Epidemiology of knee injuries in children

Skak, Sören Valdemar; Jensen, Tim Toftgård; Poulsen, Torben Dam; Stürup, Jens

doi:10.3109/17453678709146348

Cited by 85 publications

(25 citation statements)

References 14 publications

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“…Many studies have reported that a tibial spine avulsion fracture is more likely than a midsubstance ACL tear because, theoretically, the ligament is stronger than the epiphyseal plate [3,4,27,29,30]. McCarroll et al [18] have reported that midsubstance tears of the ACL occur more frequently than tibial eminence fractures.…”

Section: Introductionmentioning

confidence: 99%

Management of anterior cruciate ligament injuries in skeletally immature adolescents

Shelbourne

Patel

McCarroll

1996

Knee Surg, Sports traumatol, Arthroscopy

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Anterior cruciate ligament (ACL) injuries in skeletally immature adolescents are being diagnosed and reported with increasing frequency. Nonoperative management of mid-substance ACL injuries in adolescent athletes frequently results in a high incidence of giving-way episodes, recurrent meniscal tears, and early onset of osteoarthritis. An intraarticular ACL reconstruction (using the central 10-mm patellar tendon graft) in young athletes approaching skeletal maturity provides predictable excellent knee stability, and the athletes are able to return to competitive sports with a decreased risk of recurrent meniscal and/or chondral injury. Guidelines for the management of ACL injuries in skeletally immature adolescents are presented.

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Section: Introductionmentioning

confidence: 99%

Management of anterior cruciate ligament injuries in skeletally immature adolescents

Shelbourne

Patel

McCarroll

1996

Knee Surg, Sports traumatol, Arthroscopy

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“…Tibial eminence fractures are thought to occur most frequently between ages 8 and 14 [27] with an incidence of 3 per 100,000 children per year [28]. These injuries are classified by a system based on displacement described by Meyers and McKeever [29].…”

Section: Diagnosismentioning

confidence: 99%

Pediatric ACL injuries: evaluation and management

Mall¹,

Paletta

2013

Curr Rev Musculoskelet Med

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The anterior cruciate ligament (ACL) is a stabilizing structure to both anterior translation of the tibia with respect to the femur as well as rotation of the knee joint. Children and adolescents are susceptible to these injuries, and there are some who believe the incidence of ACL injuries in this population is increasing due to year round single sport participation. Pediatric ACL injuries are typically seen in several forms: tibial avulsion fractures, partial ACL tears, and full thickness ligament tears. There were and still are some who feel that ACL injuries should be treated non-operatively in the pediatric and adolescent population; however, recent literature refutes this notion. Several factors must be considered during pediatric and adolescent ACL reconstruction, each of which will be examined in this manuscript, including: status of the physis, reconstruction technique, and graft source.

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“…Incidence in children of these injuries reported around 3 per 100000 populations per year. 2 Isolated tibial spine avulsion injuries are often overlooked. 3 Careful examination with proper treatment plan is necessary to achieve an expected outcome.…”

Section: Introductionmentioning

confidence: 99%

Anterior tibial spine (ACL avulsion) fracture treated with open reduction and fixation with screw: surgical technique, functional and clinico-radiological outcomes

et al. 2019

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Background: The anterior tibial spine fracture occurs almost at a same frequency both in adolescents and in adults. These injuries are often overlooked at emergency room. Stable internal fixation requires to gain optimum function of ACL by securing its length and nascent tension. We treated anterior tibial spine (ACL avulsion) fracture patient with open reduction and screw fixation.Methods: Study of Ten patients of anterior tibial spine (ACL avulsion) fracture, with minimum of 06 months and maximum of 18 months follow up. Classification of anterior tibial spine (ACL avulsion) a fracture done by Meyer and Mckeever. All patients operated with open reduction and internal fixation with screw via medial parapatellar approach. Functional and clinical outcome measured with Lysholm knee score at final follow up.Results: We studied 10 patients with anterior tibial spine (ACL avulsion) fractrure where mean age of patient was 36.4 years. Mean radiological healing was 10.6 weeks in anterior tibial spine (ACL avulsion) fracture. We observed mean motion of knee 133 degree in anterior tibial spine (ACL avulsion) fracture. Mean Lysholm score at final follow up was 86.8.Conclusions: Open reduction for anterior tibial spine (ACL) fracture provides direct visualization with easy application of screws ultimately confers stable osteosynthesis enables to start early range of motion and further rehabilitation protocol. Open reduction internal fixation is comparative less technically demanding, less expansive and gives excellent to good results as compared to other techniques.

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Epidemiology of knee injuries in children

Cited by 85 publications

References 14 publications

Management of anterior cruciate ligament injuries in skeletally immature adolescents

Management of anterior cruciate ligament injuries in skeletally immature adolescents

Pediatric ACL injuries: evaluation and management

Anterior tibial spine (ACL avulsion) fracture treated with open reduction and fixation with screw: surgical technique, functional and clinico-radiological outcomes

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