Author/Editor		Veselko, M; Tonin, M
Title		Artroskopski pregled poškodovanega kolena s hemartrosom
Translated title		Arthroscopic evaluation of acute traumatic hemarthrosis of the knee
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 34, št. 1
Publication year		1995
Volume		str. 101-8
Language		slo
Abstract		We studied the incidence of intraarticular injury in acutely injured stable knee with hemarthrosis. Our prospective study included 50 consecutive patients presenting at the Accidents and Emergency Centre, Ljubljana, with acute traumatic knee hemarthrosis, stable knee joint and with no radiographic evidence of intraarticular fracture. Patients with a history of previous injuries or a diagnosis of hemorrhagic disorders were not included in the study. Intraarticular injuries were evaluated arthroscopically. In 48 patients, 100 lesions to intraarticular structures were found; 2 arthroscopies were negative. There were 18 cases of isolated injuries (36 pct.). Anterior cruciate ligaments were affected in 62 pct. of cases, and the medial meniscus in 48 pct.. Sixteen patients (32 pct.) had either isolated or concomitant osteochondral lesions. Our results indicate that the presence of intraarticular blood in an acutely injured knee is compatible with a clinically relevant intraarticular damage. Accurate evaluation is a prerequisite of successful treatment, the most precise diagnostic tools being arthroscopy and magnetic resonance imaging. The advantage of arthroscopic assessment is that it allows for a simultaneous operative treatment, when necessary.
Descriptors		KNEE INJURIES HEMARTHROSIS ARTHROSCOPY