Angel K R, Hall D J
Department of Orthopaedic Surgery, Adelaide Children's Hospital, South Australia.
Arthroscopy. 1989;5(3):192-6. doi: 10.1016/0749-8063(89)90170-9.
A retrospective review of the first 5 years' experience with arthroscopy at the Adelaide Children's Hospital was conducted. Two hundred and twelve arthroscopies were performed in 192 patients. The average period of follow-up was 5.9 months. The most common arthroscopic finding was anterior cruciate ligament (ACL) injury, followed by meniscal lesions, chondromalacia patellae, patellar dislocations, and osteochondritis dissecans. There was a high rate of associated lesions with ACL tears and acute patellar dislocation. Septic arthritis responded well to arthroscopic drainage and lavage. We concluded that arthroscopy is a safe and accurate diagnostic and therapeutic tool in childhood and adolescence. Arthroscopy is recommended when a joint is too painful to allow adequate clinical examination, in hemarthroses, for ACL injury, after acute patellar dislocation, and to treat septic arthritis. There is only a 56% chance of making a correct diagnosis on clinical grounds, which contrasts with an accuracy in excess of 99% with arthroscopy.
对阿德莱德儿童医院头5年关节镜检查经验进行了回顾性研究。192例患者共接受了212次关节镜检查。平均随访时间为5.9个月。最常见的关节镜检查结果是前交叉韧带（ACL）损伤，其次是半月板损伤、髌骨软骨软化、髌骨脱位和剥脱性骨软骨炎。ACL撕裂和急性髌骨脱位常伴有其他损伤。化脓性关节炎经关节镜引流和灌洗后效果良好。我们得出结论，关节镜检查在儿童和青少年时期是一种安全、准确的诊断和治疗工具。当关节疼痛剧烈无法进行充分的临床检查时、关节积血时、怀疑ACL损伤时、急性髌骨脱位后以及治疗化脓性关节炎时，建议使用关节镜检查。仅根据临床症状做出正确诊断的几率为56%，而关节镜检查的准确率超过99%。
