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膝关节前外侧韧带:解剖、功能、影像学表现与治疗。

Anterolateral Ligament of the Knee: Anatomy, Function, Imaging, and Treatment.

机构信息

Department of Orthopaedic Surgery, Washington University in St Louis, Chesterfield, Missouri, USA.

出版信息

Am J Sports Med. 2018 Jan;46(1):217-223. doi: 10.1177/0363546517695802. Epub 2017 Mar 20.

DOI:10.1177/0363546517695802
PMID:28320209
Abstract

The anterolateral ligament (ALL) of the knee has gained attention recently for its potential role in rotational stability of the knee, especially in association with anterior cruciate ligament (ACL) injuries. Anatomic studies have characterized the ALL as it runs in an anteroinferior and oblique direction from the lateral distal femur to the anterolateral proximal tibia, although the prevalence and variance of this ligament are not well understood. Magnetic resonance imaging and ultrasound have identified the ligament and linked it with the classically described Segond fracture. While the ALL likely plays a role in rotational stability of the knee, further studies investigating the significance of ALL injuries and the role of ALL reconstruction in combination with ACL reconstruction are warranted.

摘要

膝关节前外侧韧带(ALL)因其在膝关节旋转稳定性中的潜在作用而受到关注,尤其是与前交叉韧带(ACL)损伤相关。解剖学研究表明,ALL 从前下到前上斜向从股骨外髁延伸至胫骨近端前外侧,尽管该韧带的普遍性和变异性尚未得到很好的理解。磁共振成像和超声已确定了该韧带,并将其与经典描述的 Segond 骨折联系起来。虽然 ALL 可能在膝关节旋转稳定性中发挥作用,但需要进一步研究 ALL 损伤的意义以及 ALL 重建与 ACL 重建相结合的作用。

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