应将压力视图作为所有检查时出现不对称屈曲松弛的前交叉韧带缺损膝关节的标准治疗方法。

IF 4.4 1区医学 Q1 ORTHOPEDICS

Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2024-11-02 DOI:10.1016/j.arthro.2024.10.030

Taylor A Johnson, Brendan J Kosko, Bruce A Levy

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引用次数: 0

摘要

急性前交叉韧带（ACL）断裂膝关节在初次检查时通常可感觉到小程度的屈曲松弛。为什么会出现这种情况并不总是很清楚，通常认为这与某种程度的腓副韧带（FCL）损伤有关。然而，在前交叉韧带缺损的膝关节中，可能有另一种结构需要我们注意，这种结构比孤立的前交叉韧带损伤更松弛，但比合并的前交叉韧带和腓副韧带损伤更松弛。这个结构就是前外侧复合体（ALC），包括前外侧韧带（ALL）、髂胫带以及非常重要的卡普兰纤维。

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Stress Views should be Standard of Care for all ACL Deficient Knees with Asymmetric Varus Laxity on Examination.

A small degree of increased varus laxity in acute anterior cruciate ligament (ACL) disrupted knees can often be felt on initial examination. Why this occurs is not always clear and is usually felt to be related to some degree of fibular collateral ligament (FCL) injury. However, there may be another structure that demands our attention in an ACL-deficient knee with more laxity than isolated ACL injuries, but less laxity than combined ACL and FCL injuries. That structure is the anterolateral complex (ALC), including the anterolateral ligament (ALL), the iliotibial band, and quite importantly, Kaplan's fibers.

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.