Heyerman W B, Hoyt W A
Clin Orthop Relat Res. 1978 Jul-Aug(134):144-8.
Patients with anterior cruciate tears identified by previous surgery were examined for anterolateral rotary instability of the knee. Twenty-four of 30 patients returning for examination had positive tests for anterolateral rotary instability using the techniques described by both Slocum and MacIntosh. The presence of anterolateral rotary instability was directly related to the attainment of full extension of the operative knee. Inherent ligamentous laxity and the degree of combined instabilities were thought to amplify the anterolateral rotary instability tests. Quadriceps rehabilitation, pes anserines transfers and semimembranosus transfers were thought not to influence anterolateral rotary instability.
对曾接受过手术治疗的前交叉韧带撕裂患者进行膝关节前外侧旋转不稳定检查。在30例前来复诊的患者中，有24例采用Slocum和MacIntosh所描述的技术检查出前外侧旋转不稳定呈阳性。前外侧旋转不稳定的存在与患侧膝关节能否完全伸直直接相关。韧带固有松弛以及联合不稳定的程度被认为会使前外侧旋转不稳定检查结果更明显。股四头肌康复训练、鹅足腱转移术和半膜肌转移术被认为不会影响前外侧旋转不稳定。
