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1、JasonJ.Lewis,HMSIIIGillianLieberman,MDBIDMCRadiologyCoreClerkshipDecember2009AgendaûPresentationofourpatientûNormalanatomyofthekneeûCommonsportsrelatedkneeinjuriesûMenuofradiologictestsûImagingalgorithmforpost-traumatickneepainOurPatient:HistoryandPhysicalExamû25-year
2、-oldfemalewithnosignificantpastmedicalorpastsurgicalhistorypresentswithleftlateralkneepains/psoccerinjuryûPatient’sfootwascaughtintheturf,feltherleftkneeshiftûHearda“pop”andneededtobehelpedoffofthefieldûInED,notabletendernesslaterallyandwithvarusstress–originallydiagn
3、osedwithkneesprainûInOrthoconsultationtwodayslater–walkingwithlimp,kneeshowedmoderateeffusion,motionofkneewaslimitedbypain,tendernessmediallytopalpationalongthejointline,grade1-2openingwithvalgusstress,positiveLachmanmaneuver,nosignificantopeningwithvarusstressorwithp
4、osteriorlateralrotationAgendaûPresentationofourpatientûNormalanatomyofthekneeûCommonsportsrelatedkneeinjuriesûMenuofradiologictestsûImagingalgorithmforpost-traumatickneepainKneeAnatomyûThecruciateligaments(ACLandPCL)actasmajorrestraintstolateralrotationaswellasantero-
5、posteriormotion.TheyaresecondaryrestraintstovarusandvalgusstressûThecollateralligaments(MCLandLCL)supportthekneemediallyandlaterallyandactassecondaryrestraintstolateralandantero-posteriormovementhttp://www.conformis.com/Patients/About-Knee-Replacement-Stork,A,etal.(20
6、00)surgery/Anatomy-of-a-KneeKneeAnatomyContinuedûMenisciareimportantforkneefunctionandcontributetodistributingcompressiveandtorsionalforces(1)ûVerticallyorientedforcesareconvertedintohoopstressinthemeniscitherebydecreasingaxialloadonarticularcartilage(2)ûShockabsorber
7、s,lubrication,providesecondarystabilization(2)Thornton,DDandRubin,DA(2000)(1)Carrino,JAandSchweitzer,ME(2002)(2)Thornton,DDandRubin,DA(2000)AgendaûPresentationofourpatientûNormalanatomyofthekneeûCommonsportsrelatedkneeinjuriesûMenuofradiologictestsûImagingalgorithmfor
8、post-traumatickneepainSports-RelatedKneeInjuriesûIna10-year-studyfollowing6434patientswithsportsinjuriesrelatedtothekneejoin
