Iobst C A, Stanitski C L
Department of Orthopaedic Surgery, Medical University of South Carolina, Charleston, USA.
Clin Sports Med. 2000 Oct;19(4):621-35, vi. doi: 10.1016/s0278-5919(05)70229-5.
Skeletally immature athletes do get major knee injuries. Hemarthrosis is associated with peripheral meniscal tears, anterior cruciate ligament ruptures, tibial tubercle avulsion injuries, and patellar/femoral osteochondral fractures and cannot be ignored. The primary diagnostic tool for patients with a knee injury is a clinical examination by a physician well trained in knee evaluation. MR imaging has significant limitations in this age group. The algorithm for anterior cruciate ligament injury treatment must take into account the patient's physiologic maturity, not chronological age.
骨骼未成熟的运动员确实会遭受严重的膝盖损伤。关节积血与半月板外周撕裂、前交叉韧带断裂、胫骨结节撕脱伤以及髌股骨软骨骨折相关,不容忽视。对于膝盖受伤的患者,主要的诊断工具是由在膝盖评估方面训练有素的医生进行临床检查。磁共振成像在这个年龄组有显著局限性。前交叉韧带损伤的治疗方案必须考虑患者的生理成熟度,而非实际年龄。