Kini Sunil-Gurpur, du Pre Karel, Bruce Warwick
Department of Orthopaedics, Concord Repatriation General Hospital, Concord West, NSW 2128, Australia.
Chin J Traumatol. 2015;18(6):367-9. doi: 10.1016/j.cjtee.2015.11.004.
Medial collateral ligament of the knee is an important coronal stabiliser and often injured in isolation or as combination of injuries. The article reports a case of incarcerated medial collateral ligament (MCL) injury in combination with anterior cruciate ligament (ACL) injury in 20 year old male who presented to us 4 weeks after injury. Clinical examination and MRI was correlated to complete ACL tear with torn distal MCL and incarceration into the joint. Patient was taken up for ACL hamstring graft reconstruction with mini-arthrotomy and repair of the torn MCL. Patient was followed up with dedicated rehabilitation protocol with good functional results. At one year follow-up, patient exhibited full range of motion with negative Lachman, Pivot shift and valgus stress tests. This article highlights the rare pattern of MCL tear and also reviews the literature on this pattern of injury.
膝关节内侧副韧带是重要的冠状位稳定结构，常单独损伤或合并其他损伤。本文报道了1例20岁男性患者，受伤4周后来我院就诊，其内侧副韧带（MCL）损伤嵌顿合并前交叉韧带（ACL）损伤。临床检查和磁共振成像（MRI）结果显示为完全性ACL撕裂，伴有MCL远端撕裂并嵌顿于关节内。患者接受了关节镜下前交叉韧带腘绳肌肌腱移植重建术及撕裂MCL修复术。术后按照专门的康复方案对患者进行随访，功能恢复良好。随访1年时，患者关节活动度正常，Lachman试验、轴移试验和外翻应力试验均为阴性。本文强调了MCL撕裂的罕见类型，并对有关该损伤类型的文献进行了综述。
