Duncan J B, Hunter R, Purnell M, Freeman J
Aspen Valley Hospital, Colorado, USA.
Am J Sports Med. 1995 Mar-Apr;23(2):170-2. doi: 10.1177/036354659502300208.
We reviewed the records of 315 patients receiving an arthroscopically assisted stabilizing procedure for an acute anterior cruciate ligament injury incurred while alpine skiing to evaluate associated meniscal injuries. Meniscal injuries were classified by type, location, and treatment of the tear. Of the 317 knees operated on, all demonstrated an anterior cruciate ligament tear at arthroscopy. Ninety-eight percent of the injuries (310) were diagnosed within 3 days of injury, and 97% (307) were reconstructed within 28 days of injury. All tears occurred in the intrasubstance of the ligament; 32% were isolated injuries and 68% were combined with other injuries. In 159 patients with 170 meniscal tears 141 of the tears (83%) were lateral and 29 (17%) were medial. The injury triad of anterior cruciate ligament-medial collateral ligament-lateral meniscus was seen nine times as often as the anterior cruciate ligament-medial collateral ligament-medial mensicus combination.
我们回顾了315例接受关节镜辅助稳定手术治疗高山滑雪时急性前交叉韧带损伤患者的记录，以评估相关半月板损伤情况。半月板损伤按撕裂类型、位置及治疗方式进行分类。在接受手术的317个膝关节中，关节镜检查均显示存在前交叉韧带撕裂。98%（310例）的损伤在受伤后3天内确诊，97%（307例）在受伤后28天内进行了重建手术。所有撕裂均发生在韧带实质内；32%为孤立损伤，68%合并其他损伤。在159例有170处半月板撕裂的患者中，141处（83%）撕裂位于外侧，29处（17%）位于内侧。前交叉韧带-内侧副韧带-外侧半月板损伤三联征的出现频率是前交叉韧带-内侧副韧带-内侧半月板组合的9倍。
