Diagnosis and Management of Partial ACL Tears
- VernacularTitle:前交叉韧带部分断裂的诊治
- Author:
Jiwu CHEN
;
Shiyi CHEN
;
- Publication Type:Journal Article
- Keywords:
anterior cruciate ligament, diagnosis, arthroscopy
- From:
Chinese Journal of Sports Medicine
1983;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the maneuver of diagnosis and management of anterior cruciate ligament (ACL) partial tears. Methods 24 cases of ACL partial tears confirmed by arthroscopy including anteromedial band (AMB) tear in 7 cases and posterolateral bulk (PLB) tear in 17 cases were investigated, from Mar 2000 to Jun 2002. ACL reconstruction was performed in 16 cases under arthroscopy. Clinical findings including symptoms or signs, physical examinations and MRI were collected for differential diagnosis of AMB and PLB tear. The efficiency of ACL reconstruction was evaluated by Lysholm scale with average follow-up of 11 months. Results 28.5% AMB and 98.2% PLB tear cases showed knee instability. Regarding the results of anterior drawer test, Lachman test and pivot shift test, it is positive 71.4%, 14.3% and 0 in AMB tears respectively; and 17.6%, 98.2%, 76.5% in PLB tears. The Lysholm scores were significantly increased from preoperative 63.53?8.11 to postoperative 93.47?2.62(P
