Monpierre H, Saillant G, Garçon P, Benazet J P, Roy-Camille R
Rev Prat. 1989 Dec 1;39(28):2503-6.
In every case knee injury, it is imperative not to miss a possible lesion of the ligaments and, when such a lesion is present, to evaluate its severity. The practitioner who examines the injured knee in an emergency therefore plays a crucial role in taking a definite attitude when faced with lesions. Before any treatment is envisaged the lesion must be precisely diagnosed. This requires a very strict examination based on the patient's history and on clinical tests that are often simple. At the slightest suspicion of severe lesion of the ligaments, a specialist must be called in to complete the investigation, if necessary by testing under general anaesthesia and/or by performing an arthroscopy.
在每一例膝关节损伤中,绝不能遗漏可能存在的韧带损伤,一旦发现此类损伤,需评估其严重程度。因此,在紧急情况下检查受伤膝关节的医生在面对损伤时采取明确态度方面起着关键作用。在考虑任何治疗之前,必须对损伤进行精确诊断。这需要基于患者病史以及通常很简单的临床检查进行非常严格的检查。一旦稍有怀疑存在严重韧带损伤,就必须请专科医生前来完成检查,如有必要可在全身麻醉下进行检测和/或进行关节镜检查。