Niederdöckl U, Höllwarth M
Unfallchirurgie. 1982 Jun;8(3):155-8. doi: 10.1007/BF02585675.
After injury of the knee resulting in hemarthros without any bone involvement the follow up examination showed in one third of the 28 children minor subjective complaints or minor physical or radiological abnormalities. Consistent with the literature we concluded, the routine arthroscopy after hemarthros of unknown origin in childhood is not indicated. If there are any signs of a possible serious traumatic lesion of the knee which cannot be diagnosed physically or radiologically arthroscopy is still necessary.
膝关节受伤导致关节积血且无任何骨质受累,在28名儿童中有三分之一的患者在后续检查中出现轻微的主观症状或轻微的体格检查或影像学异常。与文献一致,我们得出结论,儿童不明原因关节积血后常规关节镜检查并无必要。如果存在膝关节可能有严重创伤性损伤的任何迹象,而体格检查或影像学检查无法诊断,则关节镜检查仍然是必要的。