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膝关节内侧副韧带损伤:当前概念与治疗的综述

Medial Collateral Ligament Injury of the Knee: A Review on Current Concept and Management.

作者信息

Vosoughi Farzad, Rezaei Dogahe Reza, Nuri Abbas, Ayati Firoozabadi Mohammad, Mortazavi Javad

机构信息

Joint Reconstruction Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Joint Reconstruction Research Center, Orthopedic Surgery Department, Imam Khomeini Hospital, Tehran, Iran.

出版信息

Arch Bone Jt Surg. 2021 May;9(3):255-262. doi: 10.22038/abjs.2021.48458.2401.

DOI:10.22038/abjs.2021.48458.2401
PMID:34239952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8221433/
Abstract

The medial collateral ligament (MCL) is a major stabilizer of the knee joint, providing support against rotatory and valgus forces; moreover, it is the most common ligament injured during knee trauma. The MCL injury results in valgus instability of the knee and makes the patient susceptible to degenerative knee osteoarthritis. Although it has been nearly a dogma to manage MCL injury nonoperatively, recent literature has suggested operative MCL management as a suitable option for specific patient populations. The present review aimed to assess the current literature on the management of MCL injuries of the knee. In this regard, we go over the anatomy, physical examination, and MCL imaging.

摘要

内侧副韧带(MCL)是膝关节的主要稳定结构,可抵抗旋转和外翻力;此外,它是膝关节创伤中最常受伤的韧带。MCL损伤会导致膝关节外翻不稳定,并使患者易患退行性膝关节骨关节炎。尽管非手术治疗MCL损伤几乎已成为一种教条,但最近的文献表明,手术治疗MCL对于特定患者群体是一种合适的选择。本综述旨在评估当前有关膝关节MCL损伤治疗的文献。在这方面,我们将探讨其解剖结构、体格检查和MCL成像。

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Medial Collateral Ligament Injury of the Knee: A Review on Current Concept and Management.膝关节内侧副韧带损伤:当前概念与治疗的综述
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本文引用的文献

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Anatomical superficial medial collateral ligament reconstruction with posteromedial capsule reefing successfully restores valgus knee laxity.采用后内侧关节囊折叠术进行解剖学浅内侧副韧带重建可成功恢复膝关节外翻松弛。
Acta Orthop Belg. 2020 Mar;86(1):69-76.
2
Weave Technique for Reconstruction of Medial Collateral Ligament and Posterior Oblique Ligament: An Anatomic Approach Using Semitendinosus Tendon.用于重建内侧副韧带和后斜韧带的编织技术:一种使用半腱肌腱的解剖学方法
Arthrosc Tech. 2019 Nov 11;8(11):e1417-e1423. doi: 10.1016/j.eats.2019.07.018. eCollection 2019 Nov.
3
Primary Repair of the Medial Collateral Ligament with a Double Row Suture Technique and Suture Tape Augmentation for Acute Tibial-Sided Injuries.采用双排缝合技术和缝线带增强技术对急性胫骨侧损伤进行内侧副韧带一期修复。
Arthrosc Tech. 2019 Mar 25;8(4):e395-e398. doi: 10.1016/j.eats.2018.11.018. eCollection 2019 Apr.
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Medial collateral ligament injuries of the knee in male professional football players: a prospective three-season study of 130 cases from the UEFA Elite Club Injury Study.男子职业足球运动员膝关节内侧副韧带损伤:UEFA 精英俱乐部损伤研究中一项前瞻性的三个赛季 130 例研究
Knee Surg Sports Traumatol Arthrosc. 2019 Nov;27(11):3692-3698. doi: 10.1007/s00167-019-05491-6. Epub 2019 Apr 4.
5
Combined Anterior Cruciate Ligament and Medial Collateral Ligament Knee Injuries: Anatomy, Diagnosis, Management Recommendations, and Return to Sport.前交叉韧带和内侧副韧带联合损伤的膝关节:解剖学、诊断、治疗建议及重返运动
Curr Rev Musculoskelet Med. 2019 Jun;12(2):239-244. doi: 10.1007/s12178-019-09549-3.
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Distal Knee Medial Collateral Ligament Repair With Suture Augmentation.采用缝线增强技术修复膝关节远端内侧副韧带
Arthrosc Tech. 2018 Aug 13;7(9):e921-e926. doi: 10.1016/j.eats.2018.05.001. eCollection 2018 Sep.
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Cureus. 2018 Mar 1;10(3):e2251. doi: 10.7759/cureus.2251.
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Primary Repair of the Medial Collateral Ligament With Internal Bracing.内侧副韧带的内支撑一期修复术
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Review: Medial collateral ligament injuries.综述:内侧副韧带损伤
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