Rand J A
Mayo Clin Proc. 1984 Feb;59(2):77-82. doi: 10.1016/s0025-6196(12)60240-7.
The athlete who has an acute knee injury requires early diagnosis and treatment, an accurate estimate of the extent of the injury and the time required for rehabilitation, and an ultimate prognosis for function. Arthroscopic evaluation is extremely useful in these persons because it allows an accurate early diagnosis of injuries to the menisci, cruciate ligaments, articular cartilage, joint capsule, and synovium. Early diagnosis allows selection of the treatment modalities that will permit the most rapid return of the athlete to sports activities in the minimal amount of time. The concept of temporizing rather than early diagnosis is not a viable technique in the athlete. A review of 63 bucket-handle tears of the medial meniscus which were treated arthroscopically revealed a rapid return to function. Athletic endeavors could be performed competitively an average of 4 weeks after arthroscopic treatment. Arthroscopy is a valuable agent in the evaluation and management of acute knee injuries in athletes. An aggressive program of diagnosis should be pursued.
患有急性膝关节损伤的运动员需要早期诊断和治疗、对损伤程度及康复所需时间进行准确评估，以及对功能的最终预后。关节镜评估对这些患者极为有用，因为它能对半月板、交叉韧带、关节软骨、关节囊和滑膜的损伤进行准确的早期诊断。早期诊断有助于选择治疗方式，使运动员能在最短时间内最快恢复体育活动。对于运动员来说，拖延而非早期诊断并非可行的方法。对63例经关节镜治疗的内侧半月板桶柄状撕裂病例的回顾显示，功能恢复迅速。关节镜治疗后平均4周即可进行有竞争力的体育活动。关节镜是评估和处理运动员急性膝关节损伤的重要手段。应积极开展诊断工作。
