Resolução espontânea de lesão em alça de balde do menisco medial: relato de caso e revisão da literatura

Abstract

Neste trabalho é relatado um caso de lesão do menisco medial do tipo em alça de balde, que se resolveu espontaneamente. O paciente torceu o joelho esquerdo durante jogo de futebol, evoluindo com dor e bloqueio articular. A ressonância magnética realizada após o trauma demonstrou uma lesão em alça de balde do menisco medial, com fragmento deslocado na incisura intercondilar. Após tratamento clínico, o exame de controle demonstrou que havia ocorrido resolução espontânea da referida lesão.

Spontaneous healing of bucket handle tear of the medial meniscus associated with ACL tear

“…Meniscal lesions are the biggest cause of knee locking in clinical practice. The differential diagnosis includes, among other conditions, cruciate ligament tears, cysts in the cruciate ligaments, intra-articular free bodies (osteochondritis dissecans, acute osteochondral lesions, synovial osteochondromatosis and penetrating injuries), pigmented nodular synovitis and plica syndrome [1], [2], [7], [8], [9]…”

“…The incidence of meniscal lesions in patients with ACL instability has been described in the literature as ranging from 35% to 97%. It is seen that 82% of the patients present associated meniscal lesions, and it is believed that the length of time between the initial injury and the reconstruction surgery is the main factor contributing towards this high rate of association [1], [2], [3], [4]…”