University Orthopaedic Therapy Center, R102, 2450 Riverside Ave, Minneapolis, MN 55454, USA.
J Orthop Sports Phys Ther. 2010 Aug;40(8):502-16. doi: 10.2519/jospt.2010.3269.
Injuries to the posterolateral corner of the knee pose a significant challenge to sports medicine team members due to their complex nature. Identifying posterolateral corner injuries is paramount to determining proper surgical management of the injured athlete, with the goal of preventing chronic pain, instability, and/or surgical failure. Postoperative rehabilitation is based on the specific structural involvement and surgical procedures. A firm understanding of the anatomy and biomechanics of the structures of the posterolateral corner is essential for successful rehabilitation outcomes. Emphasis is placed on protection of the healing surgical repair/reconstruction, with gradual restoration of range of motion, strength, proprioception, and dynamic function of the knee. The purpose of this paper is to provide an overview of the anatomy, biomechanics, and mechanism of injury for posterolateral corner injuries, with a review of clinical examination techniques for identifying these injuries. Furthermore, a review of current surgical management and postoperative guidelines is provided.
Diagnosis/therapy, level 5.
膝关节后外侧角损伤因其复杂性对运动医学团队成员构成了重大挑战。确定后外侧角损伤对于确定受伤运动员的适当手术治疗至关重要，其目标是预防慢性疼痛、不稳定和/或手术失败。术后康复基于特定的结构受累和手术过程。对后外侧角结构的解剖学和生物力学有坚实的理解是成功康复结果的关键。重点是保护愈合的手术修复/重建，逐渐恢复膝关节的活动范围、力量、本体感觉和动态功能。本文的目的是概述后外侧角损伤的解剖学、生物力学和损伤机制，并回顾用于确定这些损伤的临床检查技术。此外，还提供了当前手术管理和术后指南的综述。
诊断/治疗，5 级。
