背景:膝关节后外侧角的损伤在运动员中很常见,尽管运动员中the肌孤立损伤的发生率在很大程度上是未知的。
目的:系统回顾文献以更好地了解患病率,机制,体育活动,撕裂特性,管理,结果,和恢复运动的速度和时间在运动员遭受孤立的pop肌受伤。
方法:系统评价;证据水平,4.
方法:遵循PRISMA(系统评价和荟萃分析的首选报告项目)指南,作者搜索了PubMed,OVID,MEDLINE,BiosisPreviews,SPORTDiscus,佩德罗,和EMBASE数据库,用于从1988年1月至2021年8月对在体育活动中遭受孤立的pop肌损伤的运动员进行研究。
结果:确定了总共19项研究,这些研究由27名运动员在运动过程中遭受孤立的pop肌损伤组成。运动员平均年龄为19.9±10.5岁,89%(n=24/27)为男性。据报道,67%(n=18/27)的损伤有创伤/接触机制,美式足球和足球是最常见的运动。外侧膝关节疼痛是最常见的主诉,85%(n=23/27)的运动员报告肿胀。67%(n=18/27)的病例存在外侧髁的撕脱伤。52%(n=14/27)的运动员进行了非手术治疗。手术治疗主要包括关节镜或骨碎片的开放固定。报告时,所有运动员在受伤后平均10.8±8.2周成功恢复运动。
结论:在运动员中很少报道孤立的pop肌损伤,运动员通常在经历胫骨相对于股骨的强制外部旋转后进行评估,表现为外侧膝关节疼痛和积液,并接受稳定的韧带检查.损伤主要发生在男性运动员身上,是创伤/接触机制的结果,最常见的是股外侧髁撕脱伤。
BACKGROUND: Injuries to the posterolateral corner of the knee are commonly reported in athletes, although the prevalence of isolated injuries to the
popliteus in athletes is largely unknown.
OBJECTIVE: To systematically review the literature to better understand the prevalence, mechanisms, sporting activities, tear characteristics, management, outcomes, and return-to-sport rate and timing in athletes who have sustained isolated
popliteus injuries.
METHODS: Systematic review; Level of evidence, 4.
METHODS: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, the authors searched the PubMed, OVID, MEDLINE, Biosis Previews, SPORTDiscus, PEDRO, and EMBASE databases for studies from January 1988 to August 2021 on athletes who sustained isolated
popliteus injuries during sporting activities.
RESULTS: A total of 19 studies consisting of 27 athletes with isolated
popliteus injuries sustained during sport were identified. The mean athlete age was 19.9 ± 10.5 years, while 89% (n = 24/27) were male. Traumatic/contact mechanisms were reported in 67% (n = 18/27) of injuries, with American football and soccer being the most common sports. Lateral-sided knee pain was the most frequent complaint, with 85% (n = 23/27) of athletes reporting swelling. Avulsion injuries off the lateral condyle were present in 67% (n = 18/27) of cases. Nonoperative management was performed in 52% (n = 14/27) of athletes. Operative treatment consisted primarily of arthroscopic or open fixation of the osseous fragment. When reported, all athletes successfully returned to sport at a mean of 10.8 ± 8.2 weeks after injury.
CONCLUSIONS: Isolated injuries to the
popliteus remain rarely reported in athletes, and athletes are typically evaluated after they experience forced external rotation of the tibia relative to the femur, present with lateral-sided knee pain and effusion, and undergo a stable ligamentous examination. Injuries occurred primarily in male athletes and were the result of traumatic/contact mechanisms, most commonly involving avulsion injuries off the lateral femoral condyle.