Paar O
Klinik und Poliklinik für Sportverletzungen, Technischen Universität München.
Chirurg. 1988 Nov;59(11):749-54.
Acute injuries of the medial collateral ligament occur either isolated or in combination with lesions of the cruciated ligament and medial meniscus. 126 patients were investigated retrospectively and special attention was drawn to the distribution and kind of ruptures. All distal lesions of the ligament and the most of intraligamental ruptures were combined with injuries of the anterior cruciated ligament and posterior portion of the medial meniscus. On the contrary the more favourable proximal lesions were found "isolated" as well. But in these cases an elongation of the ligamentum popliteum obliquum and a dischargement of the posterior parts of the medial meniscus were common. True isolated lesions of the medial collateral ligament were found if only the deep ligamental layers were involved. Special attention is drawn to the large variety of surgical possibilities.
内侧副韧带急性损伤可单独发生,也可与十字韧带和内侧半月板损伤同时出现。对126例患者进行了回顾性研究,并特别关注了损伤的分布和类型。韧带的所有远端损伤以及大多数韧带内断裂都与前交叉韧带和内侧半月板后部损伤同时存在。相反,较为有利的近端损伤也有“单独”出现的情况。但在这些病例中,腘斜韧带拉长和内侧半月板后部移位较为常见。如果仅累及韧带深层,则可发现真正的内侧副韧带单独损伤。文中特别提到了多种手术治疗的可能性。