問題 : 膝蓋如果坐著彎太久會不舒服

從文中所述的徵狀及磁力共振報告內容顯示，讀者好大機會是患上股骨內顆受傷腫瘀和髕骨軟骨軟化症。這些徵狀通常是受到嚴重撞擊之後，而引起的其中一種常見的膝關節後遺症。就文中所述之情況，有可能傷至部分軟骨脫落。 如需詳細了解，建議聯絡相熟的骨科專科醫生商討是否有需要作微創軟骨修補手術。 祝健康愉快

半年前因為跑步，左膝在屈膝上落樓梯，某個角度就會痛，於是去了照MRI，得出以後結果： Findings The knee alignment is normal. There is minor joint fluid. No popliteal cyst is noted There is abnormal signal on T2FS images in the distal medial femoral condyle due to bone oedema / bruises. This is associated with cartilage loss due to osteochondral lesion (OCL) The anterior cruciate ligament is thickened. The fibres are still well defined. There is no loss of continuity of the fibres. These are due to a sprain. The posterior cruciate ligament is redundant and the fibres remain intact. No tears is seen. There is abnormal signal with thinning of the lateral facet patellar articular cartilage. This is seen down to the patellar bone due to Grade 3 / 4 chondromalacia. On T2* and PD images, there is abnormal meniscal signal seen in the posterior horn of the medial meniscus due to degeneration. No definite tear. There is no abnormality detected in the medial and lateral collateral ligaments. No soft tissue swelling or oedema is seen. No tear is detected. The patella is normal in position. There is no dislocation. The quadriceps and the inferior patellar tendon are unremarkable. Comment 1. Minor joint fluid. 2. Bone oedema distal medial femoral condyle with OCL 3. Sprain ACL 4. Chondromalacia 5. Degenerative signal in the posterior horn of the medial meniscus. No definite tear. 想問骨科專科醫生，我的傷勢如何？要做什麼治療才可以？

多謝您的來信。 從文中所描述的徵狀，雖然沒有骨頭受傷。但徵狀顯示，有機會是關節裏的軟組織，如：十字韌帶、半月板等有可能已經受傷，又或者沒有完全康復。讀者需要特別留意的是有沒有出現膝關節不穩定性(Instability)徵狀，包括：醫學上常見的膝關節讓路(Giving Way)，膝關節鎖定(Locking)等徵狀，如出現上述徵狀，讀者有機會需要聯絡相熟的骨科專科醫生了解是否有需要做進一步詳細檢查或磁力共振去確診是否傷及文中所提及的重要關節軟組織。 �