Lysholm J, Gillquist J
Am J Sports Med. 1982 May-Jun;10(3):150-4. doi: 10.1177/036354658201000306.
We have designed a scoring scale for knee ligament surgery follow-up emphasizing evaluation of symptoms of instability. Instability is defined as "giving way" during activity. Our scoring scale was compared to a slightly modified Larson scale in patients with anteromedial and/or anterolateral instability, posterolateral and straight posterior instability, chondromalacia patellae, and meniscus lesion. The two scales gave basically the same results in patients with meniscus rupture. In patients with unstable knees, the new scale gave a significantly lower total score. Thus, the new scale evaluates functional impairment due to clinical instability better than the modified Larson scale. The total score, with the new scoring scale, corresponded to the patients' own opinion of function and to the presence or absence of signs of instability.
我们设计了一种用于膝关节韧带手术随访的评分量表，重点在于评估不稳定症状。不稳定被定义为活动期间出现“打软腿”。我们将该评分量表与经过轻微修改的拉森量表进行了比较，涉及的患者包括前内侧和/或前外侧不稳定、后外侧和直后方不稳定、髌骨软骨软化以及半月板损伤的患者。在半月板破裂的患者中，这两种量表得出的结果基本相同。在膝关节不稳定的患者中，新量表的总分显著更低。因此，相较于修改后的拉森量表，新量表能更好地评估临床不稳定导致的功能损害。使用新评分量表得出的总分与患者自身对功能的看法以及不稳定体征的有无相符。
