Morelli Vincent, Bright Crystal, Fields Ashley
Department of Family and Community Medicine, Meharry Medical College, Nashville, TN 37208, USA.
Prim Care. 2013 Jun;40(2):335-56. doi: 10.1016/j.pop.2013.02.004. Epub 2013 Mar 14.
This article discusses athletic injuries of the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and posterolateral corner. Best evidence to date validates that conservative management of ACL ruptures is a reasonable strategy. Current data also seem to advocate nonoperative management of PCL injuries. All isolated MCL injuries, regardless of grade, are usually treated with a brief period of immobilization and symptomatic management. Although the surgical literature often advocates surgical treatment of posterolateral corner injuries, there have been no randomized trials substantiating that these injuries are best treated surgically.
本文讨论前交叉韧带(ACL)、后交叉韧带(PCL)、内侧副韧带(MCL)和后外侧角的运动损伤。迄今为止的最佳证据证实,ACL断裂的保守治疗是一种合理的策略。目前的数据似乎也支持PCL损伤的非手术治疗。所有单纯的MCL损伤,无论其分级如何,通常都采用短期固定和对症治疗。尽管外科文献常常主张对后外侧角损伤进行手术治疗,但尚无随机试验证实这些损伤采用手术治疗效果最佳。