前交叉韧带运动损伤临床治疗的进展Clinical Treatment and Research Development of ACL's Exercise-induced Damage
刘艳秋,王勇
摘要(Abstract):
前交叉韧带是膝关节最重要的稳定因素,对膝关节起着导向和限制作用.前交叉韧带断裂可以导致严重的关节不稳,从而严重影响运动功能;如未得到及时治疗,还会继发半月板、关节软骨损害和骨性关节炎等.近年来临床研究中发现,前交叉韧带断裂导致膝关节功能丧失,常常在一段时间内呈进行性加重的态势.因此,在治疗上需要从韧带的解剖、组织学和生物力学等各方面进行研究,完善前交叉韧带运动损伤的临床治疗.
关键词(KeyWords): 前交叉韧带;运动损伤;临床治疗;进展
基金项目(Foundation):
作者(Author): 刘艳秋,王勇
DOI: 10.16393/j.cnki.37-1436/z.2006.02.026
参考文献(References):
- [1]Natri A,Javinen M,Kannuus P,et al.Changing injury pat-tern of acute anterior cruciate ligament tears treated at Tam-pere University Hospital in the 1980[J].Scand J Med SciSports,1995,(5):100-104.
- [2]曲绵城.实用运动医学[M].北京科技出版社,1996.696-719.
- [3]Furman W,Marshall J L,Gergis F G.The anterior CruciateLigament:A functional analysis based on pastmorten studies[J].J Bone Joint Surg(Am),1976,58:179-185.
- [4]Morgan-Jones R L,Cross M J.The intercruciate band of thehuman knee.An anatomical and histlogical study[J].J BoneJoint Surg(Br),1999,81:991-994.
- [5]Woo SL-Y,Debski R E,Withrow J D,et al.Biomechanicsof knee ligaments[J].Am J Sports Med,1999,27:533-543.
- [6]Boyd I A,Roberts T D M.Proprioceptive Discharges fromStretch-Receptors in the knee-joint of the cat[J].J Physi-ol,1954,124:476-488.
- [7]Raunest J,Sager M,Burgener E.Proprioception of the cruciateligaments:receptor mapping in an animal model[J].Arch Or-thop Trauma Surg,1998,118:159-163.
- [8]Schultz R A.Mechanoreceptors in human cruciate ligaments:A his to logical study[J].J Bone Joint Surg(AM),1984,66:1072-1076.
- [9]Schultz R A,Miller D C,Kerr C S,et al.Mechanoreceptors inhuman cruciate ligaments[J].Am J Sports Med,1999,66:1072-1076.
- [10]占飞,陈世益.功能性关节不稳与本体感觉重建[J].中国运动医学杂志,2000,19(1):65-68.
- [11]王亦璁.膝关节外科基础与临床[M].北京:人民卫生出版社,1991.250-270.
- [12]Schulte K R,Chu E T,Fu F H.Arthroscopic posterior cruci-ate ligament reconstruction[J].Clin Sports Med,1997,16:145-156.
- [13]Parodie J M,Bergfeld J A.Long term results of nonoperativetreatment of isolated posterior cruciate ligament injuries inthe athlete[J].Am J Sports Med,1986,14:35-38.
- [14]Trockey E L.Rupture of the posterior cruciate ligament ofthe knee[J].J Bone Joint Surg(Br),1968,50:334-341.
- [15]Mariani P P,Santoriello P,Iannone S,et al.Comparison ofsurgical treaments for knee dislocation[J].Am J Knee Surg,1999,12:214-221.
- [16]Heftifl,Kressw I,Fasel J,Morscher E W.Healing of thetransected anterior Cruciate Ligament in the rabbit[J].JBone Joint Surg,1991,73A:373-383.
- [17]Frank C B,Amiel D.Normal ligament properties and liga-ment healing[J].Clinorthop.1985,196:15-25.
- [18]Noyes F R,Butler D L,Grood E S,et al.Biomechanicalanalysis of human ligament grafts used in knee-ligament re-pair and reconstrctions[J].J Bone Joint Surg(Am).1984,66:344-352.