论文部分内容阅读
小儿盘状软骨损伤很少见。Smillie在1300例半月板损伤的报告中,仅有29例为盘状软骨损伤。但我们收治的半月软骨损伤25例中有15例盘状软骨损伤,现报告如下: 1 临床资料 1.1 一般资料 自1981年～1991年共收治14岁以下盘状软骨损伤15例。占同期收治半月软骨损伤的60％(15/25)。均为女性。均为外侧,左膝5例,右膝9例。双膝1例。就诊年龄从8～14岁,平均10.1岁,发病时间从6个月～1.5年,平均9个月。 1.2 临床表现 15例均有不同程度的疼痛;3例有明显外伤史;5例有打软腿现象;6例膝关节有明显肿胀;4例膝关节伸直受限20°～30°;9例有绞锁;8例有弹响;麦氏征阳性8例。所有病人x线片未显示特殊病变。对其中6例行膝关节充气造影术,X线片显示1例盘状软骨有水平层状撕裂。2例内侧厚外侧薄,其中1例中央部位断裂。1例盘状软骨前部损伤,1例盘状软骨如枣核状,中间厚,内外侧薄。1例未见异常。 1.3 结果 15例病人除1例未见损伤外,共行15例次手术,术中见婴儿型4例;中间型4例;原始型7例。前的撕裂3例;层状水平撕裂3例;桶柄状撕裂伤3例;斜形损伤1例;1例为盘状软骨松驰,盘状软骨无
Pediatric disc injury is rare. Of the 1300 meniscus injuries reported by Smillie, only 29 were discoid cartilage lesions. However, we treated 25 cases of semilunar cartilage injury in 15 cases of discoid cartilage injury, are reported as follows: 1 Clinical data 1.1 General Information From 1981 to 1991 were treated under the age of 14, 15 cases of discoid cartilage injury. Accounting for 60% (15/25) of half-cartilage injuries in the same period. All women. All were lateral, left knee in 5 cases, right knee in 9 cases. 1 case of knees. Treatment age from 8 to 14 years old, average 10.1 years old, onset time from 6 months to 1.5 years, an average of 9 months. 1.2 Clinical manifestations of 15 patients had varying degrees of pain; 3 cases of obvious history of trauma; 5 cases of playing soft leg phenomenon; 6 cases of significant swelling of the knee; 4 cases of knee extension limited 20 ° ~ 30 °; 9 There are cases of twist lock; 8 cases snapping; Mark’s sign positive in 8 cases. All patient x-rays showed no specific disease. Among them, knee arthroplasty was performed in 6 cases. X-ray showed that there was horizontal lamellar tear in 1 case of disc cartilage. In 2 cases, the medial thickness was thin and the central part was ruptured in 1 case. 1 case of anterior cartilage injury, 1 case of disc cartilage, such as jujube nucleus, the middle thick, thin inside and outside. 1 case no abnormalities. 1.3 Results 15 patients in addition to 1 case no injury, a total of 15 cases of subtotal surgery, intraoperative see infantile 4 cases; 4 cases of intermediate type; primitive type in 7 cases. 3 cases of lamellar horizontal tear, 3 cases of barrel-shaped laceration, 1 case of oblique injury, 1 case of discoid cartilage relaxation and discoid cartilage