Harner C D, Paulos L E, Greenwald A E, Rosenberg T D, Cooley V C
Department of Orthopaedic Surgery, University of Pittsburgh, School of Medicine, Pennsylvania.
Am J Sports Med. 1994 Jan-Feb;22(1):37-43. doi: 10.1177/036354659402200107.
To better understand anatomic and other possible predisposing factors for anterior cruciate ligament injuries, we retrospectively studied 31 patients with noncontact, bilateral injuries of this ligament. The 31 patients were carefully matched by age, sex, height, weight, and activity level with 23 control subjects who had no history of knee injury. All 54 subjects underwent a full clinical knee examination, joint hypermobility tests, a hamstring tightness assessment, a computerized tomography scan analysis, and a plain view radiographic analysis, and were asked to provide a complete immediate-family history of knee ligament injury. In addition, the 31 patients in the experimental group underwent a KT-1000 arthrometer knee laxity examination and were also asked to provide an injury profile, including mechanism of injury, treatment received for each injury, and the time interval between injuries. Measurements obtained from the computerized tomography scan analysis demonstrated a significantly wider lateral femoral condyle in the experimental group compared with the control group, indicating that certain anatomic factors may predispose people to anterior cruciate ligament injury. A significant difference was also found in the incidence rate of anterior cruciate ligament injury in the family history of the experimental group compared with the control group, indicating a possible congenital aspect of this injury.
为了更好地理解前交叉韧带损伤的解剖学及其他可能的诱发因素，我们对31例该韧带非接触性双侧损伤患者进行了回顾性研究。这31例患者在年龄、性别、身高、体重和活动水平方面与23名无膝关节损伤史的对照者进行了仔细匹配。所有54名受试者均接受了全面的膝关节临床检查、关节活动度测试、腘绳肌紧张度评估、计算机断层扫描分析和平片X线分析，并被要求提供完整的膝关节韧带损伤家族史。此外，实验组的31例患者还接受了KT-1000关节测压仪膝关节松弛度检查，并被要求提供损伤情况，包括损伤机制、每次损伤所接受的治疗以及两次损伤之间的时间间隔。计算机断层扫描分析获得的测量结果显示，与对照组相比，实验组的外侧股骨髁明显更宽，这表明某些解剖学因素可能使人们易患前交叉韧带损伤。与对照组相比，实验组家族史中前交叉韧带损伤的发生率也存在显著差异，这表明该损伤可能存在先天性因素。
