2018年关节镜下治疗前叉止点撕脱性骨折ppt课件-文档资料.ppt
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1、History,1875 Poncet 1970Avulsion fracture of the ACL was classified by Meyers MH 1996Veselko M performed arthroscopic placement and removal of cannulated screw for fixation 2008Jinzhong Zhao reported arthroscopic Figure-of-8 suture fixation technique,Morbidity3/100000 14 of ACL injury Distribution o
2、f age children814 years old old womenover 40 years old,Accid E-merg Nurs,2004,12(3):1 73-1 75 International Journal of Pediatrics, 2012, Article ID 932702, 6 pages,epidemiology,Fall injury and traffic accident51 Sports injuriesSkiing and football-14%,The Knee,2008,15(3):164-167,Associated with capsu
3、le tear of meniscus or articular capsule, sometimes including medial and lateral collateral ligament injury or injury of articular cartilage,Arthroscopy: The Journal of Arthroscopic and Related Surgery, 2005,21(1):86-92.,Relevant anatomical structure,Resident ridge,Resident ridge,Branching ridge,Foo
4、tprints,Footprints,The anterior medial bundle is tight in flexion the posterior lateral bundle is tight in the straight position,1,2,损伤机制,Young people - knee flexion, tibial internal rotation,Adults - hyperextension of the knee,ACL limits anterior displacement, hyperextension, and internal rotation,
5、Diagnosis,Injury history of hyperextension of knee Bruise and hyphema The extension was limited Anterior drawer test and Lachman sign are positive X-ray and CT are conducive to understanding of fracture MRI is helpful to understand injury of ACL, and others combined injury.,Anterior drawer test and
6、Lachman sign,X-ray,CT,MRI,Meyers-McKeever classification,Arthroscopy 2005;211:86-92,How to identify fresh or old fractures in imaging,Treatment,I type - Conservative treatment to keep the knee in a functional position for 6 weeks and types - Manipulation,if fail,selected surgery type - Surgery,Reduc
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