Diagnosis of acute knee injuries with hemarthrosis

One hundred thirteen consecutive athletes, who had sustained significant acute trauma to the knee with immediate disability and the early onset of hemarthrosis but who did not have demonstrable clinical laxity, were examined under anesthesia and had arthroscopy within 3 weeks of injury (the majority...

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Bibliographic Details
Published in:The American journal of sports medicine 1980-01, Vol.8 (1), p.9-14
Main Author: Dehaven, Kenneth E.
Format: Article
Language:English
Subjects:
Athletic Injuries - complications
Athletic Injuries - diagnosis
Endoscopy
Fractures, Bone - diagnosis
Fractures, Cartilage
Hemarthrosis - diagnosis
Hemarthrosis - etiology
Humans
Knee Injuries - complications
Knee Injuries - diagnosis
Ligaments, Articular - injuries
Patella - injuries
Tibial Meniscus Injuries
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Summary:One hundred thirteen consecutive athletes, who had sustained significant acute trauma to the knee with immediate disability and the early onset of hemarthrosis but who did not have demonstrable clinical laxity, were examined under anesthesia and had arthroscopy within 3 weeks of injury (the majority within 10 days). Lesions of surgical significance were found in 102 of the 113 cases (90%). Anterior cruciate ligament tears were present in 81 (72%), of which two-thirds also had associ ated meniscus lesions. Major meniscus tears with no associated cruciate lesions were found in 17 cases (15%), osteochondral fractures in 7 cases (6%), posterior cruciate ligament tears in 3 cases (3%), and no internal derangement in 5 cases (4%). Acute knee injuries with hemarthrosis, rather than being a contraindication to arthroscopy, are in fact one of the best indications for use of this procedure.
ISSN:0363-5465
1552-3365
DOI:10.1177/036354658000800102