The contralateral knee joint in cruciate ligament deficiency.

The contralateral knee joint in cruciate ligament deficiency.
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DOI:
10.1177/0363546508319051
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发表时间:
2008-11
期刊:
The American journal of sports medicine
影响因子:
--
通讯作者:
Li G
Li G
中科院分区:
其他
文献类型:
--
作者:
Kozanek M;Van de Velde SK;Gill TJ;Li G

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单侧韧带缺陷的患者被认为改变了对侧膝关节的运动学,增加了对侧关节损伤的风险。因此,对侧膝关节可能不是可靠的正常运动学控制。比较前或后交叉韧带缺损患者未受伤对侧膝关节的体内运动学与年龄匹配的无关节损伤患者的膝关节运动学。对照实验室研究。10例双侧健康膝关节受试者、10例急性单侧前交叉韧带损伤患者和10例急性单侧后交叉韧带损伤患者参加了本研究。使用成像和三维建模测量屈曲0°至90°的运动。在负重屈曲过程中,各组之间的所有旋转和平移均无显著差异(P > 0.9)。单侧交叉韧带缺损的患者在负重屈曲时,对侧未受伤膝关节的运动学没有改变。此外,这些结果表明,纳入的前交叉韧带或后交叉韧带缺损患者没有预先存在的膝关节运动学异常。由于受伤患者的对侧关节运动学在短期内不受同侧韧带损伤的影响,医生和研究人员可能会使用对侧膝关节作为可靠的正常运动学控制。
Patients with unilateral ligament deficiency are believed to have altered kinematics of the contralateral knee, increasing the risk of contralateral joint injury. Therefore, the contralateral knees might not be a reliable normal kinematic control. To compare the in vivo kinematics of the uninjured contralateral knees of patients with anterior or posterior cruciate ligament deficiency with knee kinematics of age-matched patients without joint injury. Controlled laboratory study. Ten subjects with bilateral healthy knees, 10 patients with acute unilateral anterior cruciate ligament injury, and 10 with acute unilateral posterior cruciate ligament injury participated in this study. Kinematics were measured from 0° to 90° of flexion using imaging and 3-dimensional modeling. No significant differences were found across the groups in all rotations and translations during weightbearing flexion (P > .9). Patients with unilateral cruciate ligament deficiency did not alter kinematics of the contralateral uninjured knee during weightbearing flexion. In addition, these findings suggest that the included patients with anterior cruciate ligament or posterior cruciate ligament deficiency did not have preexisting abnormal kinematics of the knee. As the contralateral joint kinematics of the injured patients were not affected by the ipsilateral ligament injury in the short term, physicians and researchers might use the contralateral knee as a reliable normal kinematic control.
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