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膝关节后外侧不稳定:评估、治疗与结果

Posterolateral instability of the knee: evaluation, treatment, results.

作者信息

Levy Bruce A, Stuart Michael J, Whelan Daniel B

机构信息

Department of Orthopaedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Sports Med Arthrosc Rev. 2010 Dec;18(4):254-62. doi: 10.1097/JSA.0b013e3181f88527.

Abstract

Injuries to the fibular collateral ligament and posterolateral corner are uncommon, and are usually associated with other ligamentous injuries-in particular, the anterior cruciate ligament and/or posterior cruciate ligament, leading to significant functional impairment. The most common mechanism of injury for this area of the knee involves a combined hyperextension and varus force that is frequently of high energy. As these injuries occur typically in the setting of a multiligament-injured knee, the diagnosis and surgical reconstruction can be extremely challenging. This chapter will discuss the diagnosis of these injuries, including physical examination and imaging techniques, surgical timing, technical considerations, current controversies in management, and postoperative rehabilitation.

摘要

腓侧副韧带和后外侧角损伤并不常见,通常与其他韧带损伤相关,尤其是前交叉韧带和/或后交叉韧带损伤,会导致严重的功能障碍。膝关节该区域最常见的损伤机制是过度伸展和内翻力的联合作用,且通常能量较高。由于这些损伤通常发生在多韧带损伤的膝关节情况下,诊断和手术重建极具挑战性。本章将讨论这些损伤的诊断,包括体格检查和影像学技术、手术时机、技术要点、当前管理中的争议以及术后康复。

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