Vinagre Gustavo, Cruz Flávio, Alkhelaifi Khalid, D'Hooghe Pieter
Department of Orthopaedic Surgery and Traumatology, Hospital de Verín, Verín, Galicia, Spain. Electronic address: https://twitter.com/DrGVinagre.
Department of Orthopaedic Surgery, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
J ISAKOS. 2022 Feb;7(1):19-26. doi: 10.1136/jisakos-2020-000496. Epub 2022 Jan 11.
The prevalence of isolated meniscal injuries in children and adolescents is low; however, we see an increase mainly due to intensified sports-related activities at an early age. A meniscal repair should be attempted whenever possible as children present with increased meniscal healing potential. The diagnosis and management of meniscal tears involve both patient factors and tear characteristics: size, anatomical location and associated injuries. Special attention should be given to the feature of discoid menisci and related tears as they require a specific management plan. This state-of-the-art review highlights the most recent studies on clinical evaluation, surgical techniques, tips and tricks, pitfalls, outcomes, return-to-sports, geographical differences and future perspectives related to meniscal injuries in children and adolescents.
儿童和青少年孤立性半月板损伤的患病率较低；然而，我们发现其有所增加，主要是由于早年与运动相关的活动增多。只要有可能，就应尝试进行半月板修复，因为儿童的半月板愈合潜力更大。半月板撕裂的诊断和处理涉及患者因素和撕裂特征：大小、解剖位置及相关损伤。应特别关注盘状半月板及其相关撕裂的特征，因为它们需要特定的处理方案。这篇综述重点介绍了有关儿童和青少年半月板损伤的临床评估、手术技术、技巧、陷阱、治疗效果、恢复运动、地域差异及未来展望的最新研究。
