Logan Catherine A, O'Brien Luke T, LaPrade Robert F
Massachusetts General Hospital, Boston, MA, USA.
Howard Head Sports Medicine, Vail, CO, USA.
Int J Sports Phys Ther. 2016 Dec;11(7):1177-1190.
The medial collateral ligament is the most commonly injured ligament of the knee, with injury generally sustained in the athletic population as a result of valgus contact with or without tibial external rotation. The capacity of the medial collateral ligament to heal has been demonstrated in both laboratory and clinical studies; however, complete ruptures heal less consistently and may result in persistent instability. When operative intervention is deemed necessary, anatomical medial knee reconstruction is recommended. Post-operative rehabilitation focuses on early motion and the return of normal neuromuscular firing patterns with progression based on attainment of specific phase criteria and goals. The purpose of this clinical commentary is to discuss the determinants of phase progression and the importance of objectively assessing readiness for advancement that is consistent with post-operative healing. Additional tests and validated measures to assess readiness for sport are also presented.
内侧副韧带是膝关节最常受伤的韧带，在运动员群体中，损伤通常是由于外翻接触伴或不伴胫骨外旋所致。内侧副韧带的愈合能力已在实验室和临床研究中得到证实；然而，完全断裂的愈合情况不太一致，可能导致持续不稳定。当认为有必要进行手术干预时，建议进行膝关节内侧解剖重建。术后康复侧重于早期活动以及恢复正常的神经肌肉放电模式，并根据达到特定阶段标准和目标逐步推进。本临床评论的目的是讨论阶段进展的决定因素以及客观评估与术后愈合一致的进展准备情况的重要性。还介绍了评估运动准备情况的其他测试和经过验证的测量方法。
5级。
