关节镜下采用全内修复技术稳定过度活动性外侧半月板
简介
这是一篇技术笔记，针对标准影像学检查常难以发现、多需关节镜确诊的外侧半月板过度活动，介绍一种全内修复的关节镜稳定技术。文中以屈膝、外翻应力联合外旋的临床应力动作辅助再现后角不稳相关症状；修复采用序贯全内垂直缝合，先在腘肌腱裂孔（popliteal hiatus）处将外侧半月板固定至后关节囊，再向后、向内逐步稳定以恢复半月板包膜完整性，同时保留后角生理活动度。…
英文摘要
The hypermobile lateral meniscus is an uncommon cause of posterolateral knee pain and mechanical symptoms that often escapes standard imaging and is best confirmed by arthroscopy. A clinical stress maneuver combining knee flexion, valgus stress, and external rotation is described in this Technical Note as a simple adjunct to reproduce symptoms related to posterior horn instability and support early suspicion of hypermobile lateral meniscus. This Technical Note also describes a minimally invasive arthroscopic stabilization technique using sequential all-inside vertical sutures. The procedure begins with fixation of the lateral meniscus to the posterior capsule at the popliteal hiatus, followed by progressive posterior and medial stabilization to restore meniscocapsular integrity while preserving the physiological mobility of the posterior horn. Intraoperative assessment is performed using probing and aspiration tests to avoid overconstraint, and the technique is completed with marrow stimulation in the intercondylar notch to enhance biological healing. This approach restores stability while maintaining native meniscal biomechanics, providing a reproducible and tissue-preserving strategy for the treatment of hypermobile lateral meniscus.