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目的 :研究青少年创伤性膝关节血肿的合理诊治措施。方法 :1997年 2月～ 1998年 8月在关节镜下诊治的 11例青少年创伤性膝关节血肿患者。本组年龄最小 11岁 ,最大 19岁 ,平均 15 .5岁。其中骨软骨骨折 8例 ,半月板损伤 2例 ,前交叉韧带 (ACL)部分断裂 1例。均在关节镜下分别行游离体取出 ,骨床修整或钻孔 ,半月板部分切除 ,关节清理。结果 :本组 11例均获得随诊 ,平均随诊 15个月 ,关节功能基本正常。结论 :青少年创伤性膝关节血肿反映关节内结构损伤 ,影像学检查等不易准确反映伤情 ,关节镜技术有诊治兼具的优势。镜下诊治是合理的 ,可行的
Objective: To study the reasonable diagnosis and treatment of traumatic knee hematoma in adolescents. Methods: From February 1997 to August 1998, 11 cases of young traumatic knee hematoma were treated under arthroscopy. The youngest 11 years old, maximum 19 years old, with an average of 15.5 years old. There were 8 cases of osteochondral fracture, 2 cases of meniscus injury and 1 case of anterior cruciate ligament (ACL) fracture. All were removed underwent autopsy, bone bed dressing or drilling, partial resection of the meniscus, joint cleanup. Results: The group of 11 patients were followed up, the average follow-up of 15 months, joint function was normal. Conclusion: Traumatic knee hematoma in adolescents reflects the intra-articular structural injury, and the imaging examination can not accurately reflect the injury. Arthroscopy has the advantages of both diagnosis and treatment. Microscopic diagnosis and treatment is reasonable and feasible