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 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

2 16 1 Anterior cruciate ligament ACL Q A 5 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 ( )

3 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.

4 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 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.

5 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. 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: 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.

6 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. 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.

7 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. A prospective study. Am J Sports Med. 22:198-202. 1994 Lund-Hanssen H, Gannon J, Engebretsen L, et al: Intercondylar notch width and the risk for anterior cruciate ligament rupture. A case-control study in 46 female handball players. Acta Orthop :529-32. 1994 Shelbourne KD, Davis TJ, Klootwyk TE: The relationship between intercondylar notch width of the femur and the incidence of anterior cruciate ligament tears.

8 Am J Sports :402-8. 1998 , , , : . Journal of Athletic :1344-3178. 2008 Myer GD, Ford KR, Paterno MV, et al: The effects of generalized joint laxity on risk of anterior cruciate ligament injury in young female athletes. Am J Sports Med. 36:1073-80. 2008 Kramer LC, Denegar CR, Buckley WE, Hertel J: Factors associated with anterior cruciate ligament injury: history in female athletes. J Sports Med Phys Fitness. 47:446-54. 2007 15 Question ACL Answer Grade B ACL 1990 2002 NCAA 70 NCAA 8 Boden BP, Dean GS, Feagin JA Jr, Garrett WE of anterior cruciate ligament 2000 Jun;23(6):573-8.

9 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 16 Question6 ACL Answer Grade B NCAA 15 ACL 1000 ACL Harmon KG, Dick R: The relationship of skill level to anterior cruciate ligament injury. Clin J Sport Med. 8:260-5. 1998 Mihata LC, Beutler AI, Boden BP: Comparing the incidence of anterior cruciate ligament injury in collegiate lacrosse, soccer, and basketball players: implications for anterior cruciate ligament mechanism and prevention. Am J Sports Med. 34:899-904. 2006. Deitch JR, Starkey C, Walters SL, Moseley JB: Injury risk in professional basketball players: a comparison of Women's National Basketball Association and National Basketball Association athletes.

10 Am J Sports Med. 34:1077-83. 2006 17 Question7 ACL Answer Grade C ACL NCAA I II III ACL division NBA WNBA Prodromos CC, Han Y, Rogowski J, et al: meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy. 23:1320-1325. 2007 Harmon KG, Dick R: The relationship of skill level to anterior cruciate ligament injury. Clin J Sport Med. 8:260-5. 1998 Deitch JR, Starkey C, Walters SL, Moseley JB: Injury risk in professional basketball players: a comparison of Women's National Basketball Association and National Basketball Association athletes. Am J Sports Med. 34:1077-83.