Iversen Jonas Vestergård, Krogsgaard Michael Rindom
Section of Sports Traumatology M51, Bispebjerg University Hospital, Copenhagen, Denmark,
Knee Surg Sports Traumatol Arthrosc. 2014 Jan;22(1):109-11. doi: 10.1007/s00167-012-2295-9. Epub 2012 Nov 17.
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.
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。