在后侧角的伤害模式 膝盖受伤 膝盖受伤
Seikai Toyooka1,2, Andreas Persson1, Robert F LaPrade3
1Oslo Sports Trauma Research Center, Oslo, Norway.
Orthopaedic journal of sports medicine
|September 4, 2023
概括
后侧角 (PLC) 膝盖损伤通常以特定的模式发生. 在PLC膝关节损伤中,中骨伤与神经损伤相关,这表明受伤机制和相关损伤之间存在联系.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 膝盖生物力学 膝盖生物力学
背景情况:
- 后侧角 (PLC) 膝盖受伤是复杂的,它们与各种受伤机制的关联仍然不清楚.
- 了解这些模式对于准确的诊断和有效的治疗计划至关重要.
研究的目的:
- 调查和识别与后侧角 (PLC) 膝关节损伤相关的明显伤害模式.
- 为了确定特定的损伤模式是否与损伤机制相关.
主要方法:
- 对患有多关节膝关节损伤和急性3级PLC损伤的患者进行回顾.
- PLC损伤组件的分类 (五关节带,波普利特肌等) 与此同时发生的伤害 (双腿大腿肌,阴囊撕裂,神经麻,骨头伤) 使用手术内和MRI发现.
主要成果:
- 分析了39名患有PLC损伤的患者.
- 前交叉带 (ACL) -PLC和ACL-后交叉带 (PCL) -PLC损伤的常见模式包括中侧 (AM) 股骨/大腿骨伤,状侧带 (FCL) 撕裂,骨肌流裂,双腿股骨撕裂和常见的神经麻.
- 没有AM骨的伤与大腿侧FCL损伤有关,并且没有同时损伤大腿肌,大腿两侧肌或神经.
结论:
- 在PLC膝关节损伤中,前中部 (AM) 骨头伤与神经损伤有显著的相关性.
- 没有AM骨头伤表明神经参与的可能性较低.
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