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膝关节后外侧角损伤:从解剖到手术治疗的全面综述

Injuries to posterolateral corner of the knee: a comprehensive review from anatomy to surgical treatment.

作者信息

Crespo Bernardo, James Evan W, Metsavaht Leonardo, LaPrade Robert F

机构信息

Steadman Philippon Research Institute, Vail, United States.

Instituto Brasil de Tecnologias da Saúde, Rio de Janeiro, RJ, Brazil.

出版信息

Rev Bras Ortop. 2014 Dec 24;50(4):363-70. doi: 10.1016/j.rboe.2014.12.008. eCollection 2015 Jul-Aug.

Abstract

Although injuries to the posterolateral corner of the knee were previously considered to be a rare condition, they have been shown to be present in almost 16% of all knee injuries and are responsible for sustained instability and failure of concomitant reconstructions if not properly recognized. Although also once considered to be the "dark side of the knee", increased knowledge of the posterolateral corner anatomy and biomechanics has led to improved diagnostic ability with better understanding of physical and imaging examinations. The management of posterolateral corner injuries has also evolved and good outcomes have been reported after operative treatment following anatomical reconstruction principles.

摘要

尽管膝关节后外侧角损伤曾被认为是一种罕见病症,但现已证实其在所有膝关节损伤中占近16%,若未得到正确诊断,会导致持续性不稳定,并致使同期重建手术失败。尽管后外侧角损伤也曾被视为膝关节的“阴暗面”,但随着对其解剖结构和生物力学认识的增加,对体格检查和影像学检查有了更深入的理解,诊断能力也有所提高。后外侧角损伤的治疗方法也在不断发展,按照解剖重建原则进行手术治疗后,已有良好疗效的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ad/4563052/9d12c78e28bb/gr1.jpg

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