前交叉韧带撕裂是否仅局限于运动损伤？一项回顾性分析。
Can ACL Tears be Restricted to Sports Injuries Alone? A Retrospective Analysis.
作者信息
Ahmed Shuaib, Ashraf Munis, Sahanand Santosh, Rajan David V
机构信息
Ortho One Orthopaedic Speciality Centre, Coimbatore, India.
出版信息
Indian J Orthop. 2021 Mar 15;55(Suppl 2):402-408. doi: 10.1007/s43465-021-00387-5. eCollection 2021 Jul.
BACKGROUND
The number of people injured following a road traffic accident (RTA) are as high as 2-5 crores around the world every year. The literature from western population suggests that ACL injuries are encountered mostly following high velocity sports injuries in clinical practise. But, in India there are a large group of individuals presenting with ACL injuries following RTAs.
METHODS
We performed a retrospective analysis of all patients with ACL injuries presenting to our hospital following RTAs. All the information pertaining to the ligaments injured, vehicular factors, time of the day and environmental factors were recorded. The data was then analysed statistically.
RESULTS
Most injuries occurred in the 31-40 year age group and velocity in the same range. Injuries due to bike skid predominated in our study amounting to 55.9%. Interestingly, very low velocities accidents due to stray dogs accounted to 43.8% and they occur mostly at night.
CONCLUSION
The number of patients presenting with RTA related ACL injuries in our country are numerous. Hence, we have made an attempt to show that ACL injuries can occur even at low velocity following motor vehicle accidents in contrast to the western population, where sports related injuries are the most common etiology for such mishaps.
背景
全球每年因道路交通事故（RTA）受伤的人数高达2000万至5000万。西方人群的文献表明，在临床实践中，前交叉韧带（ACL）损伤大多发生在高速运动损伤之后。但是，在印度，有大量个体在道路交通事故后出现ACL损伤。
方法
我们对所有因道路交通事故后到我院就诊的ACL损伤患者进行了回顾性分析。记录了所有与受伤韧带、车辆因素、一天中的时间和环境因素有关的信息。然后对数据进行统计分析。
结果
大多数损伤发生在31至40岁年龄组，速度也在相同范围内。在我们的研究中，因自行车滑倒导致的损伤占主导地位，达55.9%。有趣的是，因流浪狗导致的极低速度事故占43.8%，且大多发生在夜间。
结论
在我国，因道路交通事故导致ACL损伤的患者数量众多。因此，我们试图表明，与西方人群不同，在西方与运动相关的损伤是此类事故最常见的病因，而在我国即使是机动车事故低速情况下也可能发生ACL损伤。
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