UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, FL.
Department of Radiology, Jackson Memorial Hospital, Miami, FL.
J Athl Train. 2021 Jun 1;56(6):565-571. doi: 10.4085/1062-6050-465-19.
Management of isolated grade III medial collateral ligament injuries is controversial, as both nonoperative and operative management can result in return to play. However, operative management is recommended in elite athletes who have a grade III injury with distal avulsion.
We present a standardized rehabilitation protocol in a case series of 7 National Collegiate Athletic Association Division I American football athletes who sustained grade III distal medial collateral ligament tears that were repaired operatively, with emphasis on return to play.
Median time to surgery was 4 days (range = 2-67 days). Median time from surgery to noncontact drills was 120.5 days (range = 104-168 days), and median time from surgery to full-contact sport was 181 days (range = 139-204 days). All athletes returned to play at their preinjury level of competition.
Our study highlighted how operative management with a standardized rehabilitation protocol can be applied to Division I football players and result in safe return to play.
孤立性三级内侧副韧带损伤的处理存在争议，因为非手术和手术治疗都可能导致重返赛场。然而，对于伴有远端撕脱的三级损伤的精英运动员，建议进行手术治疗。
我们报告了一个由 7 名美国国家大学体育协会一级分区美式橄榄球队运动员组成的病例系列，他们均因三级远端内侧副韧带撕裂接受了手术修复，并强调了重返赛场的问题。
中位数手术时间为 4 天（范围=2-67 天）。中位数从手术到非接触式训练的时间为 120.5 天（范围=104-168 天），中位数从手术到全接触运动的时间为 181 天（范围=139-204 天）。所有运动员都恢复到了受伤前的比赛水平。
我们的研究强调了如何应用标准化康复方案的手术治疗来治疗一级分区的美式橄榄球队员，并确保安全重返赛场。
