Sikka Robby S, Dhami Ranjodh, Dunlay Ryan, Boyd Joel L
*TRIA Orthopaedic Center †Penn State College of Medicine, Minneapolis, MN.
Sports Med Arthrosc Rev. 2015 Mar;23(1):17-21. doi: 10.1097/JSA.0000000000000044.
Isolated injuries to the fibular collateral ligament (FCL) are rare. Although recent data suggest that operative and nonoperative treatment can both result in good functional outcomes, limited data exist on return to play for nonoperative treatment of FCL injuries and the value of magnetic resonance imaging in predicting prognosis. In this article, we present a review of the current literature and present a focused review regarding the diagnosis, treatment, and prognosis of FCL injuries, as well as the senior authors experience and a cohort of National Football League players. Magnetic resonance imaging can be useful to predict the length of disability in isolated FCL injuries, and both operative and nonoperative management of isolated FCL injuries successfully resulted in return to play in all players in several series of elite athletes; however, nonoperative management may result in faster return to play. Evaluation of potential concomitant injury is imperative in treatment of FCL injuries.
腓侧副韧带（FCL）单独损伤较为罕见。尽管近期数据表明手术治疗和非手术治疗均可取得良好的功能预后，但关于FCL损伤非手术治疗后恢复运动以及磁共振成像在预测预后方面的价值，相关数据有限。在本文中，我们对当前文献进行了综述，并针对FCL损伤的诊断、治疗和预后，以及资深作者的经验和一组国家橄榄球联盟球员进行了重点回顾。磁共振成像有助于预测孤立性FCL损伤的残疾时长，在一系列精英运动员中，孤立性FCL损伤的手术治疗和非手术治疗均成功使所有运动员恢复运动；然而，非手术治疗可能使运动员更快恢复运动。在FCL损伤的治疗中，评估潜在的合并损伤至关重要。
