Messner K
Avdelningen för idrottsmedicin, Hälsouniversitetet, Linköping.
Lakartidningen. 1998 Oct 14;95(42):4611-2, 4615.
The majority (up to 87%) of patients with meniscus and ligament injuries of the knee develop degenerative radiological changes in a 10-20-year perspective, patients with knee injuries involving several structures being at the greatest risk. A high level of activity has been shown to be a correlate both of repeat injury and the development of osteoarthrosis. However, it has not been determined when or in what proportion of cases such changes result in joint destruction and permanent disability. The incidence of isolated cartilage injuries is low, and it is unclear whether such injuries predispose to osteoarthrosis. No validated method is yet available for the effective treatment of circumscribed or more extensive cartilage injuries, which would be preferable to conservative treatment.
从10至20年的角度来看,大多数(高达87%)膝关节半月板和韧带损伤患者会出现退行性放射学改变,涉及多个结构的膝关节损伤患者风险最高。高水平的活动已被证明与重复性损伤和骨关节炎的发展都有关联。然而,尚未确定这些变化何时或以何种比例导致关节破坏和永久性残疾。孤立性软骨损伤的发生率较低,尚不清楚此类损伤是否易引发骨关节炎。目前尚无有效的验证方法来治疗局限性或更广泛的软骨损伤,而这种方法比保守治疗更可取。