后交叉韧带损伤腘窝压痛试验的解剖依据及临床应用

The Anatomical Basis of the Popliteal Fossa Tenderness Test and Its Clinical Application for Posterior Cruuciate Ligament Injuries

目的 探讨后交叉韧带损伤其它诊断依据。方法 研究窝的解剖 ,观察了 19例后交叉韧带胫骨附着点撕脱性骨折的窝的髁间窝 ,做了窝压痛试验 ,再与后抽屉试验进行对比。结果 此类病例窝胫骨附着点均有显著压痛 ,而后抽屉实验有 11例不明显。结论 后交叉韧带胫骨附着点撕脱性骨折 ,窝压痛试验阳性率明显高于后抽屈试验 ,不但操作简单 ,而且痛苦少 。

Objective To investigate other diagnosis proof of the posterior cruciate ligament injuries.Methods The popliteal fossa autopsy were studies,to observe the comparative results of 19 patients avulsion fracture in the tibial attachment of posterior cruciate ligament by popliteal fossa tenderness test and PDT(posterior drawer test).Results Obvious tenderness were touched at the tibial attachment poin t of PCL in 19 cases,PDT negative in the 11 cases.Conclusions Positive rate of tenderness point test of popliteal fossa is higher than PDT,to diagnosis PCL of isolation avulision fracture at tibial attachment point and it is not only simple but also less suffering,therefore the tendenness test of popliteal possa should be one of the main testimonies of such injuries.