Hemarthrosis After Trauma to the Pediatric Knee Joint: What Is the Value of Magnetic Resonance Imaging in the Diagnostic Algorithm?

Wessel, Lucas; Scholz, Stefan; Rüsch, Martin; Köpke, Julian; Loff, Steffan; Duchene, Werner; Waag, Karl-Ludwig

doi:10.1097/01241398-200105000-00015

Cited by 41 publications

(36 citation statements)

References 16 publications

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“…Those numbers correspond to our experience with arthroscopically controlled intraarticular damage of the knee joint which was detected by MRI with adequate planes before [6]. The repeated MRI-pictures combined with the clinical findings confirm the ruptured anterior cruciate ligament in the presented case.…”

Section: Discussionsupporting

confidence: 86%

Ligamentous rupture of the ACL associated with dislocated fracture of the proximal tibial physis in a 12-year-old boy

Scholz

Köpke²,

Wessel³

2002

BMC Musculoskelet Disord

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Section: Discussionsupporting

confidence: 86%

Ligamentous rupture of the ACL associated with dislocated fracture of the proximal tibial physis in a 12-year-old boy

Scholz

Köpke²,

Wessel³

2002

BMC Musculoskelet Disord

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“…The apparent increase in the incidence of this injury has been attributed to an increased participation in sporting activities among the young, but the introduction of MRI and arthroscopy may partially account for the increased frequency of this diagnosis. 28,29 The conservative treatment of these injuries has been consistently associated with poor outcomes, including progressive instability, meniscal injuries and osteoarthrosis. Aichroth, Patel and Zorrilla 30 followed 23 patients managed conservatively for six years, by which time all had instability and ten had signs of arthrosis.…”

Section: Discussionmentioning

confidence: 99%

Transphyseal reconstruction of the anterior cruciate ligament in prepubescent children

Liddle

Imbuldeniya

Hunt

2008

The Journal of Bone and Joint Surgery. British volume

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We present the results of 17 children of Tanner stage 1 or 2 who underwent reconstruction of the anterior cruciate ligament between 1999 and 2006 using a transphyseal procedure, employing an ipsilateral four-strand hamstring graft. The mean age of the children was 12.1 years (9.5 to 14). The mean follow-up was 44 months (25 to 100). Survival of the graft, the functional outcome and complications were recorded. There was one re-rupture following another injury. Of the remaining patients, all had good or excellent results and a normal International Knee Documentation Committee score. The mean post-operative Lysholm score was 97.5 (SD 2.6) and the mean Tegner activity scale was 7.9 (SD 1.4). One patient had a mild valgus deformity which caused no functional disturbance. No other abnormality or discrepancy of leg length was seen. Measurements with a KT1000 arthrometer showed no significant difference between the normal and the operated legs. In this small series, transphyseal reconstruction of the anterior cruciate ligament appeared to be safe in these young children.

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“…The MRI is the diagnostic tool of choice when an aetiologic diagnosis of traumatic haemarthrosis could not be done with radiographic views [17]. Painless and without irradiation, the MRI can perform a full knee exploration [18].…”

Section: Discussionmentioning

confidence: 99%

Surgical management of type II tibial intercondylar eminence fractures in children

Louis¹,

Guillaume²,

Launay³

et al. 2008

Journal of Pediatric Orthopaedics B

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The objective of this study was the evaluation of the therapeutic options in type II tibial intercondylar eminence fractures. Seventeen children were treated surgically. Open reduction, curettage of the fracture area and internal fixation were performed. The average follow-up was 3 years. No reduction in sport activities or instability have been noted. The average Lysholm score was 99.7 at the latest follow-up. We recommend the surgical procedure for type II tibial intercondylar eminence fractures in children. Surgical treatment with the curettage of the fracture area limits risks of residual knee laxity and could improve the risks of arthritis decompensation and meniscus lesion at long-term follow-up.

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Hemarthrosis After Trauma to the Pediatric Knee Joint: What Is the Value of Magnetic Resonance Imaging in the Diagnostic Algorithm?

Cited by 41 publications

References 16 publications

Ligamentous rupture of the ACL associated with dislocated fracture of the proximal tibial physis in a 12-year-old boy

Ligamentous rupture of the ACL associated with dislocated fracture of the proximal tibial physis in a 12-year-old boy

Transphyseal reconstruction of the anterior cruciate ligament in prepubescent children

Surgical management of type II tibial intercondylar eminence fractures in children

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