Beck Nicholas A, Patel Neeraj M, Ganley Theodore J
aDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota bDepartment of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York cDivision of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
J Pediatr Orthop B. 2014 Jan;23(1):59-66. doi: 10.1097/BPB.0b013e3283655c94.
As the popularity and intensity of children's athletics have increased, so has the risk for knee injuries. Fractures of the tibial eminence may be treated operatively or nonoperatively depending on fracture classification, but arthrofibrosis is a potentially significant complication. Anterior cruciate ligament rupture presents treatment challenges as regards the optimal timing and method of reconstruction. A number of novel reconstructive techniques have been developed to minimize risks to the physes in this population. Recent studies have focused on the prognosis, surgical indications, and operative techniques for osteochondritis dissecans in children. A number of authors have also sought to better-define the optimal diagnostic testing and management of patellar dislocation. In this review, we provide an update on current concepts for tibial eminence fractures, anterior cruciate ligament injuries, osteochondritis dissecans of the knee, and patellar dislocation in young athletes.
随着儿童体育运动的普及和强度增加，膝盖受伤的风险也随之上升。胫骨髁间隆起骨折可根据骨折分类进行手术或非手术治疗，但关节纤维化是一种潜在的严重并发症。前交叉韧带断裂在重建的最佳时机和方法方面带来了治疗挑战。已经开发了许多新颖的重建技术，以将该人群中骺板的风险降至最低。最近的研究集中在儿童剥脱性骨软骨炎的预后、手术指征和手术技术上。许多作者还试图更好地定义髌骨脱位的最佳诊断测试和管理方法。在这篇综述中，我们提供了关于年轻运动员胫骨髁间隆起骨折、前交叉韧带损伤、膝关节剥脱性骨软骨炎和髌骨脱位的当前概念的最新信息。
