膝扭伤后Ⅰ型骨挫伤的转归及其临床意义的初期研究.pdfVIP

中间康复理论勺实践 2009 年 6 月第 15 卷第 6 辄卫坦旦J Rehabil Theory Pract , Jun. 2009 , Vol. 15 , No. 6 • 501 • ·专题· 膝扭伤眉 I 型骨挫伤的转归及其l临床意义的初期研究 刘克敏1 .2a ，徐建氏Eb ，韩新作1.20 [摘要1 目的探索科度膝关节损伤后 I 刻骨梯伤的临床转归及其意义。方法 2005 年 9 月 ~2008 年7 月共有 23 例门诊患者 符合纳入标准，采用石膏固定膝关节 4-6 周治疗，并前瞻性随访其临床症状和 MRI. 结果 18 例获平均 24 个月随访，平均 3 个月 时骨搅伤明.Iìl~肖 i鼠， 6.7 个月时完余消退，约 4.8 个月时膝关节疼痛不适症状基本缓解;9 例 45 岁以上愿荷中 2 年以 k随访时 5 例 仍诉膝关节疼痛不适。结论轻度膝扭伤可引起骨挫伤，应予足够的制动，以免病变加重;对于中老年患者，扭伤后骨挫伤可能是膝 骨关节炎的触发剧露营. 〔关键词]膝扭伤;骨挫伤;转归 Prelimi翩翩ry Study or Clinical Consequence of Type 1 胁。ne Bru协e in Acutely Sprained Knee LIUκe-min ， XUJ ian-min , HAN Xin- zuo. Deþartment 01 ογthopedics. Beijíng Charity Hospital , Capital Medical University School 01 Rehabilitation Medicine , Bei- jing 100068 , China Abstract: Objective To evaluate prospectively clinical significance and consequence of type 1 bone bruise in acutely spraíned knee. Meth咀s 23 outpatients were selected , meetíng our criteria from 2005 to 2008. Al1 the injured knees were ímrnobilized with gypsum for 4 to 6 weeks , and the knee complaints and MRl were followed up regularly. Rωults 18 patients were followed up , aver唰 aged 24 months. the bone bruise showed notable resolution in average 3 months and vanished ín 6. 7 rnonths averagelYI the knee pain alleviated obviously in about 4. 8 months; 5 out of 9 cases , who were more than 45 years old. sti1l complained knee pain and uncom翩 fortable after 2 years. Conclusion Grade 1 knee sprain can !ead to bone bruise in condyl时 of femur or tibia. and knee immobilization should be given to avoid the further damage; the bone bruise may be a precursor of knee osteoarthritis for people older than 45 years. Key words , knee sprain; bone bruise; clinical consequence [中团分类号]民