UPMC Freddie Fu Center, University of Pittsburgh Medical Center, 3200 South Water St, Pittsburgh, PA, USA.
IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Knee Surg Sports Traumatol Arthrosc. 2022 Jan;30(1):34-51. doi: 10.1007/s00167-021-06825-z. Epub 2021 Dec 5.
Clinical evaluation and management of anterior cruciate ligament (ACL) injury is one of the most widely researched topics in orthopedic sports medicine, giving providers ample data on which to base their practices. The ACL is also the most commonly treated knee ligament. This study reports on current topics and research in clinical management of ACL injury, starting with evaluation, operative versus nonoperative management, and considerations in unique populations. Discussion of graft selection and associated procedures follows. Areas of uncertainty, rehabilitation, and prevention are the final topics before a reflection on the current state of ACL research and clinical management of ACL injury. Level of evidence V.
前交叉韧带(ACL)损伤的临床评估和管理是矫形运动医学中研究最广泛的课题之一,为从业者提供了大量数据来指导其治疗实践。ACL 也是最常治疗的膝关节韧带。本研究报告了 ACL 损伤临床管理的当前主题和研究,从评估开始,包括手术与非手术治疗,以及在特殊人群中的考虑因素。随后讨论了移植物选择和相关手术。在讨论不确定性、康复和预防领域之后,最后是对 ACL 研究和 ACL 损伤临床管理现状的反思。证据水平 V。