- 期刊
Unhappy ＂Hexad＂ of the Knee Joint: Reconsideration of the Natural Assumption, the ＂O'Donoghue Triad＂
不悅之膝關節“六傷害組合群”：對於傳統“歐動那氏三傷害組合群”之重新考量
摘要
每位骨科醫師對於傳統所說之歐動那氏傷害組合群都非常熟悉，而且被廣泛接受。但依舊受傷機轉之各種因素例如：受傷強度、方向、分散力、受傷時膝關節之彎曲角度及受傷時之拉牽、壓迫的方位等因素之考量，在治療之前將其可能受傷部位組合一一顧慮是非常重要的。我們成功地治療一位因車禍受傷之路人，他的膝關節呈現六處受傷部位，包括前、後十字韌帶、內側側韌帶，內、外側半月軟骨及股骨外髁之關節面壓迫性骨折。經詳細文獻回顧後作一整理，希望能提醒讀者依據受傷機轉除傳統之三傷害外，亦可能有更多之組合。
關鍵字
歐動那氏三傷害組合並列摘要
The O'Donoghue unhappy triad is well known to orthopaedic surgeons and is broadly acknowledged. Depending on the mechanism of the injury, such as the magnitude, direction, dissipation of the applied force, flexion angle of the knee, and both the tensile and compressive side of the injury, the possibility of combined lesion should be delineated before the treatment. We uneventfully treated a pedestrian-injury patient, who had a combination of six lesions, namely, both cruciate ligaments, medial collateral ligament, both menisci, and depressed fracture of the articular surface of the lateral femoral condyle. From a review of the literature, we undertook the study to remind readers of the possible combined lesions in addition to the original O'Donoghue triad and again to emphasize the mechanism of injury.