法医学杂志 ›› 2020, Vol. 36 ›› Issue (5): 688-690,698.DOI: 10.12116/j.issn.1004-5619.2020.05.015

• 案例分析 • 上一篇    下一篇

133例膝关节损伤的法医学鉴定分析

宰超1,2 ,张玲莉3 ,何方刚1   

  1. 1. 武汉大学基础医学院,湖北 武汉 430071;2. 武汉大学中南医院法医司法鉴定所,湖北 武汉 430071; 3. 华中科技大学同济医学院法医学系,湖北 武汉 430030
  • 收稿日期:2019-08-12 发布日期:2020-10-25 出版日期:2020-10-28
  • 通讯作者: 何方刚,男,副教授,副主任法医师,主要从事法医病理学、法医临床学教学、研究和鉴定;E-mail:hefg007@whu.edu.cn
  • 作者简介:宰超(1989—),女,硕士,主要从事法医临床学研究和鉴定;E-mail:zaichaojj@163.com

Forensic Analysis of 133 Cases of Knee Injuries

ZAI Chao1,2 , ZHANG Ling-li3 , HE Fang-gang1   

  1. 1. School of Basic Medical Sciences, Wuhan University, Wuhan 430071, China; 2. Forensic Judical Institute, Zhongnan Hospital of Wuhan University, Wuhan 430071, China; 3. Department of Forensic Medicine, Tongji Medical College of Huazhong Science and Technology University, Wuhan 430030, China
  • Received:2019-08-12 Online:2020-10-25 Published:2020-10-28

摘要: 目的 探讨膝关节损伤的类型、特点及残疾评定。 方法 收集2017—2019年133例膝关节损伤的 案例资料,按损伤部位、致残程度等进行统计分析。 结果 复合型损伤125例,单纯型损伤8例;韧带损伤、半月板损伤及骨折发生率分别为88.72%、75.19%和57.89%;交叉韧带损伤中,后交叉韧带损伤12例,前交叉韧带损伤51例,两者之间差异有统计学意义(P<0.05);并发创伤性关节炎32例。膝关节损伤致残率为 38.35%(九、十级)。 结论 膝关节复合型损伤多见,创伤性关节炎比例较高。多种损伤可影响膝关节稳定、负重等功能,建议除评定关节活动度外,还需综合多种因素评残。

关键词: 法医学;膝损伤;半月板, 胫骨;韧带, 关节;案例分析

Abstract: Objective To discuss the types, characteristics, and the evaluation of disability of knee injuries. Methods The data of 133 cases of knee injury from 2017 to 2019 were collected and statistically analyzed according to the region of injury, the degree of disability, etc. Results One hundred and twenty-five cases of injury were compound, and 8 cases were simple. The incidences of ligament injury, meniscus injury and fracture were 88.72%, 75.19% and 57.89%, respectively. Of the cruciate ligament injuries, 12 cases were posterior cruciate ligament injury while 51 cases were anterior cruciate ligament injury, and the differences between the two kinds of injury had statistical significance (P<0.05); 32 cases were secondary traumatic arthritis. The rates of disability of knee injuries were 38.35% (Grade Ⅸ and Ⅹ). Conclusion Compound knee injuries are common, and traumatic arthritis has a relatively high rate. Multiple injuries can affect the stability and weight-bearing of the knee joint. It is suggested that in addition to evaluating the range of motion of knee joint, multiple factors should be considered to assess disability.

Key words: forensic medicine, knee injuries, menisci, tibial, ligaments, articular, cases analysis

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