Haupt P R, Reek A
Aktuelle Traumatol. 1987 Apr;17(2):43-7.
The diagnostic value of arthroscopy in hemarthrosis of unknown origin of the knee joint in children is analysed on the basis of reports in the literature and our own patients. Of a total of 325 acute arthroscopies, 12 were carried out in children. 14 individual findings were made: 3 ruptures (non osseous) of anterior cruciate ligament, 4 meniscal tears, 4 osteochondral lesions, 1 cartilage damage in spontaneously repositioned patellar luxation and 2 other findings. Surgical treatment was indicated in 7 out of the 12 children. Acute arthroscopy is rarely employed in children. This is because corresponding injuries are very much rarer as a whole and not because the conditions are less serious. In our opinion, acute arthroscopy is called for in a greater number of pediatric patients than previously practiced.
基于文献报道及我们自己的病例，分析关节镜检查对儿童不明原因膝关节积血的诊断价值。在总共325例急性关节镜检查中，有12例是对儿童进行的。共发现14种情况：前交叉韧带3处（非骨性）断裂、半月板撕裂4处、骨软骨损伤4处、自发性复位髌骨脱位伴软骨损伤1处以及其他2种情况。12例儿童中有7例需要手术治疗。急性关节镜检查在儿童中很少使用。这是因为相应损伤总体上要少见得多，而非病情不那么严重。我们认为，与以往相比，需要对更多的儿科患者进行急性关节镜检查。
