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Pediatric Patellofemoral pain

Steven F DeFroda, Joseph A Gil, Alex Boulos, Aristides I Cruz
Instability of the patella is a common cause of knee pain and dysfunction in pediatric and adolescent patients and can be due to several factors. Although some patients will recall a specific traumatic event others may not, requiring the diagnosis to be made on the basis of physical examination and imaging. Congenital dislocation and connective tissue disorders should also be considered, even in the setting of trauma. There are radiographic parameters that may identify causes of instability such as trochlear and patellar abnormalities, and magnetic resonance imaging can identify signs of trauma such as bony edema, loose osteochondral fragments, and increased tibial tubercle-trochlear groove distance...
September 1, 2017: Orthopedics
Sébastien Pesenti, Benjamin Blondel, Gregory Armaganian, Sébastien Parratte, Gérard Bollini, Franck Launay, Jean-Luc Jouve
Patellofemoral instability in children requires surgery when recurrent dislocation occurs. The aim of this study is to report the 5-year clinical and radiographic outcomes following lateral wedge augmentation trochleoplasty of the femoral trochlea. This is a review of 23 (mean age: 12.5 years) patients who underwent surgery for recurrent patellar dislocations related to a flat trochlea. In every case, a lateral wedge augmentation trochleoplasty was performed with preservation of the growth plate. This surgery was consistently associated with a soft tissue procedure...
September 2017: Journal of Pediatric Orthopedics. Part B
Andrew Mundy, Amy Ravindra, Jingzhen Yang, Brent H Adler, Kevin E Klingele
BACKGROUND: Our understanding of osseous morphology and pathology of the patellofemoral joint continues to improve with the use of magnetic resonance imaging (MRI), but a paucity of data currently exists in the pediatric population. OBJECTIVE: We aim to formulate a reproducible means of quantitative assessment of patellofemoral morphology in children using MRI and to describe morphological changes based on sex and age. MATERIALS AND METHODS: We identified 414 children presenting between 2002 and 2014 who obtained a knee MRI to evaluate for knee pain or clinically suspected knee pathology...
February 2016: Pediatric Radiology
Amy X Yin, Dai Sugimoto, Daniel J Martin, Andrea Stracciolini
OBJECTIVE: The purpose of this study was to analyze characteristics of dance injuries evaluated by sports medicine physicians. DESIGN: A cross-sectional epidemiological study of a 5% random probability sample of patients presenting for sports medicine evaluation between January 1, 2000, and December 31, 2009. SETTING: Sports medicine clinic of a tertiary-level pediatric medical center. PATIENTS: A total of 181 pediatric dancers (171 female and 10 male; 14...
April 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Marcus A Rothermich, Jeffrey J Nepple, Valary T Raup, June C O'Donnell, Scott J Luhmann
BACKGROUND: Several different etiologies cause knee pain in the pediatric and adolescent population, including anterior knee/patellofemoral pain, patellar instability, anterior cruciate ligament (ACL) tears, meniscal tears, osteochondritis dissecans (OCD) lesions, and discoid meniscus. The purpose of the current study was to determine the relative morbidity of different causes of knee pain in children and adolescents using the International Knee Documentation Committee (IKDC) score. METHODS: We performed a retrospective review of prospectively collected data of a cohort of pediatric and adolescent patients with knee pain who presented to a single surgeon...
April 2016: Journal of Pediatric Orthopedics
Dennis E Kramer, Yi-Meng Yen, Michael K Simoni, Patricia E Miller, Lyle J Micheli, Mininder S Kocher, Benton E Heyworth
BACKGROUND: There is a paucity of published data regarding the management of osteochondritis dissecans (OCD) lesions of the patellofemoral joint in children and adolescents. PURPOSE: To evaluate the functional outcomes of surgical management of OCD lesions of the patella and trochlea in children and adolescents. Secondary aims included elucidating predictors for higher functional outcomes and determining complication rates, surgical satisfaction, and ability to return to sports...
March 2015: American Journal of Sports Medicine
Andrea Stracciolini, Rebecca Casciano, Hilary Levey Friedman, Cynthia J Stein, William P Meehan, Lyle J Micheli
BACKGROUND: There is still much that we do not know about differences in sports injuries between young male and female athletes and the factors that may increase the risk for injuries in this regard. PURPOSE: To describe and compare differences between males and females in pediatric sports-related injuries. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A retrospective chart review was performed using a 5% random sampling (N = 2133) of medical records of children aged 5 to 17 years seen over 10 years in a sports medicine clinic at a large academic pediatric hospital...
April 2014: American Journal of Sports Medicine
Craig K Seto, Siobhan M Statuta, Ian L Solari
As more children have become involved in athletic activities and running, there has been a significant increase in overuse injuries. The young athlete with open growth plates is vulnerable to unique overuse injuries involving the apophyses, articular cartilage, and growth plate. The physician caring for these young athletes needs to be aware of these conditions to diagnose and treat them appropriately. Physicians should also be aware of the risk of overtraining and overuse injury in athletes participating in year-round sports and competition...
July 2010: Clinics in Sports Medicine
Rachel Biber, Andrew Gregory
No abstract text is available yet for this article.
May 2010: Pediatric Annals
Kristin M Houghton
Anterior knee pain is common in children and adolescents. Evaluation and management is challenging and requires a thorough history and physical exam, and understanding of the pediatric skeleton. This article will review common causes of chronic anterior knee pain in the pediatric population with a focus on patellofemoral pain.
May 4, 2007: Pediatric Rheumatology Online Journal
Theodore J Ganley, Rebecca L Gaugles, Leslie A Moroz
No abstract text is available yet for this article.
July 2006: Pediatrics in Review
K J Loud, L J Micheli
Teenaged girls constitute the fastest growing segment of children and adolescents participating in organized athletics. Adolescent girls appear to have similar injury rates as boys in comparable activities but different injury patterns. To properly diagnose and manage athletic injuries in adolescent girls, pediatric health care providers must be aware of these differences, especially as the literature and their knowledge base may be skewed to the traditional predominance of males in sport. This review identifies athletic injuries that are unique to or especially common in adolescent girls, including apophyseal injuries; breast and pelvic injuries; scoliosis and spondylolysis; multidirectional shoulder instability and "gymnast's wrist"; anterior cruciate ligament injuries and patellofemoral pain syndrome; chronic exertional lower-leg compartment syndrome, ankle sprains, and reflex sympathetic dystrophy; and stress fractures...
August 2001: Current Opinion in Pediatrics
G Thabit, L J Micheli
The pediatric extensor mechanism is subject to a variety of congenital, developmental, and traumatic disorders. Growth related factors modulate the development of patellofemoral pathomechanics. Injuries to periarticular soft tissues, apophyseal, epiphyseal, and articular cartilage are identified by meticulous history and physical examination. Diagnostic radiographs and MR imaging are invaluable adjuncts. Specific rehabilitative programs are very effective and lead to a high degree of clinical success.
October 1992: Orthopedic Clinics of North America
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