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急性创伤后膝关节伸直障碍的处理

Management of the Knee Extension Deficit after Acute Trauma.

作者信息

do Amaral Thiago Alvim, Sadigursky David

机构信息

Hospital Manoel Victorino, Clínica Ortoped, Salvador, Bahia, Brazil.

Hospital Manoel Victorino, Salvador, Bahia, Brazil.

出版信息

Case Rep Orthop. 2018 Dec 9;2018:5906109. doi: 10.1155/2018/5906109. eCollection 2018.

DOI:10.1155/2018/5906109
PMID:30631622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6304823/
Abstract

A 25-year-old man initially presented with right knee extension deficit after an acute trauma, caused by a condition known as arthrogenic muscle inhibition. This should not be confused with a mechanical block caused by intra-articular pathology. The loss of knee extension, even if minimal, is disabling and leads to worse results after knee surgical treatment. Therefore, it is necessary to recognize and diagnose arthrogenic muscle inhibition to ensure the best treatment for patients with this condition. In this case report, the patient was managed with a rehabilitation technique resulting in an effective functional gain of the quadriceps and full restoration of knee extension.

摘要

一名25岁男性在急性创伤后最初出现右膝伸展受限,这是由一种称为关节源性肌肉抑制的情况引起的。不应将其与关节内病变导致的机械性阻碍相混淆。即使膝关节伸展受限程度很轻微,也会导致功能丧失,并在膝关节手术治疗后产生更差的结果。因此,有必要识别和诊断关节源性肌肉抑制,以确保为患有这种病症的患者提供最佳治疗。在本病例报告中,该患者采用了一种康复技术进行治疗,结果股四头肌功能有效恢复,膝关节伸展完全恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ed/6304823/82c6541bd801/CRIOR2018-5906109.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ed/6304823/94062d3cc5d1/CRIOR2018-5906109.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ed/6304823/a8224e2017ca/CRIOR2018-5906109.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ed/6304823/82c6541bd801/CRIOR2018-5906109.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ed/6304823/94062d3cc5d1/CRIOR2018-5906109.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ed/6304823/a8224e2017ca/CRIOR2018-5906109.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ed/6304823/82c6541bd801/CRIOR2018-5906109.003.jpg

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本文引用的文献

1
How to Rapidly Abolish Knee Extension Deficit After Injury or Surgery: A Practice-Changing Video Pearl From the Scientific Anterior Cruciate Ligament Network International (SANTI) Study Group.如何在受伤或手术后迅速消除膝关节伸展功能障碍:来自国际前交叉韧带科学网络(SANTI)研究小组的改变实践的视频精粹
Arthrosc Tech. 2018 May 7;7(6):e601-e605. doi: 10.1016/j.eats.2018.02.006. eCollection 2018 Jun.
2
Hamstring Contracture After ACL Reconstruction Is Associated With an Increased Risk of Cyclops Syndrome.前交叉韧带重建术后腘绳肌挛缩与独眼巨人综合征风险增加相关。
Orthop J Sports Med. 2017 Jan 27;5(1):2325967116684121. doi: 10.1177/2325967116684121. eCollection 2017 Jan.
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Quadriceps arthrogenic muscle inhibition: neural mechanisms and treatment perspectives.
四头肌关节源肌抑制:神经机制与治疗展望。
Semin Arthritis Rheum. 2010 Dec;40(3):250-66. doi: 10.1016/j.semarthrit.2009.10.001. Epub 2009 Dec 2.
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The bucket-handle tear of the meniscus. A clinical and arthrographic study.半月板桶柄状撕裂。一项临床与关节造影研究。
J Bone Joint Surg Br. 1983 Aug;65(4):383-7. doi: 10.1302/0301-620X.65B4.6874707.
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The locked knee.膝关节交锁。
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Cyclops syndrome: loss of extension following intra-articular anterior cruciate ligament reconstruction.独眼巨人综合征:关节内前交叉韧带重建术后伸展功能丧失
Arthroscopy. 1990;6(3):171-8. doi: 10.1016/0749-8063(90)90072-l.