文档介绍：Helfet试验对膝关节半月板损伤诊断的临床意义
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作者:王洁颖,崔国庆,任龙喜
【摘要】[目的]检查Helfet试验对膝关节半月板损伤诊断的准确性。[方法]运用前瞻性对比研究方法,分析研究2007年4月-2007年10月北医三院收治的外侧半月板损伤患者52例,其中男34例,女18例,(15~43岁),内侧半月板损伤23例,其中男14例,女9例。本院外侧半月板患者15例,其中男9例,女6例。内侧半月板患者6例。分别进行Helfet试验检查,依胫骨结节屈伸时是否内外旋来判断半月板损伤,并与麦氏征,摇摆试验,KS征和及关节镜下所见为对照。[结果]所有外侧半月板损伤患者,%,与半月板其他几个试验麦氏征,KS征,摇摆试验,关节镜的诊断相符合,%、%,对内侧半月板诊断阳性率差。[结论]Helfet试验对外侧半月板损伤的诊断准确率较高,尤对于半月板提篮伤及横裂等引起绞锁症状的前体部为主的患者。而且操作简便、无创、适合推广应用。对内侧半月板诊断阳性率差。
【关键词】 Helfet试验; 膝关节; 半月板损伤
Abstract:[Objective]To study the accuracy of Helfet test in the diagnosis of the knee meniscus tear.[Method]From to ,52 cases of the lateral meniscus tear and 23 cases of the medial meniscus tear were checkedup with Helfet test,McMurray test ,KS test,and paratively.[Result]The Helfet Test was positive in most of the lateral meniscus tear consistency with McMurray test and arthroscope was lateral meniscus tear,especially to buckethandle and Horizontal tear high rate of accuracy to lateral menicus was %.The rate of accuracy to buckethandle and Horizontal tear were % and % respectively.[Conclusion]The “Helfet” test is sensitive to the knee lateral meniscus is fast,simple,reliable,reproducible,positive for diagnose of lateral meniscus tear,and is worth of being used wid