keyword
https://read.qxmd.com/read/37664368/interdisciplinary-orthopedic-management-of-pediatric-patella-dislocation-and-instability-an-educational-case-series
#1
Anthony N Baumann, Sunita R Mengers, Anne M Dumaine, Morgan B Weber, R Justin Mistovich
Pediatric patellar instability and/or dislocation is a challenging diagnosis category that requires an interdisciplinary team consisting of orthopedic surgeons and physical therapists for optimized patient outcomes. This educational case series outlines core concepts for three patients with unique patellar dislocation presentations. Case 1 is a 16-year-old male who presented with a history of five knee traumatic patellar dislocations with self-reduction and underwent knee arthroscopic surgery with debridement and microfracture of the patella chondral defect, arthroscopic lateral release to improve the patellar tilt, and medial patellofemoral ligament (MPFL) reconstruction...
August 2023: Curēus
https://read.qxmd.com/read/37197114/spontaneous-resolution-of-an-osteochondroma
#2
Joel D Badders, Kelly D Carmichael
A 13-year-old girl presented with an apparent classic osteochondroma. Because she was skeletally immature, the decision was made to observe the lesion. She returned to the clinic at age 17 for unrelated reasons and was noted to no longer have the palpable mass. Magnetic resonance imaging confirmed resolution of the osteochondroma. The age range of this case fits with reported cases of childhood osteochondromas. The mechanism of resolution has been theorized to be incorporation of the lesion back into the bone during remodeling, fractures, or pseudoaneurysms...
April 2023: Curēus
https://read.qxmd.com/read/36948569/towards-a-meaningful-self-management-intervention-to-improve-long-term-prognosis-for-adolescents-with-patellofemoral-pain-phd-academy-award
#3
JOURNAL ARTICLE
Michael Skovdal Rathleff
No abstract text is available yet for this article.
March 22, 2023: British Journal of Sports Medicine
https://read.qxmd.com/read/36565744/isolated-mpfl-reconstruction-with-soft-tissue-femoral-fixation-technique-in-54-skeletally-immature-patients-clinical-outcomes-at-2-years-follow-up-a-french-multicenter-retrospective-study
#4
JOURNAL ARTICLE
Nicolas Bremond, Renaud Prima, Pierre-Yves Rabattu, Franck Accadbled, Franck Chotel, Moritz Konkel, Ahmad Eid, Corentin Philippe, Audrey Godinho, Marco Turati, Eva Sole Cruz
BACKGROUND: Medial patello-femoral ligament (MPFL) reconstruction is one of the therapeutic options to treat patellofemoral instability. Classically, a "à la carte" treatment of skeletal and ligament abnormalities is described. This option is difficult to achieve in children because bony procedures can damage the femoral and / or tibial growth plate. The objective was to evaluate a strategy for isolated reconstruction of the MPFL in the treatment of objective patellar instabilities in children, in a large cohort...
December 21, 2022: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/36528262/patellar-dislocation-recurrence-after-pediatric-mpfl-reconstruction-bone-tunnels-and-soft-tissues-versus-suture-anchors-and-interference-screw
#5
JOURNAL ARTICLE
Adrien Zampieri, Camille Girardin, Bastien Hocquet, Raphaël Coursier, Adrien Fournier, Claire Martin, Eric Nectoux, Federico Canavese
BACKGROUND: Several Medial Patellofemoral Ligament (MPFL) reconstruction techniques have been developed, and those with soft tissue fixation are often preferred in children because they allow the growth cartilage to be preserved. Nevertheless, the recurrence rate of patellar dislocation varies widely from one series to another, with no clear superiority of one technique in the pediatric setting. The objectives of this study were to compare the results of two tendon graft fixation techniques (tendon-tendon fixation and anchor-screw fixation) by analyzing: 1) the rate of patellar dislocation recurrence, 2) clinical outcomes, 3) tourniquet time and 4) complication rate...
December 14, 2022: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/36210170/sex-and-gender-differences-in-pediatric-knee-injuries
#6
REVIEW
Bianca R Edison, Nirav Pandya, Neeraj M Patel, Cordelia W Carter
The participation of females in sports has increased significantly since the passage of Title IX. Sports participation may place young athletes at risk for knee injuries, including patellofemoral pain syndrome (PFPS), osteochondritis dissecans (OCD), and anterior cruciate ligament (ACL) rupture. Differences in anatomy, hormone production, and neuromuscular patterns between female and male athletes can contribute to disparities in knee injury rates with female athletes more vulnerable to PFPS and ACL injury...
October 2022: Clinics in Sports Medicine
https://read.qxmd.com/read/35859644/osteochondral-fractures-in-acute-patellar-dislocations-in-adolescents-midterm-results-of-surgical-treatment
#7
JOURNAL ARTICLE
Jaroslaw Felus, Bart Kowalczyk, Michal Starmach, Lukasz Wyrobek
BACKGROUND: Osteochondral fractures (OCFs) are common injuries during acute patellar dislocation (APD), carrying a high risk of early joint deterioration if left untreated. The recommended approach is reduction and stable fixation; however, data on the results of such treatment are limited. PURPOSE: To evaluate midterm results of fixation of APD-related OCFs in adolescents and to identify predictive factors for poor outcomes. STUDY DESIGN: Case series; Level of evidence, 4...
July 2022: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/35782524/peripheral-nerve-blockade-for-medial-patellofemoral-ligament-reconstruction-in-pediatric-patients-the-addition-of-a-proximal-single-injection-sciatic-nerve-block-provides-improved-analgesia
#8
JOURNAL ARTICLE
Lloyd Halpern, Clark J Kogan, Grady Arnzen
Purpose: We tested the hypothesis that the addition of a single-injection proximal sciatic nerve block to an adductor canal block would significantly reduce pain scores and opioid requirements compared to a group of patients that received only an adductor canal or femoral nerve block for medial patellofemoral ligament reconstruction in pediatric patients. The primary end-point is the number of patients achieving a Patient Acceptable Symptom State (PASS) (pain score less than four) for the entire 24-hour postoperative period in patients with and without a proximal sciatic block...
2022: Local and Regional Anesthesia
https://read.qxmd.com/read/35672477/magnetic-resonance-imaging-appearance-of-breaststroker-s-knee
#9
JOURNAL ARTICLE
Karen Y Cheng, Henry Chambers, Jerry R Dwek
Breaststroker's knee is an overuse syndrome resulting from similar repetitive movements in competitive swimmers that has been described in the orthopedic literature. The typical symptoms are medial knee pain with tenderness to palpation at the tibial collateral ligament or inferomedial patella. Despite these localizing symptoms on clinical exam, arthroscopic studies have failed to demonstrate a specific structural abnormality corresponding to this syndrome, although some have reported thickened medial synovial plica, medial-predominant synovitis or patellofemoral cartilage loss in association knee pain with breaststroke swimmers...
June 8, 2022: Pediatric Radiology
https://read.qxmd.com/read/34775189/the-45-second-anterior-knee-pain-provocation-test-a-quick-test-of-knee-pain-and-sporting-function-in-10-14-year-old-adolescents-with-patellofemoral-pain
#10
JOURNAL ARTICLE
Michael Skovdal Rathleff, Sinead Holden, Kasper Krommes, Lukasz Winiarski, Per Hölmich, Tagrid Jamal Salim, Kristian Thorborg
OBJECTIVE: To test 1) if the 45-second Anterior Knee Pain Provocation Test (AKPP-test) could differentiate between adolescents with patellofemoral pain (PFP) and pain-free controls and; 2) whether improvements in the AKPP-test over 12 weeks were associated with improvements in self-reported knee function and pain. DESIGN: Prospective cohort. PATIENTS: 151 with PFP and 50 pain-free controls (age 10-14 years). OUTCOMES: The AKPP-test was performed at baseline, 4- and 12-week follow-up...
January 2022: Physical Therapy in Sport
https://read.qxmd.com/read/34562716/adolescents-and-adults-with-patellofemoral-pain-exhibit-distinct-patellar-maltracking-patterns
#11
JOURNAL ARTICLE
Aricia Shen, Barry P Boden, Camila Grant, Victor R Carlson, Katharine E Alter, Frances T Sheehan
BACKGROUND: Chronic idiopathic patellofemoral pain is associated with patellar maltracking in both adolescents and adults. To accurately target the underlying, patient-specific etiology, it is crucial we understand if age-of-pain-onset influences maltracking. METHODS: Twenty adolescents (13.9 ± 1.4 years) and 20 adults (28.1 ± 4.9 years) female patients with idiopathic patellofemoral pain (age-of-pain-onset: < 14 and > 18 years of age, respectively) formed the patient cohort...
December 2021: Clinical Biomechanics
https://read.qxmd.com/read/34064244/complications-and-recurrence-of-patellar-instability-after-medial-patellofemoral-ligament-reconstruction-in-children-and-adolescents-a-systematic-review
#12
JOURNAL ARTICLE
Riccardo D'Ambrosi, Katia Corona, Paolo Capitani, Gianluca Coccioli, Nicola Ursino, Giuseppe Maria Peretti
BACKGROUND: This study aimed to review the data available in the current literature concerning the complications and recurrence of instability following medial patellofemoral ligament (MPFL) reconstruction for patellar instability in young and adolescent patients (those <20 years old). METHODS: A systematic review was performed based on the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Two independent reviewers searched the PubMed, Scopus, EMBASE, and Cochrane databases...
May 21, 2021: Children
https://read.qxmd.com/read/34040661/increased-incidence-of-acute-patellar-dislocations-and-patellar-instability-surgical-procedures-across-the-united-states-in-paediatric-and-adolescent-patients
#13
JOURNAL ARTICLE
Kelly H McFarlane, Ryan P Coene, Lanna Feldman, Patricia E Miller, Benton E Heyworth, Dennis E Kramer, Mininder S Kocher, Yi-Meng Yen, Matthew D Milewski
PURPOSE: Patellofemoral instability is a common cause of knee pain and dysfunction in paediatric and adolescent patients. The purpose of the study was to evaluate the frequency of patellar dislocations seen in emergency departments (EDs) and the rates of surgical procedures for patellar instability at paediatric hospitals in the United States between 2004 and 2014. METHODS: The Pediatric Health Information System database was queried for all paediatric patients who underwent surgery for patellar instability or were seen in the ED for acute patellar dislocation between 2004 and 2014...
April 19, 2021: Journal of Children's Orthopaedics
https://read.qxmd.com/read/33900221/outcomes-of-mpfl-reconstruction-utilizing-a-quadriceps-turndown-technique-in-the-adolescent-pediatric-population
#14
JOURNAL ARTICLE
Michael Fisher, Satbir Singh, Walter P Samora, Matthew C Beran, Kevin E Klingele
PURPOSE: Recurrent instability following a lateral patellar dislocation is a common indication for surgical intervention. Several surgical procedures are described in the literature to address recurrent patellar instability. Medial patellofemoral ligament (MPFL) reconstruction utilizing the quadriceps turndown technique attempts to restore medial stability. Results of the quadriceps turndown technique have previously only been reported in adult populations. The purpose of this study was to assess the safety, efficacy, and patient-reported outcomes following a quadriceps turndown MPFL reconstruction in the pediatric and adolescent population...
April 23, 2021: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/33838141/effect-of-a-psychologically-informed-intervention-to-treat-adolescents-with-patellofemoral-pain-a-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Mitchell Selhorst, Alicia Fernandez-Fernandez, Laura Schmitt, Jessica Hoehn
OBJECTIVE: To determine whether the addition of a brief psychologically informed video to traditional physical therapy influenced function (primary aim), pain, and psychological beliefs (secondary aims) among adolescents with patellofemoral pain (PFP). DESIGN: Double-blind randomized controlled trial. SETTING: Outpatient physical therapy clinics of a single pediatric hospital. PARTICIPANTS: Sixty-six adolescents with PFP (14...
July 2021: Archives of Physical Medicine and Rehabilitation
https://read.qxmd.com/read/33818701/narrative-review-knee-pain-in-the-pediatric-athlete
#16
REVIEW
Anne Kuwabara, Emily Kraus, Michael Fredericson
PURPOSE OF REVIEW: This review article seeks to highlight common youth athlete knee conditions due to overuse or trauma and elucidate differences from the adult populations. RECENT FINDINGS: Overuse conditions presented include apophysitis, osteochondritis dissecans plica syndrome, and discoid meniscus. Traumatic conditions presented include patellar instability, patellar sleeve fracture, and patellofemoral osteochondral fractures. Knee injuries affect a significant proportion of youth athletes...
June 2021: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/33818700/narrative-review-of-anterior-knee-pain-differential-diagnosis-other-than-patellofemoral-pain
#17
REVIEW
Anne Kuwabara, Michael Fredericson
PURPOSE OF REVIEW: This review presents a framework for constructing a differential diagnosis for chronic anterior knee pain associated with overuse other than patellofemoral pain. Traumatic, systemic, and pediatric injuries will not be covered. RECENT FINDINGS: From superficial to deep, the anterior knee can be conceptually organized into four layers: (1) soft tissue, (2) extensor mechanism, (3) intracapsular/extrasynovial, and (4) intra-articular. From superficial to deep, diagnoses to consider include bursitis, patellar and quadriceps tendinosis, fat pad impingement, and plica syndromes...
June 2021: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/33156034/overuse-knee-pain-in-the-pediatric-and-adolescent-athlete
#18
REVIEW
Emily Sweeney, Richard Rodenberg, James MacDonald
Overuse knee pain is common in young athletes. There are many potential overuse injuries which present with insidious onset of pain that can challenge sports medicine providers, including Osgood-Schlatter's disease, patellofemoral syndrome, osteochondritis dissecans, and stress fractures. The differential diagnosis of insidious onset knee pain also includes malignancies, infections, and rheumatologic issues. A thorough history and physical examination can guide the treating provider in making a diagnosis and appropriate treatment plan...
November 2020: Current Sports Medicine Reports
https://read.qxmd.com/read/32781268/adolescent-psychological-beliefs-but-not-parent-beliefs-associated-with-pain-and-function-in-adolescents-with-patellofemoral-pain
#19
JOURNAL ARTICLE
Mitchell Selhorst, Alicia Fernandez-Fernandez, Laura Schmitt, Jessica Hoehn
OBJECTIVES: The purpose of this study was to assess the association of adolescent and parent psychological beliefs with 1) self-reported functional ability, 2) pain and 3) objective measures of function. STUDY DESIGN: Cross-sectional study. SETTING: Pediatric Outpatient Hospital. PARTICIPANTS: Eighty-six adolescents with patellofemoral pain (PFP) (14.6 ± 1.7 years old, 62% female) and 72 parents. MAIN OUTCOME MEASURES: Patient questionnaires were used to describe pain, knee function, fear avoidance (Fear Avoidance Beliefs Questionnaire-Physical Activity; FABQ-PA), kinesiophobia (Tampa Scale for Kinesiophobia-11; TSK-11), and pain catastrophizing (Pain Catastrophizing Scale; PCS) in adolescents with PFP...
September 2020: Physical Therapy in Sport
https://read.qxmd.com/read/32674606/rasch-analysis-of-the-anterior-knee-pain-scale-in-adolescents-with-patellofemoral-pain
#20
JOURNAL ARTICLE
Mitchell Selhorst, Alicia Fernandez-Fernandez, M Samuel Cheng
OBJECTIVE: The aim of this study was to evaluate the Anterior Knee Pain Scale in a cohort of adolescents being treated conservatively for patellofemoral pain using Rasch analysis. DESIGN: This is a psychometric study. SETTING: Physical therapy clinics of a large pediatric hospital in Columbus, Ohio (United States). SUBJECTS: A total of 646 adolescent patients with patellofemoral pain (76% female, 14.6 ± 1.6 years old)...
December 2020: Clinical Rehabilitation
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