对急性膝关节伤害的非手术管理
Shaheen Jadidi1, Aaron D Lee2, Eliza J Pierko2
1Department of Orthopedics, Edward-Elmhurst Health, Naperville, IL, USA.
Current reviews in musculoskeletal medicine
|December 14, 2023
概括
大多数急性膝关节损伤,包括带,阴囊和关节位移,可以在非手术的情况下进行治疗. 基于证据的方法包括病史,体检和成像指导初始治疗以获得最佳结果.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 创伤外科 手术 创伤外科
背景情况:
- 急性膝盖伤害在临床和边缘环境中很常见.
- 治疗选择包括操作和非操作管理.
- 基于证据的方法对于有效的患者护理至关重要.
研究的目的:
- 描述非手术性急性膝关节损伤管理的基于证据的方法.
- 概述最初的评估过程:病史,体检和成像.
- 通过基于案例的方法讨论带,阴囊和带脱损伤的非手术治疗.
主要方法:
- 对当前关于非手术性急性膝关节损伤管理的文献进行系统审查.
- 基于证据的方法,包括病史,体检和成像.
- 针对特定膝关节损伤进行非手术治疗的基于案例的讨论.
主要成果:
- 大多数急性膝关节带损伤 (除三级ACL撕裂外) 可以在非手术情况下进行治疗.
- 在40岁以下的个体中,急性创伤性半径撕裂的结果与一年后的非手术治疗和手术相比,结果相似.
- 带脱位的非手术治疗包括延伸膝盖支架,然后逐渐承受重量.
结论:
- 许多常见的急性膝关节损伤,如MCL撕裂,阴囊撕裂和骨位移,可以在非手术的情况下有效管理.
- 彻底的初步评估对于成功的非手术治疗至关重要.
- 非手术策略为许多急性膝关节损伤提供了可行的替代方案.
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