Observations on acute knee hemarthrosis in children and adolescents.
Diagnostic knee arthroscopic findings in 70 children aged 7-18 years with acute traumatic knee hemarthroses showed a high incidence of intraarticular lesions. Forty-seven percent of preadolescents (aged 7-12 years) had meniscal tears, and 47% had anterior cruciate ligament (ACL) tears. Forty-five percent of adolescents (aged 13-18 years) had meniscal tears and 65% had ACL tears. Osteochondral fractures accounted for 7% of the lesions. Meniscal and ACL pathology is common in children, especially adolescents. Because arthroscopy provided accurate diagnosis, specific treatment could be instituted.
Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit 48201.
C L
CL
Stanitski
J C
JC
Harvell
F
F
Fu
D000293:Adolescent; D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D002648:Child; D005260:Female; D006395:Hemarthrosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery; D000070600:Tibial Meniscus Injuries