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儿童关节镜检查

Arthroscopy in children.

作者信息

Hope P G

机构信息

Department of Orthopaedics, Sheffield Children's Hospital, Western Bank.

出版信息

J R Soc Med. 1991 Jan;84(1):29-31. doi: 10.1177/014107689108400111.

Abstract

Arthroscopy was performed on the knees of 67 children aged 2-16 years with an overall clinical diagnostic accuracy of 45%. The most common clinical diagnoses were meniscal tear and patello-femoral pain and the accuracy of these diagnoses was 33% and 59% respectively. Diagnostic accuracy seemed unrelated to age. Arthroscopy led to definitive treatment which relieved symptoms in 21 (31%) of cases, revealed a diagnosis only in 43 (64%), and was non-contributory in 3 (4.5%). The procedure did not significantly help patients with patello-femoral pain.

摘要

对67名年龄在2至16岁的儿童的膝盖进行了关节镜检查,总体临床诊断准确率为45%。最常见的临床诊断是半月板撕裂和髌股关节疼痛,这些诊断的准确率分别为33%和59%。诊断准确率似乎与年龄无关。关节镜检查导致了确定性治疗,21例(31%)症状得到缓解,43例(64%)仅明确了诊断,3例(4.5%)未提供有用信息。该手术对髌股关节疼痛患者没有显著帮助。

相似文献

1
Arthroscopy in children.儿童关节镜检查
J R Soc Med. 1991 Jan;84(1):29-31. doi: 10.1177/014107689108400111.
2
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Acta Orthop Scand. 1980 Apr;51(2):297-302. doi: 10.3109/17453678008990802.
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引用本文的文献

本文引用的文献

1
Isolated fractures of the intercondylar eminence of the tibia.胫骨髁间隆起孤立性骨折。
Am J Surg. 1958 Apr;95(4):593-8. doi: 10.1016/0002-9610(58)90441-0.
2
The role of arthroscopy in children.关节镜检查在儿童中的作用。
J Pediatr Orthop. 1982 Aug;2(3):243-7. doi: 10.1097/01241398-198208000-00002.
3
Arthroscopy of the knee in children.
Clin Orthop Relat Res. 1982 Jan-Feb(162):103-7.
4
Diagnostic arthroscopy of the knee in children.儿童膝关节诊断性关节镜检查
J Bone Joint Surg Br. 1984 Aug;66(4):535-7. doi: 10.1302/0301-620X.66B4.6746688.
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The treatment of patellar instability by lateral release.
J Bone Joint Surg Br. 1984 May;66(3):344-8. doi: 10.1302/0301-620X.66B3.6725343.
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Fracture of the anterior tibial spine in children.
J Pediatr Orthop. 1984 Aug;4(4):465-8. doi: 10.1097/01241398-198408000-00015.
8
Knee instability after fractures of the intercondylar eminence of the tibia.
J Pediatr Orthop. 1984 Aug;4(4):462-4. doi: 10.1097/01241398-198408000-00014.

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