前交叉韧带损伤膝关节患者的非手术治疗
Non-operative Care of the Patient with an ACL-Deficient Knee.
作者信息
Paterno Mark V
机构信息
Division of Occupational Therapy and Physical Therapy, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 10001, Cincinnati, OH, 45229, USA.
出版信息
Curr Rev Musculoskelet Med. 2017 Sep;10(3):322-327. doi: 10.1007/s12178-017-9431-6.
PURPOSE OF REVIEW
The purpose of this review is to provide an update to the most objective, evidence-based path through a non-operative course of rehabilitation after anterior cruciate ligament injury for those hoping to return to pivoting and cutting sports.
RECENT FINDINGS
Anterior cruciate ligament (ACL) injuries are prevalent in pivoting and cutting athletes with many of these patients electing to pursue surgical reconstruction in hopes of returning to prior levels of function. Despite many athletes pursing ACL reconstruction, some may elect to pursue a non-operative course of care. Success with this treatment plan should be defined as the ability to return to sport without subsequent giving way episodes. Identification of those most likely to successfully return to sport with a non-operative course begins with completion of an evidence-based screening tool. If the patient has no concomitant injury and successfully passes the screening, they may proceed to a systematic, evidence-based progression through rehabilitation. Finally, the patient must complete a return to sport program and meet appropriate objective criteria, prior to return to sport.
综述目的
本综述的目的是为那些希望恢复旋转和变向运动的前交叉韧带损伤患者，提供一条通过非手术康复过程的最客观、基于证据的途径的最新信息。
最新发现
前交叉韧带（ACL）损伤在从事旋转和变向运动的运动员中很常见，许多此类患者选择进行手术重建，以期恢复到之前的功能水平。尽管许多运动员进行了ACL重建，但仍有一些人可能选择非手术治疗方案。该治疗计划的成功应定义为能够恢复运动且随后不会出现再次摔倒的情况。确定那些最有可能通过非手术治疗成功恢复运动的患者，首先要完成一个基于证据的筛查工具。如果患者没有合并损伤且成功通过筛查，他们可以进入一个系统的、基于证据的康复进展过程。最后，患者在恢复运动之前，必须完成一个恢复运动计划并达到适当的客观标准。
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