Поясните пожалуйста диагноз

[ukus]

Господа специалисты, переведите пожалуйста с медицинского на общечеловеческий

"Диагноз:ШЕЛФ-синдром, синовит левого коленного сустава"

Про синовит еще более-менее понятно, а вот что это за синдром такой?

[ukus]

Никто не знает? Жаль.

[Деревенщина]

Это наличие патологически измененной медиапателлярной складки.
подробности - в гугле.

[ukus]

Спасибо за разъяснения

[Dr_Zood]

Если кто-то этот диагноз поставил - значит, он в этом соображает, у него и спросите (вроде, логично).
Если же хочется узнать больше, чем доктор - прошу:

"...Hypertrophic synovial plicae are a rare cause of knee pain. The knee is formed from the fusion of three compartments that are divided by synovium in the embryo. These compartments fuse during the fourth fetal month. The synovial membrane remnants are called plicae. In some knees these remnants or plicae are nearly completely resorbed, in others they are thick fibrotic bands. Three plicae are commonly seen: the infrapatellar plica or ligamentum mucosum, the suprapatella plica, and the medial patellar plica. The last is seen less often than the other two plicae, but is most likely to be symptomatic. This plica attaches to the medial capsular wall, at the level of the superior edge of the patella, and runs along the anteromedial wall of the capsule to insert on the infrapatellar fat pad.

The symptomatic medial patellar plica is called the "shelf syndrome".
This is characterized by complaints of pain, catching, and popping on the medial side of the knee. The patient frequently notes the development of symptoms after a direct blow to the medial side of the joint. After mild trauma, a plica that was asymptomatic can become inflamed, hypertrophied, and painful. Physical examination reveals tenderness over the plica, superior to the medial joint line. Patients typically have pain on extreme flexion of the knee. Snapping of the plica over the medial femoral condyle with flexion is frequently palpable. Patients may also have tenderness along the medial side of the patella or pain with patella compression and range of motion, because of entrapment of a fold of the plica. A patient with similar complaints and medial joint line tenderness may have a torn medial meniscus; careful examination is important.

The shelf syndrome should be treated with rest and non-steroidal medication for 3 to 4 weeks. Symptoms frequently resolve with time. If non-operative treatment fails, arthroscopic excision of the entire medial patellar plica is recommended. Simply dividing the plica can result in recurrent symptoms, with scarring. Care should be taken at the time of arthroscopic excision not to resect the capsular wall. Wide capsular resection can cause complications such as arterial bleeding or lateral subluxation of the patella. The results of arthroscopic excision of the medial patellar plica are good, with most patients being asymptomatic 3 months postoperatively. The diagnosis of shelf syndrome can be difficult and the syndrome is infrequent. Plica resection in the patient who does not have complaints and findings consistent with the diagnosis is unwarranted and not recommended..."

"Промт-онлайн" смогёт перевести достаточно близко к теме, "Лигво 12" - тем более.
В двух словах: шельф-синдром - это посттравматическое (как правило) воспаление эмбриональных (остаточных) синовиальных мембран (в норме практически или полностью отсутствующих).
Проходит примерно за месяц либо само, либо при соблюдении покоя и приеме НПВС, либо по проведении артроскопических манипуляций.