St Mary's Hospital, San Francisco, California, USA.
Arthroscopy. 2009 Dec;25(12):1453-69. doi: 10.1016/j.arthro.2009.03.011. Epub 2009 Jul 24.
Arthroscopy continues to grow as a treatment modality for pediatric and adolescent orthopaedic pathologies. In recent years arthroscopic procedures previously reserved for adult patients have become more frequently used in the treatment of younger individuals. Advancements in arthroscopic instrumentation including smaller arthroscopes and tools have made the constraint of smaller joint spaces in the pediatric and adolescent populations less of a limiting factor when addressing surgical options for care. This is valuable considering the consistent increase in pediatric sports- and activity-related injuries, of which many are treatable arthroscopically. Currently, arthroscopy is indicated for the treatment of various chronic and acute injuries of the shoulder, elbow, wrist, hip, knee, and ankle. This review aims to highlight the current literature regarding arthroscopy in this population while also offering treatment algorithms, rehabilitation guidelines, and surgical tips for various pathologies in pediatric and adolescent patients.
关节镜技术作为一种治疗儿科和青少年骨科疾病的方法不断发展。近年来,原本为成年患者保留的关节镜手术在治疗年轻患者时变得越来越普遍。关节镜器械的进步,包括更小的关节镜和工具,使得在解决儿科和青少年人群的手术选择时,关节间隙较小的限制因素变得不那么重要。考虑到儿童运动相关和活动相关损伤的持续增加,其中许多损伤可以通过关节镜治疗,这是有价值的。目前,关节镜适用于治疗肩部、肘部、腕部、髋部、膝部和踝部的各种慢性和急性损伤。本文旨在强调目前关于该人群关节镜的文献,同时提供儿科和青少年患者各种病变的治疗算法、康复指南和手术技巧。