Barber F A
Plano Orthopedic and Sports, Medicine Center, TX 75075.
Arthroscopy. 1994 Feb;10(1):85-9. doi: 10.1016/s0749-8063(05)80297-x.
Recent reports indicate that combined anterior cruciate ligament/medial collateral ligament (ACL/MCL) knee injuries are usually associated with a lateral meniscus tear. In our center, snow skiing is the athletic activity most frequently associated with this double-ligament injury complex. A sports-specific analysis was undertaken to evaluate the hypothesis that the snow skiing ligament injury is different from similar injuries caused by other athletic activities. Of a total of 64 acute arthroscopically confirmed tears of both the MCL and ACL, 23 were caused by snow skiing and 41 by nonskiing activities. There were fewer lateral meniscus tears in skiers (43%) when compared with the nonskiers (88%). Skiers also had fewer medial meniscus tears (13%) than did nonskiers (37%). No medial meniscus tears occurred in the absence of a lateral meniscus tear. Although 78% of the skiers were women, only 12% of the nonskiers were women. Skiers were older (average age 35 years) than the nonskiers (average age 28 years). The right knee was injured almost twice as frequently as the left. These data suggest that the double (ACL/MCL) ligament injury in skiers might be distinctly different from that in nonskiers.
近期报告显示，前交叉韧带/内侧副韧带（ACL/MCL）联合损伤的膝关节通常伴有外侧半月板撕裂。在我们中心，滑雪是与这种双韧带损伤复合体最常相关的体育活动。进行了一项针对特定运动的分析，以评估滑雪导致的韧带损伤与其他体育活动造成的类似损伤不同这一假设。在总共64例经关节镜确诊的MCL和ACL急性撕裂中，23例由滑雪导致，41例由非滑雪活动导致。与非滑雪者（88%）相比，滑雪者的外侧半月板撕裂较少（43%）。滑雪者的内侧半月板撕裂（13%）也比非滑雪者（37%）少。在内侧半月板未撕裂的情况下，未发生外侧半月板撕裂。尽管78%的滑雪者为女性，但非滑雪者中只有12%是女性。滑雪者的年龄（平均年龄35岁）比非滑雪者（平均年龄28岁）大。右膝受伤的频率几乎是非滑雪者的两倍。这些数据表明，滑雪者的双（ACL/MCL）韧带损伤可能与非滑雪者明显不同。
