Current Concepts Motion Loss after Ligament Injuries to the Knee Part I: Causes
Current Concepts Motion Loss after Ligament Injuries to the Knee Part I: Causes
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当前概念 膝盖韧带损伤后运动丧失第一部分：原因
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
R. Warren
中科院分区：
文献类型：
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作者：
P. Millett;T. Wickiewicz;R. Warren
在韧带损伤和膝盖手术后，运动能力丧失仍然是一个棘手的并发症。更好地了解运动丧失的病理解剖学原因可以改进预防和治疗策略。当确实发生运动丧失时，早期识别和适当的治疗有望恢复大多数患者的运动和改善功能。尽管治疗方案多种多样，但如果实施得当，应该会改善结果。本文由两部分组成。第一部分回顾了关于运动丢失的定义、发生率和原因的现有概念。在稍后出版的第二部分中，回顾了目前预防和治疗膝关节韧带损伤后运动丧失的策略。强调风险因素和预防以及诊断和治疗。本文总结了有关膝关节运动丧失问题的基础科学和临床研究的最新资料，试图为解决这些临床难题提供一种合理的方法。本综述的目的是总结目前膝关节活动度丧失的概念，特别强调其原因、预防和治疗。文章分为两个部分。这第一部分将讨论韧带损伤或手术后运动丧失的原因。第一篇文章的目的是讨论正常和异常的膝关节运动学，并定义膝关节运动问题的术语。已知的危险因素、病因和病理解剖将被详细讨论，总结当前和相关的研究这一临床困难。
Motion loss continues to be a difficult complication after ligament injury and surgery to the knee. A better understanding of the pathoanatomic causes of motion loss can lead to improved prevention and treatment strategies. When motion loss does occur, early recognition and appropriate treatment can be expected to restore motion and improve function in most patients. Treatment options, although varied, should improve outcome when implemented appropriately. This article is composed of two parts. The first part reviews the current concepts on definitions, incidence, and causes of motion loss. In the second part, to be published later, current strategies on prevention and treatment of motion loss after ligament injury to the knee are reviewed. Emphasis is placed on risk factors and prevention as well as on diagnosis and treatment. The article summarizes the latest information from the basic sciences as well as clinical studies on the problem of motion loss of the knee and attempts to provide a rational approach to these difficult clinical problems. The purpose of this review is to summarize the current concepts on motion loss of the knee, placing particular emphasis on the causes, prevention, and treatment. The article is in two parts. This first part will discuss causes of motion loss after ligament injury or surgery. The goals of the first article are to discuss normal and abnormal knee kinematics and to define terminology for motion problems of the knee. Known risk factors, causes, and pathoanatomy will be discussed in detail, summarizing the current and pertinent studies on this difficult clinical