Vähäsarja V, Kinnuen P, Serlo W
Department of Surgery, Oulu University Central Hospital, Finland.
Acta Orthop Scand. 1993 Oct;64(5):580-2. doi: 10.3109/17453679308993697.
We performed diagnostic arthroscopy for acute knee trauma in 138 children and adolescents aged 13 (1-15) years. The compatibility between the clinical examination and the arthroscopic findings was 59 percent. Ligament injuries were found in 32 cases, 14 of which had rupture of the anterior cruciate ligament. The compatibility in the case of ligament injuries was 31 percent. 48 patients had dislocation of the patella, and a displaced osteochondral fragment was seen in 19, 14 of which were radiographically silent. In 37 cases of distortion of the knee a correct diagnosis would have been missed unless arthroscopy had been performed. Arthroscopy is therefore indicated in children with severe distortion of the knee, hemarthrosis and with dislocation of the patella.
我们对138名年龄在13岁（1 - 15岁）的儿童和青少年的急性膝关节创伤进行了诊断性关节镜检查。临床检查与关节镜检查结果的符合率为59%。发现32例韧带损伤，其中14例前交叉韧带断裂。韧带损伤病例的符合率为31%。48例髌骨脱位，19例可见移位的骨软骨碎片，其中14例X线片未见异常。在37例膝关节扭伤病例中，若未进行关节镜检查，将会漏诊。因此，对于膝关节严重扭伤、关节积血和髌骨脱位的儿童，建议进行关节镜检查。
