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半月板撕裂。与手术程序相关的康复方案的最新进展。

The meniscus tear. State of the art of rehabilitation protocols related to surgical procedures.

作者信息

Frizziero Antonio, Ferrari Raffaello, Giannotti Erika, Ferroni Costanza, Poli Patrizia, Masiero Stefano

机构信息

Department of Rehabilitation Medicine, University of Padua, Italy.

出版信息

Muscles Ligaments Tendons J. 2013 Jan 21;2(4):295-301. Print 2012 Oct.

Abstract

Meniscal injuries represent one of the most frequent lesions in sport practicing and in particular in soccer players and skiers. Pain, functional limitation and swelling are typical symptoms associated with meniscal tears. Epidemiological studies showed that all meniscal lesions, in different sports athletes, involves 24% of medial meniscus, while 8% of lateral meniscus and about 20-30% of meniscal lesions are associated with other ligament injuries. Meniscal tears can be treated conservatively or surgically. Surgery leads in many cases to complete resolution of symptoms and allows the return to sport activity. However many studies show that this treatment can induce more frequently the development of degenerative conditions if not correctly associated to a specific rehabilitation protocol. The aim of this article is to compare different timing in specific rehabilitation programs related to the most actual surgical options.

摘要

半月板损伤是运动实践中最常见的损伤之一,尤其是在足球运动员和滑雪运动员中。疼痛、功能受限和肿胀是与半月板撕裂相关的典型症状。流行病学研究表明,在不同运动项目的运动员中,所有半月板损伤中,内侧半月板损伤占24%,外侧半月板损伤占8%,约20 - 30%的半月板损伤与其他韧带损伤有关。半月板撕裂可以保守治疗或手术治疗。在许多情况下,手术能使症状完全缓解,并允许患者恢复运动。然而,许多研究表明,如果不与特定的康复方案正确结合,这种治疗更容易引发退行性病变。本文的目的是比较与最实际的手术选择相关的特定康复计划中的不同时间安排。

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