膝关节前十字带缺陷和高档转测试必须增加内部旋转吗?
Luiz Henrique Pires de Lima1, João Luiz Ellera Gomes1
1Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Revista brasileira de ortopedia
|March 25, 2024
概括
前十字带 (ACL) 缺陷与高等级的轴转移测试表明膝关节内部旋转增加. 然而,一级的旋转转移测试并没有显示这种增加的ACL缺陷膝盖.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 前十字带 (ACL) 破裂在运动员中很常见.
- 关节伤害往往涉及前侧侧结构,导致高等级的旋转转移测试.
- 在ACL缺陷,旋转转移的严重程度和膝关节内部旋转之间的关系需要进一步调查.
研究的目的:
- 为了测试假设,ACL缺陷与高度枢纽转移测试与增加的膝关节内部旋转相关.
- 根据枢纽转移测试分级,量化ACL缺陷膝盖的内部旋转程度.
主要方法:
- 22名患者在脊髓麻醉下进行了测试.
- 进行了手动枢纽转移测试,以对不稳定性的严重程度进行分级.
- 通过评估脚的投射,测量了膝盖的内部旋转,膝盖在90度的角度上曲.
主要成果:
- 与对照组相比,在ACL缺陷的膝盖中观察到大约10.5度的统计学上显著的平均内部旋转增加.
- 这种显著增加的内部旋转是一致的,无论年龄调整.
- 在ACL缺陷的膝盖中,没有发现内部旋转的显著增加,用I级枢纽转移测试.
结论:
- 与II和III等级的转转移测试相结合的ACL缺陷与明显增加的膝关节内部旋转有关.
- 与完整的ACL膝盖相比,ACL缺陷在I级枢纽转移测试中没有显示出内部旋转的显著增加.
- 这些发现突显了轴心转移测试在评估ACL缺陷运动员旋转膝盖不稳定性的临床意义.
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