Department of Physical Therapy, University of the Sciences, Philadelphia, PA, USA.
University of Delaware, Newark, DE, USA.
Braz J Phys Ther. 2015 Sep-Oct;19(5):340-59. doi: 10.1590/bjpt-rbf.2014.0116. Epub 2015 Oct 6.
Injuries to the knee, including intra-articular fractures, ligamentous ruptures, and meniscal and articular cartilage lesions, are commonplace within sports. Despite advancements in surgical techniques and enhanced rehabilitation, athletes returning to cutting, pivoting, and jumping sports after a knee injury are at greater risk of sustaining a second injury. The clinical utility of objective criteria presents a decision-making challenge to ensure athletes are fully rehabilitated and safe to return to sport. A system centered on specific indicators that can be used to develop a comprehensive profile to monitor rehabilitation progression and to establish return to activity criteria is recommended to clear athletes to begin a progressive and systematic approach to activities and sports. Integration of a sports knee injury performance profile with return to activity criteria can guide clinicians in facilitating an athlete's safe return to sport, prevention of subsequent injury, and life-long knee joint health.
膝关节损伤，包括关节内骨折、韧带撕裂、半月板和关节软骨损伤，在运动中很常见。尽管手术技术不断进步和康复治疗得到加强，但膝关节受伤后重返切割、旋转和跳跃运动的运动员再次受伤的风险更大。客观标准的临床应用给决策带来了挑战，以确保运动员完全康复并安全重返运动。建议建立一个以特定指标为中心的系统，用于制定全面的概况，以监测康复进展并建立重返活动标准，以允许运动员开始渐进和系统的活动和运动。将运动膝关节损伤表现概况与重返活动标准相结合，可以指导临床医生帮助运动员安全重返运动，预防后续损伤，并保持膝关节终生健康。
