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[儿童和青少年创伤后膝关节关节镜检查]

[Post-traumatic knee joint arthroscopy in children and adolescents].

作者信息

Lauterburg M T, Segantini P

机构信息

Chirurgische Klinik am Schwerpunktspital Uster.

出版信息

Schweiz Z Med Traumatol. 1994(3):25-34.

PMID:7921792
Abstract

In a retrospective study we analyzed the arthroscopic findings of 166 knee-arthroscopies performed in children and young people up to the age of 16 years. A sports related trauma was present in 54%, a traffic injury in 15% and in 11% an other casualty. In 4% the precise injury was not sure and 16% did not refer any injury. Among the sports injuries (n = 90) ski injuries were the most frequent with 30% of all, followed by gymnastic injuries in 28%, soccer in 25% and other indoor sport injuries in 12%. 57% of all arthroscopies presented a hemarthrosis. The main finding of all arthroscopies was an cartilage lesion. The anterior cruciate ligament was torn in 30% and a dislocated patella was established in 22% of the arthroscopy while a meniscus injury was found in 17%. The injury of the collateral ligaments or of the retinaculum was found in 22%. In all cases of hemarthrosis origin of bleeding was found and only in 6% (n = 10) of all arthroscopy no pathological finding was established.

摘要

在一项回顾性研究中,我们分析了166例16岁及以下儿童和青少年膝关节镜检查的结果。54%的病例存在与运动相关的创伤,15%为交通伤,11%为其他意外伤害。4%的病例确切损伤情况不明,16%未提及任何损伤。在运动损伤(n = 90)中,滑雪损伤最为常见,占所有运动损伤的30%,其次是体操损伤占28%,足球损伤占25%,其他室内运动损伤占12%。所有关节镜检查病例中有57%出现关节积血。所有关节镜检查的主要发现是软骨损伤。30%的病例前交叉韧带撕裂,22%的关节镜检查发现髌骨脱位,17%发现半月板损伤。22%发现侧副韧带或支持带损伤。在所有关节积血病例中均发现了出血来源,所有关节镜检查中只有6%(n = 10)未发现病理异常。

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