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Lachman试验假阳性

The false positive Lachman test.

作者信息

Kumar V P, Satku K

机构信息

Department of Orthopaedic Surgery, National University Hospital, Singapore.

出版信息

Singapore Med J. 1993 Dec;34(6):551-2.

PMID:8153722
Abstract

Five patients with isolated rupture of the posterior cruciate injury following road traffic accidents were noted to demonstrate a "positive Lachman test". Stress radiographs while performing the Lachman manoeuvre confirmed that all 5 patients had only a posterior cruciate injury. Attention is drawn to the "false positive Lachman test" that indicates a posterior cruciate injury. The presence of a sag sign also establishes a diagnosis of posterior cruciate rupture and a positive Lachman test in this situation must be interpreted with caution.

摘要

五名在道路交通事故后出现单纯后交叉韧带损伤断裂的患者被发现表现出“Lachman试验阳性”。在进行Lachman手法操作时的应力X线片证实,所有5名患者仅存在后交叉韧带损伤。需注意提示后交叉韧带损伤的“Lachman试验假阳性”。凹陷征的存在也可确立后交叉韧带断裂的诊断,在这种情况下,Lachman试验阳性必须谨慎解读。

相似文献

1
The false positive Lachman test.Lachman试验假阳性
Singapore Med J. 1993 Dec;34(6):551-2.
2
Tibial translation after anterior cruciate ligament rupture. Two radiological tests compared.前交叉韧带断裂后的胫骨平移。两种影像学检查的比较。
J Bone Joint Surg Br. 1994 Sep;76(5):745-9.
3
[The radiological Lachman test: an extremely exact and predictive method for the assessment of recent and old injuries to the cruciate ligaments].[放射学拉赫曼试验:一种用于评估近期和陈旧性十字韧带损伤的极其精确且具有预测性的方法]
Unfallchirurg. 1991 Aug;94(8):390-4.
4
Ultrasound diagnosis of pathology of the anterior and posterior cruciate ligaments of the knee joint.膝关节前后交叉韧带病变的超声诊断
Arch Orthop Trauma Surg. 1991;110(4):200-3. doi: 10.1007/BF00571059.
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[Management of a suspected lesion of a cruciate ligament].[十字韧带疑似损伤的处理]
Ann Radiol (Paris). 1993;36(3):248-51.
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[The value of the radiologic Lachman test in anterior cruciate ligament ruptures].[放射学拉赫曼试验在前交叉韧带断裂中的价值]
Aktuelle Traumatol. 1993 Oct;23(6):297-301.
7
[Injuries of the cruciate ligament in children caused by sports accidents].
Sportverletz Sportschaden. 1992 Mar;6(1):2-5. doi: 10.1055/s-2007-993518.
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[Diagnosis of anterior cruciate ligament injury of the knee joint].[膝关节前交叉韧带损伤的诊断]
Zhonghua Wai Ke Za Zhi. 1992 Jan;30(1):10-3, 61.
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The incomplete bicruciate knee injury. A report of two cases.膝关节不完全双十字韧带损伤。两例报告。
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10
[Reconstruction of the cruciate ligaments with allogeneic transplants. Techniques, results and perspectives].[同种异体移植重建交叉韧带。技术、结果与展望]
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引用本文的文献

1
The loss of extension test (LOE test): a new clinical sign for the anterior cruciate ligament insufficient knee.伸展测试丧失(LOE 测试):前交叉韧带不健全膝关节的一个新临床征象。
J Orthop Traumatol. 2013 Sep;14(3):185-91. doi: 10.1007/s10195-013-0238-y. Epub 2013 Apr 5.