Schärlig M, Segantini P
Chirurgische Klinik, Schwerpunktspital Uster.
Helv Chir Acta. 1991 Feb;57(5):831-8.
From 1983 to 1989 129 partial tears of the anterior cruciate ligament were diagnosed by arthroscopy. To confirm the diagnosis of a partial rupture of the anterior cruciate ligament, we began to split the synovial sheath of the anterior cruciate ligament in 1986 in order to prove the continuity of the fibers. Applying this technique, we quite often found the anterior cruciate ligament completely torn. Hence the rate of partial tears of the anterior cruciate ligament decreased from about 10% of all anterior cruciate ligament ruptures 1983 to about 3% 1989. 42 patients whose diagnosis had been a partial rupture of the anterior cruciate ligament were reviewed clinically to determine whether the anterior cruciate ligament injury had finally proved to be an insignificant lesion or had caused a knee instability. The overall results were very good in 12% and good in 14%; 41% showed a fair, 26% a poor result. Because of this unfavourable outcome, we believe that most of the partial tears of the anterior cruciate ligament should be regarded as complete ruptures.
1983年至1989年间，经关节镜诊断出129例前交叉韧带部分撕裂。为了确诊前交叉韧带部分断裂，我们于1986年开始切开前交叉韧带的滑膜鞘，以证实纤维的连续性。应用这项技术后，我们经常发现前交叉韧带完全断裂。因此，前交叉韧带部分撕裂的发生率从1983年占所有前交叉韧带断裂的约10%降至1989年的约3%。对42例曾被诊断为前交叉韧带部分断裂的患者进行了临床复查，以确定前交叉韧带损伤最终是否被证明是一个无足轻重的病变，或者是否导致了膝关节不稳定。总体结果12%为非常好，14%为好；41%为尚可，26%为差。由于这一不良结果，我们认为大多数前交叉韧带部分撕裂应被视为完全断裂。
