对ACL损伤的全面临床检查
David E Kantrowitz1, Alexis Colvin1
1Department of Orthopedics, The Mount Sinai Hospital, 5 E 98th Street, 9th floor, New York, NY 10029, USA.
彻底的膝盖检查对于诊断前十字带 (ACL) 损伤至关重要. 像拉赫曼和枢纽转移这样的特定测试对于识别ACL病理和相关膝关节损伤非常准确.
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:
- 前十字带 (ACL) 损伤很常见,通常需要准确的临床诊断.
- 其他膝关节结构的同时受伤经常伴随ACL撕裂.
研究的目的:
- 概述一种系统的方法来临床检查一个ACL缺陷的膝盖.
- 为突出ACL病理和相关损伤的关键诊断测试.
主要方法:
- 描述了一个全面的临床检查方案.
- 包括检查,触摸,运动范围,压力测试 (体/体),神经血管评估和挑性的机动.
- 提到的具体测试包括拉赫曼,前部抽,杆和转轴转移测试.
主要成果:
- 拉赫曼,前部抽,杆和枢纽转移测试显示,ACL病理的特异性>90%.
- 强调挑性的动作的重要性,以评估相关的伤害.
结论:
- 系统的临床检查对于诊断ACL缺陷至关重要.
- 进行彻底的评估,包括特定的挑性测试,对于识别带和脑膜同时发生的损伤至关重要.
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