Frank Joshua B, Youm Thomas, Meislin Robert J, Rokito Andrew S
NYU Hospital for Joint Diseases, Department of Orthopaedic Surgery, New York, NY 10003, USA
Bull NYU Hosp Jt Dis. 2007;65(2):106-14.
The posterolateral region of the knee is an anatomically complex area that plays an important role in the stabilization of the knee relative to specific force vectors at low angles of knee flexion. A renewed interest in this region and advanced biomechanical studies have brought additional understanding of both the anatomy and the function of posterolateral structures in knee stabilization and kinematics. Through sectioning and loading studies, the posterolateral corner has been shown to play a role in the prevention of varus angulation, external rotation, and posterior translation. The potential for long-term disability from these injuries may be related to increased articular pressure and chondral degeneration. The failure of the reconstruction of cruciate ligaments may be due to unrecognized or untreated posterolateral corner injuries. Various methods of repair and reconstruction have been described and new research is yielding superior results from reconstruction of this region.
膝关节后外侧区域是一个解剖结构复杂的区域,在膝关节处于低屈曲角度时,相对于特定力向量而言,该区域在膝关节稳定方面发挥着重要作用。对该区域重新燃起的兴趣以及先进的生物力学研究,使人们对后外侧结构在膝关节稳定和运动学中的解剖结构与功能有了更多了解。通过切片和加载研究表明,后外侧角在预防内翻成角、外旋和后向平移方面发挥作用。这些损伤导致长期残疾的可能性可能与关节压力增加和软骨退变有关。交叉韧带重建失败可能是由于未识别或未治疗的后外侧角损伤。已经描述了各种修复和重建方法,并且新的研究正在使该区域的重建取得更好的效果。