Keller Matthias, Diemer Frank, Kurz Eduard
OSINSTITUT ortho & sport, München, Germany.
DIGOTOR GbR, Fortbildungen für Orthopädische Medizin und Manuelle Therapie, Brackenheim, Germany.
Sportverletz Sportschaden. 2022 Mar;36(1):38-48. doi: 10.1055/a-1551-4388. Epub 2022 Jan 4.
Knee joint injury statistics are dominated by ruptures of the capsular ligament structures. Post-traumatic deficits in dynamic movement patterns are assessed quantitatively as well as qualitatively. The aim of this review was to compile tools that are used to assess the quality of movement after knee ligament injuries in adults.
A systematic search for original papers was carried out in the following primary sources: Ovid, PubMed, Scopus and Web of Science. Both conservative and surgical treatment options were considered. PROSPERO registration of the study protocol: CRD42020175359.
A total of 1153 papers were identified. Eleven original papers from four different working groups were included in this work. All papers assessed the quality of movement in adults after anterior cruciate ligament (ACL) injury. A total of 348 (70 deficient, 278 reconstructed) patients after an ACL injury and 119 adults with an intact ACL were examined in the studies included.
It is possible to assess movement quality after a knee ligament injury with a low temporal and technical effort. The changes recorded result in a functional valgus, which, based on the study results, may be further differentiated into isolated knee valgus, medial collapse or postural collapse.
膝关节损伤统计数据主要为关节囊韧带结构的断裂。创伤后动态运动模式的缺陷会从定量和定性两方面进行评估。本综述的目的是汇总用于评估成人膝关节韧带损伤后运动质量的工具。
在以下主要数据库中对原始论文进行系统检索:Ovid、PubMed、Scopus和Web of Science。同时考虑保守和手术治疗方案。该研究方案在PROSPERO注册:CRD42020175359。
共识别出1153篇论文。本研究纳入了来自四个不同研究小组的11篇原创论文。所有论文均评估了成人前交叉韧带(ACL)损伤后的运动质量。纳入研究共检查了348例ACL损伤患者(70例有缺陷,278例重建)和119例ACL完整的成年人。
以较低的时间和技术投入评估膝关节韧带损伤后的运动质量是可行的。记录到的变化会导致功能性外翻,根据研究结果,可进一步细分为单纯性膝外翻、内侧塌陷或姿势性塌陷。