Hope P G
Department of Orthopaedics, Sheffield Children's Hospital, Western Bank.
J R Soc Med. 1991 Jan;84(1):29-31. doi: 10.1177/014107689108400111.
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.
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。
