前交叉韧带_____前交叉韧带；_损伤；_诊断；

陈旧性前交叉韧带损伤诊治分析

http://www.100md.com 《中国矫形外科杂志》 2006年第6期

前交叉韧带,,前交叉韧带；,损伤；,诊断；,治疗,1资料与方法,2结果,3讨论,参考文献：

     摘要：[目的]探讨临床检查和MRI诊断陈旧性前交叉韧带(anterior cruciate ligament,ACL)损伤的价值。[方法]回顾分析65例陈旧性ACL损伤患者的诊治经过，进行临床检查，其中8例行MRI检查，最后关节镜手术确诊。[结果]53例ACL完全损伤，前抽屉试验、Lachman试验和轴移试验的准确性分别为：792%、962%和925%;12例ACL部分损伤，前抽屉试验、Lachman试验和轴移试验的准确性分别为：167%、500%和333%。MRI诊断ACL损伤的准确性为100%。[结论]临床检查和MRI是诊断陈旧性ACL损伤的有效方法。

    关键词：前交叉韧带；损伤；诊断；治疗

    Analysis of diagnosis and treatment of chronic anterior cruciate ligament injury∥GAO Kai,WANG Lide,QI ZhimingSports Science Department,Shanghai University of Sport,Shanghai 200438

    Abstract：[Objective]To evaluate the value of clinical examination and magnetic resonance imaging in diagnosing chronic anterior cruciate ligament injury[Method]Sixtyfive patients with the diagnosis of chronic anterior cruciate ligament injury were retrospectively analyzed about the course of diagnosis and treatmentTo gain the primary diagnosis through clinical examination,8 patients were performed magnetic resonance imagingFinally all the patients were carried out arthroscopic surgery to make a final diagnosis[Result]Arthroscopy found 53 cases with complete anterior cruciate ligament tears,12 cases with partial anterior cruciate ligament tearsIn the complete anterior cruciate ligament tears cases,792% patients had positive anterior drawer test,962% had positive Lachman test and 925 % had positive pivot shift testIn the partial anterior cruciate ligament tears cases,167% patients had positive anterior drawer test,500% had positive Lachman test and 333 % had positive pivot shift testThe accuracy of MRI in diagnosing anterior cruciate ligament tears was 100%[Conclusion]Clinical examination and magnetic resonance imaging can diagnose chronic anterior cruciate ligament effectively ......

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