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诊断性和手术性关节镜检查及开放性半月板切除术对大腿肌肉力量的影响。

The effect of diagnostic and operative arthroscopy and open meniscectomy on muscle strength in the thigh.

作者信息

Hamberg P, Gillquist J, Lysholm J, Oberg B

出版信息

Am J Sports Med. 1983 Sep-Oct;11(5):289-92. doi: 10.1177/036354658301100502.

DOI:10.1177/036354658301100502
PMID:6688930
Abstract

In this study we measured the effect on the muscle strength in the thigh in connection with diagnostic arthroscopy with central approach, arthroscopy with arthroscopic operation of bucket-handle ruptures, flap tears, total arthroscopic meniscectomy, and open meniscectomy. Thirty-seven patients were tested preoperatively and 1, 4 and 8 weeks postoperatively with a Cybex II isokinetic dynamometer. The extensor muscles of the knee joint were most affected. The flexor muscles were generally recovered in all groups within a month. Diagnostic arthroscopy and arthroscopic operations for bucket-handle ruptures showed no significant effect on the thigh muscle torque. With the other arthroscopic operations there was a 40% decrease of quadriceps function 1 week after operation. After 8 weeks normal function returned. Open meniscectomy had a much more negative effect on the quadriceps muscle with a decrease of about 70% after 1 week. After 8 weeks, the rehabilitation was still not complete.

摘要

在本研究中,我们测量了中央入路诊断性关节镜检查、桶柄状撕裂的关节镜手术、瓣状撕裂修复、全关节镜半月板切除术以及开放性半月板切除术对大腿肌肉力量的影响。37例患者在术前以及术后1周、4周和8周使用Cybex II等速测力计进行测试。膝关节伸肌受影响最大。屈肌在所有组中通常在1个月内恢复。桶柄状撕裂的诊断性关节镜检查和关节镜手术对大腿肌肉扭矩无显著影响。其他关节镜手术术后1周股四头肌功能下降40%。8周后恢复正常功能。开放性半月板切除术对股四头肌的负面影响更大,术后1周下降约70%。8周后,康复仍未完成。

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引用本文的文献

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Partial or total open meniscectomy? : A prospective, randomized study.部分或全半月板切除术?一项前瞻性随机研究。
Int Orthop. 1986 Jun;10(2):105-108. doi: 10.1007/BF00267750.
2
The effect of hip joint muscle exercise on muscle strength and balance in the knee joint after meniscal injury.髋关节肌肉锻炼对半月板损伤后膝关节肌肉力量及平衡的影响。
J Phys Ther Sci. 2016 Apr;28(4):1245-9. doi: 10.1589/jpts.27.1245. Epub 2016 Apr 28.
3
Newer anesthesia and rehabilitation protocols enable outpatient hip replacement in selected patients.
更新的麻醉和康复方案使部分患者能够在门诊进行髋关节置换手术。
Clin Orthop Relat Res. 2009 Jun;467(6):1424-30. doi: 10.1007/s11999-009-0741-x. Epub 2009 Feb 28.
4
The results of arthroscopic partial meniscectomy.关节镜下半月板部分切除术的结果。
Arch Orthop Trauma Surg (1978). 1985;104(1):42-8. doi: 10.1007/BF00449956.
5
A comparative study of arthroscopic and open meniscectomy.关节镜下半月板切除术与开放性半月板切除术的比较研究
Ir J Med Sci. 1988 Jun;157(6):191-2. doi: 10.1007/BF02949296.
6
Follow-up results of 3,500 arthroscopic operations on the knee joint.3500例膝关节镜手术的随访结果
Surg Endosc. 1989;3(2):100-5. doi: 10.1007/BF00590910.
7
Isokinetic dynamometry. Applications and limitations.等速测力法。应用与局限性。
Sports Med. 1989 Aug;8(2):101-16. doi: 10.2165/00007256-198908020-00003.
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Reflex inhibition of thigh muscles in knee injury. Causes and treatment.膝部损伤时大腿肌肉的反射性抑制。病因与治疗。
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