膝前十字靱帯（ ACL）損傷理学療法診療ガイドライン

1 ACL Q A 1 Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL Question MRI ACL ACL Question ACL 2 Question ACL Question ACL Question ACL Question ACL

2 Question ACL Question ACL Question Question ACL 1 Question ACL Question ACL Question ACL Question ACL Question ACL Question ACL OKC CKC Question ACL Question ACL Question ACL Question ACL 3 Question ACL Question ACL Question ACL 4 16 1 Anterior cruciate ligament ACL Q A 5

3 A B C A B C 6 1 NCAA National Collegiate Athletic Association NWI Notch Width Index 90 KT 1000 KT 2000 KT 2000 accuracy IKDC form International knee Documentation Committee ( )

4 70 KT X 7 100 KOOS knee injury and osteoarthritis outcome score 5 2 9 17 5 4 42 7 Lysholm score 100 6 x ST Semitendinosus ST-G Semitendinosus and Gracilis 10 BTB BPTB Bone-Patella-Tendon-Bone 8 Question ACL Answer Grade A 60 ACL 500 ACL 17 390 393 1986 9 Question ACL Answer Grade A ACL ACL.

5 32 243 246 2007 Finsterbush A,Frankle U,Matan Y, et al.:Secondary damage to the knee after isolated injury of the anterior cruciate J Sports Med 18: 475-479, 1 ACL 30 78 81 2005 10 ACL ACL ACL 11 2 Question ACL Answer Grade A ACL 7 NCAA ACL 2007

6 1 Agel J, Arendt EA, Bershadsky cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year J Sports Med. 2005 Apr;33(4):524-30. Epub 2005 Feb 8. Mountcastle SB, Posner M, Kragh JF Jr, Taylor differences in anterior cruciate ligament injury vary with activity: epidemiology of anterior cruciate ligament injuries in a young, athletic J Sports Med. 2007 Oct;35(10):1635-42. Epub 2007 May Prodromos CC, Han Y, Rogowski J, Joyce B, Shi meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury -reduction 2007 Dec;23(12) Jenkins WL, Killian CB, Williams DS 3rd, Loudon J, Raedeke cruciate ligament injury in female and male athletes: the relationship between foot structure and Am Podiatr Med Assoc.

7 2007 Sep-Oct;97(5):371-6. 12 Question2 ACL Answer Grade A ACL 1988 2000 20 ACL ACL 5 25 5 20 12 (60 ) 7 (35 ) ACL 205 9 ACL ACL knee -in Toe-out T E Hewett,J S Torg,B P Boden.

8 Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism. British Journal of Sports :417-422. 2009 Olsen OE, Myklebust G, Engebretsen L, Bahr R: injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med. 32:1002-12. 2004 Hewett TE, Myer GD, Ford KR, et al: Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes.

9 Am J Sports Med. 33:492-501. 2005 13 Question ACL Answer Grade B Boden BP, Dean GS, Feagin JA Jr, Garrett WE of anterior cruciate ligament 2000 Jun;23(6):573-8. Olsen OE, Myklebust G, Engebretsen L, Bahr R: injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis.

10 Am J Sports Med. 32:1002-12. 2004 14 Question ACL Answer Grade A ACL ACL NWI 5 66 ACL Jenkins WL, Killian CB, Williams DS 3rd, et al: Anterior cruciate ligament injury in female and male athletes: the relationship between foot structure and injury . J Am Podiatr Med Assoc. 97:371-6. 2007 LaPrade RF, Burnett QM: Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries.