《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (06): 501-503.

• 专题 •    下一篇

膝扭伤后Ⅰ型骨挫伤的转归及其临床意义的初期研究

刘克敏1,2a;徐建民2b;韩新祚1,2a   

  1. 1.首都医科大学康复医学院，北京市 100068;2.中国康复研究中心北京博爱医院，a:骨科;b:放射科，北京市 100068
  • 收稿日期:2009-03-30 出版日期:2009-06-01 发布日期:2009-06-01

Preliminary Study of Clinical Consequence of Type Ⅰ Bone Bruise in Acutely Sprained Knee

LIU Ke-min, XU Jian-min, HAN Xin-zuo   

  1. Department of Orthopedics, Beijing Charity Hospital, Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:2009-03-30 Published:2009-06-01 Online:2009-06-01

PDF (PC)

被引次数

5

摘要： 目的 探索轻度膝关节扭伤后Ⅰ型骨挫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个月时骨挫伤明显消退，6.7个月时完全消退；约4.8个月时膝关节疼痛不适症状基本缓解；9例45岁以上患者中2年以上随访时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因素。

关键词: 膝扭伤, 骨挫伤, 转归

Abstract: Objective To evaluate prospectively clinical significance and consequence of type Ⅰ bone bruise in acutely sprained knee. Methods 23 outpatients were selected, meeting our criteria from 2005 to 2008. All the injured knees were immobilized with gypsum for 4 to 6 weeks, and the knee complaints and MRI were followed up regularly.Results 18 patients were followed up, averaged 24 months, the bone bruise showed notable resolution in average 3 months and vanished in 6.7 months averagely; the knee pain alleviated obviously in about 4.8 months; 5 out of 9 cases, who were more than 45 years old, still complained knee pain and uncomfortable after 2 years.Conclusion Grade Ⅰ knee sprain can lead to bone bruise in condyles 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