Devitt Brian M, Whelan Daniel B
*Sports Surgery Clinic, Dublin, Ireland †Department of Orthopaedic Surgery, University of Toronto, St Michael's Hospital, Toronto, ON, Canada.
Sports Med Arthrosc Rev. 2015 Mar;23(1):10-6. doi: 10.1097/JSA.0000000000000046.
The initial assessment of injury to the lateral collateral ligament and posterolateral corner is often challenging, particularly in the context of a multiligamentous injury. Although advanced imaging techniques have enhanced the evaluation of knee injuries, the significant, and often unique, contribution of clinical examination should not be overlooked. Clinical examination starts with a thorough history, which is instrumental in elucidating not only the patient's symptomatology but also the mechanism of injury. Differentiating between acute and chronic injury and teasing out the patient's functional limitations are instructive in defining the appropriate treatment plan. The treating physician needs patience, vigilance, and a variety of diagnostic tools to reach a precise diagnosis. Each injury should be approached in a methodical and systematic manner to ensure an accurate initial assessment. This review provides a step-wise approach to the clinical assessment of the lateral collateral ligament and posterolateral corner injured knee. Adjunctive imaging modalities and investigations are also discussed.
对外侧副韧带和后外侧角损伤的初步评估往往具有挑战性，尤其是在多发韧带损伤的情况下。尽管先进的成像技术增强了对膝关节损伤的评估，但临床检查的重要且往往独特的作用不应被忽视。临床检查始于全面的病史采集，这不仅有助于阐明患者的症状，还能了解损伤机制。区分急性和慢性损伤以及梳理出患者的功能限制对于确定合适的治疗方案具有指导意义。主治医生需要耐心、警惕性以及各种诊断工具才能做出准确诊断。应对每一处损伤都应采用有条不紊且系统的方法，以确保进行准确的初步评估。本综述提供了一种对外侧副韧带和后外侧角损伤膝关节进行临床评估的逐步方法。还讨论了辅助成像方式和检查。
