ANTERIOR CRUCIATE LIGAMENT TEARS IN SKELETALLY IMMATURE PATIENTS - MENISCAL PATHOLOGY AT PRESENTATION AND AFTER ATTEMPTED CONSERVATIVE TREATMENT

被引：209

作者：

GRAF, BK

LANGE, RH

FUJISAKI, CK

LANDRY, GL

SALUJA, RK

机构：

[1] Division of Orthopedic Surgery, University of Wisconsin Hospital and Clinics, Madison, WI

[2] the Department of Pediatrics, University of Wisconsin Hospital and Clinics, Madison, WI

[3] the University of Colorado Health Science Center, Denver, CO

来源：

ARTHROSCOPY | 1992年 / 8卷 / 02期

关键词：

ANTERIOR CRUCIATE LIGAMENT; KNEE INJURY; MENISCAL TEARS; MENISCECTOMY; KNEE INSTABILITY; CHILDREN;

D O I：

10.1016/0749-8063(92)90041-9

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We evaluated 12 skeletally immature patients with acute, intrasubstance tears of the anterior cruciate ligament (ACL) and open physes for meniscal pathology. Arthrograms were completed in 10 of 12 patients, and subsequent arthroscopy confirmed 8 meniscal tears (4 medial, 4 lateral) in 6 patients. Four patients with repairable menisci underwent arthroscopic meniscal repair and stabilization. Eight patients received quadriceps and hamstrings rehabilitation and returned to sports with a brace. After return to sports, all braced patients developed instability with multiple episodes of "giving way." Average time from initial injury to first episode of instability was 7 months. Seven patients sustained further meniscal damage an average of 15 months (range 7-27 months) after initial injury. We conclude that meniscal pathology is commonly associated with ACL tears in skeletally immature patients and we recommend arthrography or arthroscopy to evaluate patients with suspected ACL tears. Brace management did not prevent instability or new meniscal tears.

引用

页码：229 / 233

页数：5

共 20 条

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