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前交叉韧带/内侧副韧带损伤膝关节的手术管理与治疗

Surgical Management and Treatment of the Anterior Cruciate Ligament/Medial Collateral Ligament Injured Knee.

作者信息

Dale Kevin M, Bailey James R, Moorman Claude T

机构信息

Department of Orthopaedics, Duke University Medical Center, Box 3615, Durham, NC 27710, USA.

Department of Orthopaedics, Duke University Medical Center, Box 3615, Durham, NC 27710, USA.

出版信息

Clin Sports Med. 2017 Jan;36(1):87-103. doi: 10.1016/j.csm.2016.08.005. Epub 2016 Oct 15.

Abstract

The medial collateral ligament (MCL) is the most commonly injured ligament of the knee. The anterior cruciate ligament (ACL) is the most commonly injured ligament in conjunction with the MCL. Most MCL injuries can be treated nonoperatively, whereas the ACL often requires reconstruction. A good physical examination is essential for diagnosis, whereas radiographs and MRI of the knee confirm diagnosis and help guide treatment planning. Preoperative physical therapy should be completed before surgical management to allow for return of knee range of motion and an attempt at MCL healing.

摘要

内侧副韧带(MCL)是膝关节最常受伤的韧带。前交叉韧带(ACL)是与MCL一起最常受伤的韧带。大多数MCL损伤可采用非手术治疗,而ACL通常需要重建。良好的体格检查对诊断至关重要,而膝关节的X线片和磁共振成像(MRI)可确诊并有助于指导治疗计划。术前应在手术治疗前完成物理治疗,以使膝关节活动范围恢复,并尝试促进MCL愈合。

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