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膝关节前交叉韧带合并后外侧角损伤的MRI分析 被引量:14

MRI Analysis of Posterolateral Corner Injuries in Associated with Anterior Cruciate Ligament Ruptured Knees
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摘要 目的探讨膝关节前交叉韧带(ACL)断裂合并后外侧角(PLC)损伤以及其他相关损伤的发病情况。方法回顾性分析2013年1月~2017年10月于笔者医院就诊的急性和亚急性ACL断裂患者核磁共振图像资料,确定并记录合并膝关节PLC、半月板、内侧副韧带及后交叉韧带损伤情况。结果研究共纳入145例ACL断裂患者。ACL断裂合并PLC损伤发生率为22.07%,合并膝关节其他损伤发生率为24.82%。ACL断裂合并PLC损伤与患者性别、损伤的膝关节、内外侧半月板、内侧副韧带、后交叉韧带损伤无显著相关性。结论通过研究ACL断裂合并PLC损伤的发生率,有助于避免漏诊和及时处理PLC损伤,以及由此导致的ACL重建失败。 Objective To investigate the incidence of the posterolateral corner(PLC)injuries and the other related injuries in associated with anterior cruciate ligament ruptured knees.Methods From Jan 2013 to Oct 2017,magnetic resonance images of patients with acute and sub-acute ACL torn were analyzed.Patients with injuries of the PLC,lateral and medial meniscus,medial collate ligament,and posterior cruciate ligament were recorded.Results A total of 145 patients with ACL ruptured knees were included in this study.The incidence of combined PLC and ACL injuries was 22.07%.There were 24.82%patients with other injuries complicated with ACL injuries except PLC injuries.There was no correlation of PLC injuries with different genders and different sides of knees,as well as the injuries of the medial or lateral meniscus,medial collate ligament,and posterior cruciate ligament.Conclusion Known more about the incidence of combined PLC injuries in ACL ruptured patients,which was beneficial to decrease missing diagnosis of PLC injuries.It is helpful to avoid failure of ACL reconstruction when the injuries are treated timely.
作者 黄梦全 李裕标 廖春来 郭乃铭 彭俊 罗筱玮 赖秋练 Huang Mengquan;Li Yubiao;Liao Chunlai(Department of Orthopedics,Southern Theater Air Force Hospital of PLA,Guangdong 510000,China)
出处 《医学研究杂志》 2020年第2期163-166,共4页 Journal of Medical Research
关键词 膝关节 后外侧角 前交叉韧带 发生率 MRI Knee Posterolateral corner Anterior cruciate ligament Incidence MRI
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