Ellera Gomes João Luiz, de Aguiar Matheus Rocha, Horta Barbosa Luiza Barbosa, Kennedy Nicholas I, Ferrari Márcio B
Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Programa de Pós Graduação em Ciências Cirúrgicas da Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Arthrosc Tech. 2017 Nov 13;6(6):e2183-e2186. doi: 10.1016/j.eats.2017.08.024. eCollection 2017 Dec.
Posterolateral corner injuries are a severe and often unrecognized pathology. Injuries to these structures are difficult to identify using magnetic resonance images. Physical examination tests including the dial test, frog-leg test, and varus stress test can be difficult to perform. In addition it is difficult to correctly evaluate the results in a multiligament injury setting. The correct diagnosis of this pathology is essential to determine the proper treatment and improve outcomes. Furthermore, failure to recognize this pathology is associated with a high risk of failure following isolated anterior cruciate ligament reconstructions. The purpose of this Technical Note is to present an alternative method for the evaluation of posterolateral corner injuries using radiographic images.
后外侧角损伤是一种严重且常常未被识别的病理状况。使用磁共振成像难以识别这些结构的损伤。包括后抽屉试验、蛙腿试验和内翻应力试验在内的体格检查测试可能难以实施。此外，在多韧带损伤的情况下难以正确评估结果。正确诊断这种病理状况对于确定恰当的治疗方法并改善治疗效果至关重要。此外，未能识别这种病理状况与单纯前交叉韧带重建术后的高失败风险相关。本技术说明的目的是介绍一种使用X线影像评估后外侧角损伤的替代方法。
