摘要
急性髌骨脱位是一种常见的、好发于青少年的膝关节损伤,通常与运动相关。初次髌骨脱位后再脱位的患者大多伴有内侧髌韧带的损伤,该如何处理目前存在较大争议。虽然大多数学者认为初次脱位行保守治疗有较好的疗效,但是当存在严重的软骨损伤,或存在影响膝关节内侧稳定性的髌骨半脱位的时候,手术干预将是必要的。内侧髌韧带重建对稳定膝关节比单纯修复更可靠,但仍需根据内侧髌韧带的损伤部位而论。急性髌骨脱位的临床疗效高度不确定性是因为患者易出现髌骨不稳定。
Acute patellar dislocation usually associated with exercise is a common injury which occurs most frequently in adolescents knee. Most of the patients with subsequent dislocation after primary dislocation of the patella suffer from medial pateUar ligament injury, and there is considerable controversy about how patients should be managed. Most scholars consider that the conservative treatment for the first patellar dislocation has a good therapeutic effect, while surgical intervention will be necessary in the presence of severe cartilage damage or subluxation of the patella. Medial pateUofemoral ligament reconstruction is more reliable than a simple repair to stabilize the knee ,which has limitations related to the medial patellofemoral ligament injury location. The clinical outcome of acute patellar dislocations remains highly uncertain due to the factors that predispose a patient to patellar instability.
出处
《医学综述》
2014年第17期3166-3168,共3页
Medical Recapitulate
关键词
初次髌骨脱位
诊断
治疗
Primary patellar dislocation
Diagnosis
Treatment
