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5 岁女孩后交叉韧带撕裂和全骺板修复缝合带增强:病例报告及文献复习。

Posterior cruciate ligament rupture and all-epiphyseal repair with suture tape augmentation in a 5-year-old girl: a case report and review of the literature.

机构信息

Department of Orthopaedic Surgery, the Third Xiangya Hospital of Central South University, Changsha, 410013, Hunan, China.

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, 15213, USA.

出版信息

BMC Pediatr. 2023 Jun 29;23(1):331. doi: 10.1186/s12887-023-04146-3.

DOI:10.1186/s12887-023-04146-3
PMID:37386372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10308658/
Abstract

INTRODUCTION

Only a few case reports regarding pediatric posterior cruciate ligament (PCL) ruptures without bone avulsion exist in the literature. The present study aims to share our experience in the diagnosis, treatment, and prognosis of a child with a proximal PCL tear.

MATERIALS AND METHODS

This article reports a 5-year-old female diagnosed with a proximal PCL tear. The ruptured PCL was repaired with an all-epiphyseal suture tape augmentation (STA) without evidence of growth plate violation.

RESULTS

The suture tape was removed under arthroscopy and revealed the PCL was re-attached at 12 months after the first surgery. And at the time of this report, 36 months after surgery, she was doing well without any problems and with negative posterior drawer test.

CONCLUSIONS

Pediatric PCL tear without bone avulsion is rare. However, the torn PCL was noticed healed based on an arthroscopic second-look.

摘要

简介

仅有少数关于儿童后十字韧带(PCL)撕裂而无骨撕脱的病例报告。本研究旨在分享我们在诊断、治疗和预后方面的经验,介绍一例儿童近端 PCL 撕裂的病例。

材料与方法

本文报告了一例 5 岁女性患者,诊断为近端 PCL 撕裂。使用全骺板缝线带增强术(STA)修复断裂的 PCL,未见生长板损伤。

结果

关节镜下取出缝线带,显示初次手术后 12 个月 PCL 重新附着。截至本报告时,手术后 36 个月,患者恢复良好,无任何问题,后抽屉试验阴性。

结论

儿童 PCL 撕裂而无骨撕脱较为罕见。然而,根据关节镜二次探查,撕裂的 PCL 已愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/316e8f02bc52/12887_2023_4146_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/8d3bd4ce0b50/12887_2023_4146_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/4273fcb3628e/12887_2023_4146_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/302bd938cf06/12887_2023_4146_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/cd5afa02d207/12887_2023_4146_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/29dca0392c58/12887_2023_4146_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/7c346018f3df/12887_2023_4146_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/294f73440d37/12887_2023_4146_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/316e8f02bc52/12887_2023_4146_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/8d3bd4ce0b50/12887_2023_4146_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/4273fcb3628e/12887_2023_4146_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/302bd938cf06/12887_2023_4146_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/cd5afa02d207/12887_2023_4146_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/29dca0392c58/12887_2023_4146_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/7c346018f3df/12887_2023_4146_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/294f73440d37/12887_2023_4146_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1f/10308658/316e8f02bc52/12887_2023_4146_Fig8_HTML.jpg

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