Management of Medial-Sided Knee Injuries, Part 1 Medial Collateral Ligament

被引:64
作者
Marchant, Milford H., Jr.
Tibor, Lisa M.
Sekiya, Jon K.
Hardaker, William T., Jr.
Garrett, William E., Jr.
Taylor, Dean C.
机构
[1] Duke Univ, Durham, NC USA
[2] Univ Michigan, Ann Arbor, MI 48109 USA
关键词
knee injury; medial collateral ligament (MCL); knee ligament injury; knee reconstruction; ANTERIOR CRUCIATE LIGAMENT; POSTERIOR OBLIQUE LIGAMENT; NONOPERATIVE TREATMENT; POSTEROMEDIAL CORNER; ROTATORY INSTABILITY; COLLEGE FOOTBALL; DEFICIENT KNEE; GRADE-I; RECONSTRUCTION; MOTION;
D O I
10.1177/0363546510385999
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The medial collateral ligament complex is a primary stabilizer that combines static and dynamic resistance to direct valgus stress while contributing significant restraints to rotatory motion and anterior-posterior translation. Varying opinions exist among investigators regarding injury classification and treatment algorithms. Whereas most agree that the majority of isolated medial collateral ligament complex injuries can be treated nonoperatively, isolated injuries with chronic instability and multiligament injuries may require operative intervention. Substantial confounding factors are present within published reports, making comparative analyses and systematic review challenging. This review focuses on the anatomy and biomechanics of the medial structures of the knee; it discusses the clinical evaluation of complex injuries; and it reviews nonoperative and operative treatment methods.
引用
收藏
页码:1102 / 1113
页数:12
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