目的:多韧带膝关节损伤(MLKI)可能会使运动员衰弱,并且通常是职业生涯结束的损伤。目前的文献报道了这些损伤后恢复日常生活活动的结果;然而,缺乏评估MLKI之后重返体育运动的证据。本病例报告的目的是描述MLKI和新型半月板放射状修复技术后的治疗和结果,该运动员在术后14个月返回2018年冬季奥运会比赛。
方法:病例报告。
方法:一位健康的28岁女子奥林匹克高山滑雪运动员,在一次竞技滑雪比赛中,她的右膝内翻力伤导致膝盖深度屈曲。检查和成像显示前交叉韧带(ACL)和外侧副韧带(LCL)完全撕裂,外侧半月板复杂的放射状撕裂,内侧半月板撕裂,后腓骨韧带撕裂,近端胫腓关节韧带撕裂,和常见的腓骨神经失用症。运动员接受了解剖单阶段,多韧带膝关节重建手术,包括一种新颖的半月板放射状修复技术。
结果:术后7个月开始恢复降雪进展。术后10个月,体检显示有微量积液,无关节线压痛,和负面的稳定性测试。重复MRI显示外侧半月板放射状修复充分愈合。运动员在术后10个月通过了功能性运动测试,并被允许无限制地返回滑雪。术后12个月,这位运动员参加了奥运会资格赛滑雪比赛。术后14个月,这位运动员参加了2018年冬季奥运会。
结论:本病例报告强调了运动员在解剖单阶段后恢复到精英水平的能力,新型半月板放射状修复术安全而及时地进行多韧带膝关节重建。
方法:4.
OBJECTIVE: Multi-ligament knee injuries (MLKI) can be debilitating and often career ending injuries for athletes. Current literature
reports on outcomes following these injuries for return to activities of daily life; however, there is a paucity of evidence evaluating the return to sport following a MLKI. The purpose of this
case report is to describe the treatment and outcome following a MLKI and novel meniscus radial repair technique in which the athlete returned to compete in the 2018 Winter Olympic Games 14 months postoperatively.
METHODS: Case Report.
METHODS: A healthy 28-year-old female Olympic alpine skier who sustained a deep knee flexion with varus force injury to her right knee during a competitive skiing event. Examination and imaging revealed a completely torn anterior cruciate ligament (ACL) and lateral collateral ligament (LCL), complex radial tear of the lateral meniscus, medial meniscus tear, popliteofibular ligament tear, proximal tibiofibular joint ligament tear, and a common peroneal nerve neuropraxia. The athlete underwent an anatomic single-stage, multi-ligament knee reconstruction surgery which consisted of a novel meniscus radial repair technique.
RESULTS: A return to snow progression was initiated at seven months postoperatively. At 10 months postoperatively, a physical exam revealed trace effusion, no joint line tenderness, and negative stability tests. A repeat MRI revealed adequate healing of the lateral meniscus radial repair. The athlete passed a functional sports test at 10-months postoperatively and was cleared to return to ski with no restrictions. At 12 months postoperatively, the athlete placed in an Olympic qualifying ski race. At 14 months postoperatively, the athlete competed in the 2018 Olympic Winter Games.
CONCLUSIONS: This
case report highlights the ability of an athlete to return to elite level of competition following an anatomic single-stage, multi-ligament knee reconstruction with a novel meniscus radial repair in a safe but timely manner.
METHODS: 4.