精英澳式橄榄球运动员完全性ACL断裂采用交叉支具方案非手术治疗的病例报告
简介
本研究报道1例女性精英澳式橄榄球运动员在非接触性过伸机制下发生完全性ACL撕裂后，采用为期12周的Cross-Bracing Protocol（CBP）非手术管理方案。伤后3、6、12、36个月系列MRI显示，完全撕裂的ACL逐步恢复为连续性、厚度、容积、走行及信号强度均正常的韧带。患者伤后1年成功重返精英级比赛，伤后3年无再撕裂。该病例提示CBP方案有潜力…
英文摘要
Anterior cruciate ligament (ACL) injuries are traditionally managed with surgical reconstruction, but the ACL's healing capacity continues to be explored. Non-operative management strategies have emerged as viable alternatives for ACL-injured patients either via rehabilitation alone or approaches like the Cross-Bracing Protocol (CBP). We report the case of a female Australian rules football (AFL) athlete with a complete ACL rupture sustained through a non-contact hyperextension mechanism. The athlete was treated with the 12-week CBP, and the serial MRI examinations at 3-, 6-, 12-, and 36-month post-injury are presented, demonstrating progression from a complete ACL rupture to a contiguous ACL with normal thickness, volume, trajectory, and signal intensity. Patient-reported outcome measures (PROMS) were collected at 3-, 6-, 12-, and 36-month post-injury. The athlete successfully returned to elite-level AFL sport one year post-injury and reported no re-rupture at 3 years post-injury. This case demonstrates the potential utility of the CBP to restore normal ACL anatomy and result in stability of the knee following non-surgical management.