Chambat P
Clinique Emilie-de-Vialar, Lyon.
Rev Prat. 1998 Oct 15;48(16):1767-72.
Ligamentous injuries of the knee are becoming commoner and commoner. They can involve the anterior cruciate ligament, the posterior cruciate ligament, or both ligaments together. The anterior cruciate ligament is the sportsman's injury. The diagnosis is a clinical one, with other diagnostic techniques only being used in the doubtful case. The treatment is well established, with surgery in the young and sportive patient, and a trial of non-operative treatment in the less active patient. The results of treatment are good. The posterior cruciate ligament is injured less commonly, and the diagnosis is sometimes missed. The injury is usually tolerated well, and the results of surgery are less reliable. For these reasons surgery is only performed in carefully selected patients.
膝关节韧带损伤越来越常见。它们可能累及前交叉韧带、后交叉韧带，或两者同时受损。前交叉韧带损伤多见于运动员。诊断主要依靠临床判断，仅在诊断存疑时才使用其他诊断技术。治疗方法已很成熟，年轻且活跃的患者采用手术治疗，活动较少的患者则先试行非手术治疗。治疗效果良好。后交叉韧带损伤相对少见，有时会被漏诊。这种损伤通常耐受性较好，手术效果也不太可靠。基于这些原因，手术仅在经过严格筛选的患者中进行。
