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[Internal knee injuries in children].

S Arndt1, L Besch, D Havemann

  • 1Klinik für Unfallchirurgie, Christian-Albrechts-Universität, Kiel.

Der Unfallchirurg
|September 15, 1999
PubMed
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Internal knee injuries are rare in children but common in sports. Surgery is often best, but some procedures yield poor results, highlighting the need for physiotherapy to manage sensorimotor deficits.

Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Trauma Surgery

Background:

  • Internal knee lesions from trauma are uncommon in children.
  • Current diagnostic and therapeutic approaches are often empirical.
  • Pediatric knee injuries require specific management considerations.

Purpose of the Study:

  • To evaluate and recommend treatment strategies for traumatic internal knee lesions in children.
  • To analyze injury patterns in relation to age and trauma type.
  • To assess the efficacy of different surgical interventions.

Main Methods:

  • Retrospective, controlled study of 76 children (up to age 16) with traumatic internal knee lesions.
  • Analysis of injury patterns based on age and mechanism of trauma.

Related Experiment Videos

  • Evaluation of surgical outcomes for various knee injuries.

    • Main Results:

    • Anterior cruciate ligament (ACL) injuries were most frequent, primarily from sports.
    • Osseous avulsions of cruciate and collateral ligaments had good outcomes with transosseous refixation.
    • Suturing of intraligamentous ACL ruptures and patellar ligament plasty showed unsatisfactory results.
    • Secondary instability and sensorimotor dysfunction were observed.

    Conclusions:

    • Operative treatment is generally recommended for traumatic internal knee lesions in children.
    • Specific surgical techniques yield variable results, necessitating careful selection.
    • Physiotherapy is crucial for managing sensorimotor deficits post-trauma, surgery, or immobilization.