Richmond, Australia.
Arthroscopy. 2020 Apr;36(4):1092-1094. doi: 10.1016/j.arthro.2020.01.040.
The anatomic and biomechanical role of the anterolateral complex (ALC) of the knee has gained increased interest in recent years. Specifically, a keen focus has been on magnetic resonance imaging (MRI) evaluation of the ALC in the setting of anterior cruciate ligament injury. Although many of these studies are well designed and conducted, they are based on a foundation of controversial gross anatomy and MRI protocols and scanners not typically used in standard practice. Ultimately, there is a lack of correlation between MRI evidence of injury to the ALC and clinical evaluation of anterolateral rotatory laxity. So, do we believe in what we see or believe in what we feel?
近年来,人们对膝关节前外侧复合体(ALC)的解剖和生物力学作用越来越感兴趣。具体来说,人们对 MRI 评估前交叉韧带损伤时 ALC 非常关注。尽管这些研究中的许多研究设计和实施都很好,但它们基于有争议的大体解剖学和 MRI 方案和扫描仪的基础,这些方案和扫描仪通常不适用于标准实践。最终,ALC 损伤的 MRI 证据与前外侧旋转松弛的临床评估之间缺乏相关性。那么,我们是相信所见,还是相信所感?