[Ligamentous and meniscal injuries of the pediatric knee joint].

Orthopadie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-08-12 DOI:10.1007/s00132-024-04539-x
Oliver Loose, Oliver Eberhardt, Thomas Wirth, Francisco Fernandez
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引用次数: 0

Abstract

Intraligamentous injuries to the anterior cruciate ligament (ACL) and meniscus injuries are rare in children and adolescents and often occur as a result of sports injuries. Clinically, they usually present as a hemarthrosis. The diagnosis of choice is the MRI examination. Surgical treatment of intraligamentary ACL injuries using the transphyseal technique is now also the gold standard treatment for children and adolescents, leg axis and length checks are necessary after surgery until growth is complete. Meniscus injuries are also addressed surgically. Postoperative follow-up treatment and rehabilitation are particularly important in order to prevent reinjury. The disc meniscus is a special entity and is also treated surgically if it is symptomatic. Isolated collateral ligament and posterior cruciate ligament ruptures are rarities.

[小儿膝关节韧带和半月板损伤]。
前交叉韧带(ACL)韧带内损伤和半月板损伤在儿童和青少年中很少见,通常是由于运动损伤造成的。在临床上,它们通常表现为血肿。首选的诊断方法是核磁共振成像检查。使用经骨膜技术对韧带内前交叉韧带损伤进行手术治疗也是目前儿童和青少年的金标准治疗方法,术后需要检查腿部轴线和长度,直到生长发育完成。半月板损伤也可通过手术治疗。术后跟踪治疗和康复对防止再次损伤尤为重要。椎间盘半月板是一个特殊的实体,如果有症状,也需要进行手术治疗。孤立的副韧带和后十字韧带断裂非常罕见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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