关节镜下儿童前交叉韧带异常原发性止点撕脱修复术：止点位于外侧半月板。
Arthroscopic Avulsion Repair of a Pediatric ACL with an Anomalous Primary Insertion into the Lateral Meniscus.
出版信息
HSS J. 2011 Jul;7(2):190-3. doi: 10.1007/s11420-011-9197-0. Epub 2011 Mar 11.
Abstract
BACKGROUND
Injury to the anterior cruciate ligament (ACL) in the pediatric population is becoming more common, with the majority of ruptures occurring at the tibial insertion site. However, to our knowledge, there are no reports of avulsion in which the primary ACL insertion site is the anterior lateral meniscal root.
METHODS
We report a rare case of a pediatric ACL/anterior horn of the lateral meniscus avulsion, which was successfully repaired arthroscopically.
RESULTS
In this patient, neither a mid-substance tear, nor a tibial eminence fracture was noted. Instead, the patient avulsed the tibial insertion of the ACL from its small footprint, which included an extensive attachment to the lateral meniscus.
CONCLUSIONS
We believe this developmental anomaly may provide further support of the shared embryological origin between the ACL and menisci. In this case report, we review the literature on anterior cruciate ligament injury and repair in the pediatric population.
摘要
背景
儿童前交叉韧带（ACL）损伤越来越常见，大多数断裂发生在胫骨止点处。然而，据我们所知，尚无主要 ACL 止点在前外侧半月板根部撕脱的报道。
方法
我们报告了一例罕见的儿童 ACL/外侧半月板前角撕脱伤，该伤通过关节镜成功修复。
结果
在该患者中，未见中体撕裂或胫骨隆突骨折。相反，患者从 ACL 的小止点处撕脱了胫骨止点，其中包括与外侧半月板的广泛附着。
结论
我们认为这种发育异常可能进一步支持 ACL 和半月板具有共同的胚胎起源。在本病例报告中，我们回顾了儿童前交叉韧带损伤和修复的文献。
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