Feagin J A, Cabaud H E, Curl W W
Clin Orthop Relat Res. 1982 Apr(164):54-8.
Our ten-year observation of anterior cruciate ligament injuries in an active athlete population shows that radiographic evidence of instability and joint deterioration are reliable clinical signs. Radiographic findings in the rotatory unstable knee are subtle six months after injury, but on standard roentgenographic views, which include the notch view, they appear in a sequential order from peaking of the intercondylar tubercles to buttressing osteophytosis. These are objective signs of progressive deterioration that should be a warning to the patient. The early and progressive radiographic signs portend further deterioration if stability is not obtained by restriction of activities, bracing, or reconstruction. Physicians and sports injury specialists should recognize these findings early and offer counsel to the patient at risk.
我们对活跃运动员群体前交叉韧带损伤进行的十年观察表明，不稳定和关节退变的影像学证据是可靠的临床体征。旋转不稳定膝关节损伤六个月后的影像学表现不明显，但在包括髁间窝视图在内的标准X线片上，它们会按顺序出现，从髁间结节尖起到骨赘形成。这些是病情逐渐恶化的客观体征，应向患者发出警示。如果不通过限制活动、支具固定或重建来恢复稳定性，早期且逐渐进展的影像学征象预示着病情会进一步恶化。医生和运动损伤专家应尽早识别这些表现，并为有风险的患者提供建议。
