Lauterburg M T, Segantini P
Chirurgische Klinik am Schwerpunktspital Uster.
Schweiz Z Med Traumatol. 1994(3):25-34.
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.
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。
