在6%的接受前交叉韧带重建的儿童患者中，观察到外侧半月板斜桡骨撕裂同时伴有前交叉韧带撕裂

Q3 Medicine Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-09-26 DOI:10.1016/j.asmr.2024.101012

John F. Burke M.D., Emma L. Klosterman M.D., Adam J. Tagliero M.D., Neil P. Blanchard M.D., Royce Le B.S., Antonio Almario B.S., David R. Diduch M.D.

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引用次数: 0

摘要

目的探讨行前交叉韧带（ACL）重建的儿童患者并发外侧半月板斜桡骨撕裂（LMORTs）的发生率。方法采用单中心回顾性队列设计，分析2017年7月至2023年2月期间所有18岁及以下接受ACL重建的患者。分析手术记录和术中关节镜照片以确定LMORTs的发生率。两名独立观察员审查了图像，并就LMORT发生率和每个撕裂的分类达成了一致。收集和分析人口统计学、临床和结局数据。结果310例青少年和儿童ACL重建病例中有19例（6.13%）发现半月板斜向桡骨撕裂。其中男性占68.4%。术前磁共振成像除1例外均有外侧半月板损伤征象。在LMORT患者中，7例（37%）为1型撕裂，1例（5%）为2型撕裂，7例（37%）为3型撕裂，4例（21%）为4型撕裂。结论6%的儿童前交叉韧带重建患者伴有半月板侧斜桡骨撕裂。随着LMORT损伤治疗模式的不断发展，对LMORT的认识和认识非常重要。

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Lateral Meniscal Oblique Radial Tears Were Observed Concomitantly With Anterior Cruciate Ligament Tears in 6% of Pediatric Patients Undergoing Anterior Cruciate Ligament Reconstruction

Purpose

To identify the incidence of lateral meniscal oblique radial tears (LMORTs) concomitant with anterior cruciate ligament (ACL) tears in pediatric patients undergoing ACL reconstruction.

Methods

A single-center retrospective cohort design was used to analyze all patients 18 years and younger undergoing ACL reconstruction between July 2017 and February 2023. Operative notes and intraoperative arthroscopic photos were analyzed to determine the incidence of LMORTs. Two independent observers reviewed the images and reached agreement on LMORT incidence and classification of each tear. Demographic, clinical, and outcomes data were collected and analyzed.

Results

Lateral meniscal oblique radial tears were identified in 19 of 310 (6.13%) adolescent and pediatric ACL reconstruction cases. Of these patients, 68.4% were male. All but one patient had signs of lateral meniscus injury on preoperative magnetic resonance imaging. Of the LMORT patients, 7 (37%) had a type 1 tear, 1 (5%) had a type 2 tear, 7 (37%) had a type 3 tear, and 4 (21%) had a type 4 tear.