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Arthroscopy. 2000 Nov;16(8):793-5.

Arthroscopic findings in the knees of preadolescent children: report of 23 cases.

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1
Department of Orthopaedics, Bradford Royal Infirmary, Bradford, England.

Abstract

PURPOSE:

The aim of this review was to correlate the preoperative clinical diagnoses and the diagnostic arthroscopic findings in preadolescents with knee problems. We also studied the incidence of different types of knee pathology in this age group.

TYPE OF STUDY:

Consecutive case series.

MATERIALS AND METHODS:

Twenty-three preadolescents, 13 girls and 10 boys under the age of 13 years, presenting with mechanical knee problems underwent knee arthroscopy after clinical assessment.

RESULTS:

Symptomatic plica synovialis was found to be the most frequent pathology (n = 8). This pathology was far more common in girls compared with boys. Anterior cruciate ligament injuries (n = 4) followed symptomatic plica synovialis in frequency. This was an isolated injury in all cases. The arthroscopic findings were negative in 4 patients.

CONCLUSION:

In 61% of preadolescent patients, the clinical diagnoses and arthroscopic findings were compatible and correct. The main error tended to be misdiagnosis of meniscal pathology (4 patients) and overdiagnosis (5 cases of negative arthroscopy).

PMID:
11078534
[Indexed for MEDLINE]

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