Traumatic haemarthrosis of the knee - Indication to acute arthroscopy

Abstract

Background and aims: The most common mechanisms of the knee injuries are distorsions and contusions. Fairly often they will result in hemarthrosis. The purpose of this study was to evaluace the fi ndings in patiens with acute traumatic hemarthrosis of the knee and based on these fi ndings estimate the necessity of acute artroscopic examination with therapeutic procedur. Material and methods: In the years 2007 and 2009 a total of 266 patients underwent acute arthroscopic examination in Department of Traumatology the Faculty Hospital Brno after the acute knee trauma. Patiens with other intraarticular bone fractures were excluded. Results: The ruptures of the ACL were the most common fi ndings (52 %), meniscal tear (27 %), dislocation of the patella(11 %) and chondral or subchondral fractures were (13 %). In 224 (84 %) cases was performed artroscopic therapeutic procedure and in only 43 (16 %) case was performed routine arthroscopic examination. Conclusions: Based on our fi ndings we believe that arthroscopic examination is necessary in patiens with acute traumatic haemarthrosis of the knee and it is better methods like NMR examination because is provided to execute therapeutic procedure.