Juhl M, Boe S
Injury. 1986 May;17(3):171-3. doi: 10.1016/0020-1383(86)90325-6.
Seventy-six children under 16 years of age (mean age 14.5) underwent diagnostic arthroscopy of the knee. Seventeen were examined under local anaesthesia as outpatients. The referring doctors suspected a meniscal lesion in 25 cases, but in only 6 of these was the diagnosis confirmed. The surgeon's diagnosis was verified in 9 out of 31 cases; unsuspected lesions of both menisci in one knee make a total of 10 patients with meniscal lesions (10 knees, 11 menisci). The most frequent lesion found was rupture of the anterior cruciate ligament (12). Because of the arthroscopy, three minor meniscal lesions could be observed without treatment, and no menisci were totally removed. In two cases an arthrotomy would have been done on the wrong side of the knee if the operation had not been preceded by arthroscopy. Fifteen arthroscopic operations were done but only three for meniscal lesions.
76名16岁以下儿童(平均年龄14.5岁)接受了膝关节诊断性关节镜检查。其中17名作为门诊患者在局部麻醉下接受检查。转诊医生怀疑25例存在半月板损伤,但其中仅有6例确诊。外科医生的诊断在31例中有9例得到证实;单膝双侧半月板未被怀疑的损伤使共有10例患者存在半月板损伤(10个膝关节,11个半月板)。发现最常见的损伤是前交叉韧带断裂(12例)。由于进行了关节镜检查,可观察到3例轻微半月板损伤而未进行治疗,且没有半月板被完全切除。在2例病例中,如果手术前未进行关节镜检查,将会在膝关节错误的一侧进行切开手术。共进行了15例关节镜手术,但仅3例是针对半月板损伤。