Loose Oliver, Eberhardt Oliver, Wirth Thomas, Fernandez Francisco
Klinikum Stuttgart, Orthopädische Klinik Olgahospital, Kriegsbergstr. 62, 70174, Stuttgart, Deutschland.
Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
Orthopadie (Heidelb). 2024 Aug;53(8):557-566. doi: 10.1007/s00132-024-04539-x. Epub 2024 Aug 12.
Intraligamentous injuries to the anterior cruciate ligament (ACL) and meniscus injuries are rare in children and adolescents and often occur as a result of sports injuries. Clinically, they usually present as a hemarthrosis. The diagnosis of choice is the MRI examination. Surgical treatment of intraligamentary ACL injuries using the transphyseal technique is now also the gold standard treatment for children and adolescents, leg axis and length checks are necessary after surgery until growth is complete. Meniscus injuries are also addressed surgically. Postoperative follow-up treatment and rehabilitation are particularly important in order to prevent reinjury. The disc meniscus is a special entity and is also treated surgically if it is symptomatic. Isolated collateral ligament and posterior cruciate ligament ruptures are rarities.
儿童和青少年前交叉韧带（ACL）的韧带内损伤和半月板损伤较为罕见，通常是运动损伤所致。临床上，它们通常表现为关节积血。首选的诊断方法是MRI检查。目前，采用经骨骺技术对韧带内ACL损伤进行手术治疗也是儿童和青少年的金标准治疗方法，术后直至生长发育完成前，必须进行下肢轴线和长度检查。半月板损伤也需手术治疗。术后随访治疗和康复对于预防再次受伤尤为重要。盘状半月板是一种特殊情况，如果有症状也需手术治疗。孤立的侧副韧带和后交叉韧带断裂较为罕见。
