前交叉韧带损伤--英文.pptVIP

Anterior Cruciate Ligament Injury MEDICAL TERMS anterior cruciate ligament（ACL） femoral condylar notch synovium eversion inversion graft patellar tibial plateau 前交叉韧带 股骨髁间窝 滑膜 外翻 内翻 移植物 髌骨的 胫骨平台 EPIDEMIOLOGY ANATOMY Originates from the lateral femoral condyle within the condylar notch and inserts on the tibial plateau. 31 to 35 mm in length and 31.3 mm2 in cross section. A two-bundle ligament, consisting of a small anteromedial and a larger posterolateral bundle. Surrounded by synovium. PATHOGENESIS Contact injury Eversion Inversion Hyperextended Anterior and posterior remotion Noncontact injury Deceleration in jumping, or cutting action SYMPTOMS An audible pop or crack A feeling of initial instability Extreme pain Dysfunction SIGNS INVESTIGATIONS TREATMENT SURGICAL TREATMENT RECONSTRUCTION TECHNIQUE ARTHROSCOPY TECHNIQUE OF ACL RECONSTRUCTION A CARTOON OF ACL RECONSTRUCTION COMPLICATIONS OF ACL SURGERY PROGNOSIS REVIEW THANK YOU! 站长素材 SC.CHINAZ.COM * * P o w e r B a r 中国专业PPT设计交流论坛 Han Guibin orthopaedics department Haikou municipal people’s hospital INCIDENCE It has been estimated that 100,000 anterior cruciate ligaments are torn each yearin the United States. RISK FACTORS gender : female occupation: athlete the intercondylar notch width index : lower index side elevation finite graph frant elevation limited range of motion Swelling tenderness anterior drawer test pivot shift test floating patella test Lachman test golden standard sensitive effective ineffective arthroscope MRI、KT-1000 ultrasonography、CT X-ray older people willing to make lifestyle changes avoid the activities that cause recurrent instability age lifestyle occupation degree of knee instability associated injuries younger people regularly plays sport likely to adhere to a complex rehabilitation program Decision factors Nonoperative treatment Surgical treatment Surgical treatment Repair Repair with augmentation Reconstruction extraarticular procedures c