In the period January 1985 to December 1992,69 Chinese boys and 20 Chinese girls (average 14.6 years, age range 6 to 16 years) with a total of 92 involved knees underwent examination under anaesthesia and knee arthroscopy.
Two thirds of the patients were engaged in sports activities.
A haemarthrosis was present in 51 patients.
In one patient, Staphylococcus aureus was shown, and in two children a serous-purulent aspirate grew Mycobacterium tuberculosis.
The lateral meniscus was torn in four knees and the medial meniscus in six.
An intact discoid lateral meniscus was found in five girls.
Three partial anterior cruciate ligament (ACL) tears, three complete ACL tears and two posterior cruciate ligament tears were diagnosed.
One child had an osteochondral defect of the lateral femoral condyle accompanying an ACL and a lateral meniscal tear.
Nonspecific synovitis of unknown etiology was diagnosed in six patients who had presented subacutely with at least a 2-month history of a symptomatic monoarticular knee effusion with low grade local inflammation and no history of major trauma.
The synovitis gradually resolved over a 6-to 10-month period after arthroscopy.
Knee arthroscopy in children and adolescent patients is safe, gives a high diagnostic accuracy, and allows treatment of a variety of intraarticular conditions. (...)
Mots-clés Pascal : Hémarthrose, Articulation, Rupture tissu, Ligament croisé, Ostéochondrite disséquante, Synovite, Arthroscopie, Epidémiologie, Enfant, Homme, Chine, Asie, Hémorragie, Système ostéoarticulaire pathologie, Arthropathie, Traumatisme, Ostéopathie, Endoscopie
Mots-clés Pascal anglais : Hemarthrosis, Joint, Tissue rupture, Cruciate ligament, Osteochondritis dissecans, Synovitis, Arthroscopy, Epidemiology, Child, Human, China, Asia, Hemorrhage, Diseases of the osteoarticular system, Arthropathy, Trauma, Bone disease, Endoscopy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0197163
Code Inist : 002B24E05. Création : 21/05/1997.