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儿童内侧半月板后根部胫骨撕脱骨折

Tibial avulsion fracture of the posterior root of the medial meniscus in children.

作者信息

Iversen Jonas Vestergård, Krogsgaard Michael Rindom

机构信息

Section of Sports Traumatology M51, Bispebjerg University Hospital, Copenhagen, Denmark,

出版信息

Knee Surg Sports Traumatol Arthrosc. 2014 Jan;22(1):109-11. doi: 10.1007/s00167-012-2295-9. Epub 2012 Nov 17.

DOI:10.1007/s00167-012-2295-9
PMID:23160847
Abstract

Few reports have described avulsion fractures of the posterior root of the medial meniscus in skeletally immature patients. This lesion should not be overlooked as it damages the load absorptive (distributive) function of the meniscus, increasing the risk of cartilage degeneration. Two cases of displaced avulsion fractures of the posterior root of the medial meniscus in children are presented along with a concise report of the literature regarding avulsion fractures of the posterior root of the medial meniscus. Both avulsions were reattached arthroscopically by trans-tibial pull-out sutures with a good clinical result at 2-years follow-up, and in one case, the avulsion was found at re-arthroscopy after 6 weeks to have healed.

摘要

鲜有报道描述骨骼未成熟患者内侧半月板后根撕脱骨折。该损伤不应被忽视,因为它会损害半月板的负荷吸收(分布)功能,增加软骨退变风险。本文报告两例儿童内侧半月板后根移位撕脱骨折病例,并简要回顾有关内侧半月板后根撕脱骨折的文献。两例撕脱均通过经胫骨拉出缝线在关节镜下重新固定,随访2年临床效果良好,其中1例在6周后再次关节镜检查时发现撕脱已愈合。

相似文献

1
Tibial avulsion fracture of the posterior root of the medial meniscus in children.儿童内侧半月板后根部胫骨撕脱骨折
Knee Surg Sports Traumatol Arthrosc. 2014 Jan;22(1):109-11. doi: 10.1007/s00167-012-2295-9. Epub 2012 Nov 17.
2
Tibial avulsion fracture of the posterior root of the medial meniscus in a skeletally-immature child - a case report.一名骨骼未成熟儿童内侧半月板后根部胫骨撕脱骨折——病例报告
Knee. 2011 Jan;18(1):62-5. doi: 10.1016/j.knee.2010.01.007. Epub 2010 Mar 3.
3
Simultaneous avulsion fracture of the posterior medial and posterior lateral meniscus root: a case report and review of the literature.后内侧和后外侧半月板根部同时撕脱骨折:病例报告并文献复习。
Arch Orthop Trauma Surg. 2014 Apr;134(4):509-14. doi: 10.1007/s00402-013-1915-2. Epub 2013 Dec 13.
4
Root avulsion of the posterior horn of the medial meniscus in skeletally immature patients.骨骼未成熟患者内侧半月板后角根部撕脱
Knee. 2014 Dec;21(6):1291-6. doi: 10.1016/j.knee.2014.07.001. Epub 2014 Jul 15.
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Tibial tuberosity avulsion fracture combined with meniscal tear.胫骨结节撕脱骨折合并半月板撕裂
Arthroscopy. 1999 Oct;15(7):766-9. doi: 10.1016/s0749-8063(99)70010-1.
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Displaced avulsion fracture of medial meniscus posterior horn through the intercondylar notch in the patient without combined ligamentous injuries.患者无合并韧带损伤,后内侧半月板角通过髁间切迹撕脱性移位骨折。
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Avulsion of the anterior medial meniscus root: case report and surgical technique.前内侧半月板根部撕脱:病例报告及手术技术
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Pull-out suture in posterior root avulsion fracture of the medial meniscus: 2 cases.内侧半月板后根部撕脱骨折的拉出式缝合术:2例报告
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引用本文的文献

1
Differences Between Traumatic and Degenerative Medial Meniscus Posterior Root Tears: A Systematic Review.创伤性与退变性内侧半月板后根撕裂的差异:一项系统评价
Am J Sports Med. 2025 Jan;53(1):228-233. doi: 10.1177/03635465241237254. Epub 2024 Apr 10.
2
Traumatic avulsion of the anterior medial meniscus root combined with PCL injury: a case report.前内侧半月板根部创伤性撕脱合并后交叉韧带损伤:一例报告
BMC Musculoskelet Disord. 2020 Sep 30;21(1):642. doi: 10.1186/s12891-020-03671-x.
3
Avulsion of the anterior medial meniscus root: case report and surgical technique.

本文引用的文献

1
Dynamic contact mechanics of radial tears of the lateral meniscus: implications for treatment.外侧半月板径向撕裂的动态接触力学:治疗意义。
Arthroscopy. 2012 Mar;28(3):372-81. doi: 10.1016/j.arthro.2011.08.287. Epub 2011 Nov 9.
2
Pull-out suture in posterior root avulsion fracture of the medial meniscus: 2 cases.内侧半月板后根部撕脱骨折的拉出式缝合术:2例报告
J Orthop Sci. 2012 Jan;17(1):98-103. doi: 10.1007/s00776-011-0078-7. Epub 2011 May 18.
3
Treating anterior cruciate ligament tears in skeletally immature patients.治疗骨骼未成熟患者的前交叉韧带撕裂。
前内侧半月板根部撕脱:病例报告及手术技术
Knee Surg Sports Traumatol Arthrosc. 2015 Jan;23(1):146-51. doi: 10.1007/s00167-013-2462-7. Epub 2013 Mar 1.
Arthroscopy. 2011 May;27(5):704-16. doi: 10.1016/j.arthro.2010.11.062.
4
Tibial avulsion fracture of the posterior root of the medial meniscus in a skeletally-immature child - a case report.一名骨骼未成熟儿童内侧半月板后根部胫骨撕脱骨折——病例报告
Knee. 2011 Jan;18(1):62-5. doi: 10.1016/j.knee.2010.01.007. Epub 2010 Mar 3.
5
Displaced avulsion fracture of medial meniscus posterior horn through the intercondylar notch in the patient without combined ligamentous injuries.患者无合并韧带损伤,后内侧半月板角通过髁间切迹撕脱性移位骨折。
Knee Surg Sports Traumatol Arthrosc. 2011 Feb;19(2):165-7. doi: 10.1007/s00167-010-1060-1. Epub 2010 Feb 9.
6
Arthroscopic repair of avulsion of the posterior root and body of the lateral meniscus: a twenty-year follow-up. A case report.关节镜下外侧半月板后根部及体部撕脱伤修复:20年随访。病例报告。
J Bone Joint Surg Am. 2009 Dec;91(12):2932-6. doi: 10.2106/JBJS.H.01795.
7
Biomechanical consequences of a tear of the posterior root of the medial meniscus. Surgical technique.内侧半月板后根部撕裂的生物力学后果。手术技术。
J Bone Joint Surg Am. 2009 Oct 1;91 Suppl 2:257-70. doi: 10.2106/JBJS.I.00500.
8
Medial meniscus posterior horn avulsion.内侧半月板后角撕脱
J Am Acad Orthop Surg. 2009 May;17(5):276-83. doi: 10.5435/00124635-200905000-00002.
9
Effects of medial meniscus posterior horn avulsion and repair on tibiofemoral contact area and peak contact pressure with clinical implications.内侧半月板后角撕脱及修复对胫股关节接触面积和峰值接触压力的影响及其临床意义
Am J Sports Med. 2009 Jan;37(1):124-9. doi: 10.1177/0363546508323254. Epub 2008 Sep 24.
10
Posterior root avulsion fracture of the medial meniscus in an adolescent female patient with surgical reattachment.一名接受手术重新附着治疗的青春期女性患者内侧半月板后根撕脱骨折
Am J Sports Med. 2008 Apr;36(4):789-92. doi: 10.1177/0363546507308195. Epub 2007 Nov 6.