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前十字韌帶受傷及其處理

Anterior Cruciate Ligament Lesion and Its Management

摘要


前十字韌帶的主要功龍是阻擋脛骨向前脫位和限制脛骨的轉動。急性前十字韌帶受傷的診斷,包括病史的詢問、前拉測試、拉曼測試、樞軸移動測試和關節鏡檢查;慢性前十字韌帶功能不足者,除以上檢查外,還可測出功能方面的不穩與大腿的萎縮。受傷後的處理方法有保守療法和開刀治療;保守療法包含有復健運動和活動的改變,手術治療方法很多,大致可分為關節內修補卡關節外修補二類,無論傷者接受那種治療,復健計劃都佔有舉足輕重的地位;復健的目的在籍由漸進式訓練方法,讓病人能再達到受傷前的活動程度。

關鍵字

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並列摘要


The anterior cruciate ligament is consisted of anteromedial band and posterolateral band. The primary function of this ligament is providing stability to the knee by preventing anterior luxation of tibia. Diagnosis of an anterior cruciate ligament lesion consists of an proper history, physical examination and arthroscopic investigation. It is imperative that a correct and complete diagnosis be determined before a treatment is selected. The treatment to anterior cruciate ligament lesion may be most controversial at present time. Once an accurate diagnosis has been estabilshed, there are two routes for approach. One is conservative treatment, the other is surgical intervention, followed by rehabilitation. The conservative approach is made of vigorous rehabilitation exercise and activity modification. The goal of rehabilitation program is to provide a functionally stable knee that can meet all the rigors of patient's sports or activity.

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