Jensen J E, Conn R R, Hazelrigg G, Hewett J E
Clin Sports Med. 1985 Apr;4(2):295-312.
The high percentage of significant injury associated with a hemarthrosis correlates with the findings of Noyes, DeHaven, and others. The development of significant knee swelling immediately after injury should be an alarming sign. Our study revealed a significant probability of anterior cruciate ligament tear or meniscal tear in the acute hemarthrosis. Arthroscopy in acute hemarthrosis certainly should be considered and, in many cases, performed. Although not within the scope of this article, acute arthroscopic repair of a torn meniscus, evaluation of the degree of tear of the anterior cruciate ligament, and arthroscopic repair of osteochondral fractures are all benefited by acute arthroscopic examination. Decisions in diagnosis are helped by the knee aspiration.
与关节积血相关的严重损伤比例较高，这与诺伊斯、德黑文等人的研究结果相符。受伤后立即出现明显的膝关节肿胀应是一个警示信号。我们的研究表明，急性关节积血时前交叉韧带撕裂或半月板撕裂的可能性很大。对于急性关节积血，确实应该考虑并在许多情况下进行关节镜检查。虽然本文未涉及，但急性关节镜下半月板撕裂修复、前交叉韧带撕裂程度评估以及骨软骨骨折的关节镜修复，都得益于急性关节镜检查。膝关节穿刺有助于诊断决策。
