van den Broek M, Oussedik S
Specialist Registrar in Trauma and Orthopaedics, Department of Orthopaedics, University College Hospital, London NW1 2BU.
Consultant in Trauma and Orthopaedics, Department of Orthopaedics, University College Hospital, London.
Br J Hosp Med (Lond). 2017 Aug 2;78(8):453-458. doi: 10.12968/hmed.2017.78.8.453.
Paediatric fractures around the knee are not common but their incidence seems to be increasing as a result of the increasing number of children participating in sports. Given the characteristics of the growing skeleton, specific fractures only occur in children. Diagnosis is mainly based on history, clinical examination and plain radiographs. Advanced imaging may be required in special fracture types. Although many of these injuries can be managed non-operatively, early referral to a specialist team is necessary to avoid delays in surgical management and to reduce the risk of acute or late complications.
儿童膝关节周围骨折并不常见,但由于参与体育运动的儿童数量增加,其发生率似乎在上升。鉴于生长中骨骼的特点,特定骨折仅发生于儿童。诊断主要基于病史、临床检查及X线平片。特殊骨折类型可能需要先进的影像学检查。尽管许多此类损伤可采用非手术治疗,但早期转诊至专科团队对于避免手术治疗延误及降低急、慢性并发症风险很有必要。