ACL治疗的证据在MRI上5年加隆研究参与者(男,31岁的时候受伤)随机分为康复和可选ACLR推迟。(A)矢状短基线τ反转恢复(搅拌)MRI显示完整的ACL的中断,这是被描绘成hyperintense加厚结构(箭头)。此外,图片描绘了一个特征外伤性骨髓病变(也称为骨挫伤)后外侧胫骨(箭头所指)。(B) 3个月随访MRI显示完整的解决骨挫伤。有开始疤痕形成过程中部分hypointensity ACL。伤疤仍显著增厚。(C)在1年,几乎完全正常化的疤痕形成re-ligamentisation和常规课程。有一些剩余intraligamentous hyperintensity(箭头)。(D)在受伤后2年有完整结构正常化和信号指示愈合的韧带。(E) 5年持续规范化与普通ACL和信号强度是描述(箭头)。 (F) Corresponding coronal STIR MRI at baseline confirms the disrupted hyperintense ACL near the proximal femoral attachment (arrowhead). There are large bone contusions at the medial and lateral tibia and lateral femur (arrowheads). (G) At 5 years, normalization with a now hypointense healed ACL is shown also in the coronal STIR image. There is compete resolution of bone contusions. ACL, anterior cruciate ligament; ACLR, ACL reconstruction; KANON, Knee Anterior Cruciate Ligament Nonsurgical vs Surgical Treatment. Credit:英国运动医学杂志》上(2022)。DOI: 10.1136 / bjsports - 2022 - 105473。https://bjsm.bmj.com/content/early/2022/11/03/bjsports - 2022 - 105473
