Augereau B
Service d'Orthopédie, Hôpital Saint-Antoine, Paris.
Ann Radiol (Paris). 1993;36(3):248-51.
After classifying and describing the epidemiology of various traumatic ligament lesions of the knee: "isolated rupture", "triads" and "pentads", the author describes their mechanism and clinical presentation. Plain x-rays and stress x-rays, possibly under anaesthesia, are necessary to establish the diagnosis of the lesions. In 1991, in the absence of triads, pentads or radiological bone avulsion, they are followed by diagnostic arthroscopy to determine the partial or complete nature of the cruciate ligament rupture; stress films and arthroscopy under anaesthesia can be advantageously replaced by high performance MRI in the months to come.
“孤立性破裂”、“三联征”和“五联征”,作者描述了它们的机制和临床表现。为明确损伤的诊断,可能需要在麻醉下进行普通X线检查和应力X线检查。在1991年,如果不存在三联征、五联征或放射学上的骨撕脱,随后需进行诊断性关节镜检查以确定交叉韧带破裂的部分或完全性质;在未来几个月,应力片和麻醉下的关节镜检查可以被高性能MRI有利地替代。