JOCHYMEK, Jiří, Šimon ONDRUŠ and Jan ŠKVAŘIL. Artroskopie kolenního kloubu u dětí a adolescentů s úrazovou anamnézou (Knee Arthroscopy in Children and Adolescents with Trauma Histories). Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca. Praha: Galén, 2012, vol. 79, No 2, p. 131-134. ISSN 0001-5415.
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Basic information
Original name Artroskopie kolenního kloubu u dětí a adolescentů s úrazovou anamnézou
Name (in English) Knee Arthroscopy in Children and Adolescents with Trauma Histories
Authors JOCHYMEK, Jiří (203 Czech Republic, guarantor, belonging to the institution), Šimon ONDRUŠ (203 Czech Republic, belonging to the institution) and Jan ŠKVAŘIL (203 Czech Republic, belonging to the institution).
Edition Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca, Praha, Galén, 2012, 0001-5415.
Other information
Original language Czech
Type of outcome Article in a journal
Field of Study 30211 Orthopaedics
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.628 in 2009
RIV identification code RIV/00216224:14110/12:00063914
Organization unit Faculty of Medicine
UT WoS 000303288900006
Keywords in English knee joint injuries; knee arthroscopy; children; adolescents
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 19/2/2013 16:54.
Abstract
V současném době představují artroskopické techniky zcela zásadní a základní postupy v diagnostice a léčbě kloubních potíží, a to především při poranění kolenního kloubu. Počáteční čistě diagnostické metody se s rychlým rozvojem zkušeností a nových instrumentárií změnily v plnohodnotné operační techniky se stále se rozrůstajícím spektrem výkonů, a to stále častěji v dětském a adolescentním věku.
Abstract (in English)
PURPOSE OF THE STUDY In this retrospective study we analysed the major indications for knee arthroscopy and the diagnoses made using it in children and adolescents who had sustained knee joint injuries. MATERIAL AND METHODS A total of 731 knee joint artroscopies were performed and retrospectively evaluated in patients under 19 years of age. The group included patients with knee joint injuries treated at our department in the 2000-2010 period. There were 413 boys (58%) and 300 girls (42%) with an average age of 14 years and 2 months. The clinical diagnosis was compared with the arthroscopic diagnosis. RESULTS The results of our comparative study were divided into three groups. The clinical diagnosis was fully confirmed in 62%, partially confirmed in 17% (combined injuries) and was wrong in 21% of the patients. In this group, the most frequent diagnosis made by arthroscopy was injury to the lateral meniscus. Arthroscopy revealed patellar dislocations in 18%, osteochondral and cartilage lesions in 16%, plica injuries in 15%, medial meniscus injuries in 14%, anterior cruciate ligament lesions in 12% and lateral meniscus injury in 8% of the patients. DISCUSSION With the number of knee injuries in children and adolescents increasing every year, the role of arthroscopy in their diagnosis and treatment is becoming increasingly important. The results of our analysis showed gradual improvement in clinical outcomes and subjective evaluation of the arthroscopic technique in children and adolescents with the history of knee injury. Some authors report difficulties with the pre-operative diagnosis at this age; our results were notably better. CONCLUSION Knee arthroscopy is a safe and effective method of a high diagnostic and therapeutic value and its use in children and adolescents should be recommended.
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