Rodriguez Kevin, Soni Mridul, Joshi Pranay K, Patel Saawan C, Shreya Devarashetty, Zamora Diana I, Patel Gautami S, Grossmann Idan, Sange Ibrahim
Research, Universidad Americana (UAM) Facultad de Medicina, Managua, NIC.
Research, Shri Lal Bahadur Shastri Government Medical College, Mandi, IND.
Cureus. 2021 Dec 6;13(12):e20206. doi: 10.7759/cureus.20206. eCollection 2021 Dec.
The most frequent type of ligament injury is an anterior cruciate ligament (ACL). The mechanisms of an ACL injury are classified as direct contact, indirect contact, and non-contact. Physical examination for the assessment of the ACL is commonly used in routine care in the evaluation of the knee and is part of the diagnostic process. Due to the high degree of variability in their presentation and outcomes, treatment must be tailored according to factors such as patient demographics, the severity of the damage, and long-term improvement profile. When it comes to ACL injuries, low-quality data have been produced that reveals no difference in patient-reported knee function results between surgical ACL restoration and conservative therapy. However, these results must be evaluated in the perspective of the fact that many individuals with an ACL rupture remained symptomatic after rehabilitation and eventually underwent ACL reconstruction surgery. This article has reviewed the risk factors and the mechanisms that commonly lead to ACL injuries. This article has also discussed the clinical significance of conservative and surgical management and has highlighted the implications of both approaches.
最常见的韧带损伤类型是前交叉韧带（ACL）损伤。ACL损伤的机制分为直接接触、间接接触和非接触。在膝关节评估的常规护理中，常用于评估ACL的体格检查是诊断过程的一部分。由于其表现和结果的高度变异性，治疗必须根据患者人口统计学、损伤严重程度和长期改善情况等因素进行调整。对于ACL损伤，已产生的低质量数据显示，手术ACL修复与保守治疗在患者报告的膝关节功能结果上没有差异。然而，这些结果必须从许多ACL断裂患者在康复后仍有症状并最终接受ACL重建手术这一事实的角度进行评估。本文回顾了通常导致ACL损伤的危险因素和机制。本文还讨论了保守和手术治疗的临床意义，并强调了两种方法的影响。
