly effaced and
there are innumerable irregularities in both the patellar as well as the intercondylar groove surface.
Right knee:
Minimal medial tibiofemoral joint compartment narrowing. Minimal spurring associated with the medial tibial spine. No significant right-sided knee joint effusions seen. There is lateral subluxation of the right patella and moderate to severe
patellofemoral osteoarthritis present.
IMPRESSION:
1. Right knee demonstrates mild medial tibiofemoral joint compartment narrowing but severe patellofemoral osteoarthritis associated with lateral subluxation
2. Left knee demonstrates moderate to severe medially accentuated tibiofemoral joint compartment narrowing, severe patellofemoral osteoarthritis, and a moderate knee joint effusion