我做完运动会喜欢做hip flexor的拉伸。左边没问题。右边基本上每次都会很快觉得右膝盖骨靠内侧会抻(chen)得很痛,以至于几乎不能坚持满一分钟。两年前曾经有半月板伤(附报告如下)。没有手术,痛逐渐自行消失。但是从此的确觉得右膝盖不是很稳定强健,偶尔有卡住感,但是只要不强行push through,一般能活动开。做负荷深蹲可以听/感到咯嘣响。但是只要自己小心,没痛感。这是这个拉伸,屡做屡痛。
问内行人,这是我哪根筋紧的表征,或是哪边肌肉weak的表征?怎样最有效稳定一个曾经受伤的膝盖?
(加两张照片以示具体拉伸动作。)
TECHNIQUE: MRI KNEE RIGHT WO CONTRAST Coronal T1, coronal proton density with |
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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. |