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

M T Lauterburg, P Segantini
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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.

[儿童和青少年创伤后膝关节镜检查]。
在一项回顾性研究中,我们分析了166例儿童和16岁以下青少年膝关节镜检查的结果。运动相关的创伤占54%,交通伤害占15%,其他伤亡占11%。4%的人不确定确切的损伤,16%的人没有提及任何损伤。在运动损伤(n = 90)中,滑雪损伤最常见,占30%,其次是体操损伤(28%),足球损伤(25%)和其他室内运动损伤(12%)。57%的关节镜检查表现为关节血肿。所有关节镜检查的主要发现是软骨病变。30%的关节镜检查发现前交叉韧带撕裂,22%的关节镜检查发现髌骨脱位,17%的关节镜检查发现半月板损伤。伴侧韧带或视网膜带损伤占22%。在所有关节出血病例中均发现出血的来源,仅6% (n = 10)的关节镜检查未发现病理发现。
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