The immature athlete

Duri, Zaid A.A.; Patel, Dipak V.; Aichroth, Paul

doi:10.1016/s0278-5919(01)00008-4

Cited by 53 publications

(24 citation statements)

References 41 publications

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“…Stair climbing, jumping, kneeling, and running are activities that commonly exacerbate these conditions. 29 In the adolescent female population studied, Sinding-Larsen-Johannson disease and patellar tendinopathy was the second most common contributor to anterior knee pain with a prevalence of 5.0%. Of all of the anterior knee pain diagnoses, this was the only one to show a statistically significant difference between levels.…”

Section: Discussionmentioning

confidence: 93%

“…Classified as a traction apophysitis of the tibial tubercle, the condition is more commonly found in adolescent boys, but it also develops in girls between 11 and 13 years of age, coinciding with the adolescent growth spurt. 28,29 Osgood-Schlatter disease is often bilateral. 28,30 Pain is typically intermittent in nature and exacerbated with activities such as jumping, kneeling, and squatting, but it generally does not impair activities of daily function.…”

Section: Discussionmentioning

confidence: 99%

“…28,30 Pain is typically intermittent in nature and exacerbated with activities such as jumping, kneeling, and squatting, but it generally does not impair activities of daily function. 28,29 As the condition progresses, additional ossification develops around the tibial tubercle. As many as 90% of all patients with Osgood-Schlatter disease have complete resolution of symptoms without additional intervention.…”

Section: Discussionmentioning

confidence: 99%

“…28 Inflammation of the synovial plica may result in pain, catching, locking, and clicking of the knee. 29,30 A medial plica is more frequently symptomatic than a lateral plica. The initial inflammation in adolescents generally results from trauma to the anterior-medial aspect of the knee, either from a fall or blow.…”

Section: Discussionmentioning

confidence: 99%

“…The initial inflammation in adolescents generally results from trauma to the anterior-medial aspect of the knee, either from a fall or blow. 28,29 This direct trauma results in thickening and hemorrhage of the plica, leading to increased pain. Pain is the chief complaint; however, a loud clicking or snapping can also be present, which may be confused with a subluxing patella, especially in adolescent females.…”

Section: Discussionmentioning

confidence: 99%

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Expected Prevalence From the Differential Diagnosis of Anterior Knee Pain in Adolescent Female Athletes During Preparticipation Screening

Foss

Myer

Chen

et al. 2012

Journal of Athletic Training

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Context: Anterior knee pain is a common disorder in female athletes with an undefined cause. The relative prevalence of specific patellofemoral disorders associated with anterior knee pain in adolescent females remains undetermined.Objective: To determine the prevalence of specific patellofemoral disorders obtained using the differential diagnosis of anterior knee pain in adolescent female athletes during preparticipation screening.Design: Descriptive epidemiology study. Setting: Preparticipation screening evaluations at a county public school district in Kentucky.Patients or Other Participants: A total of 419 unique middle and high school-aged female athletes.Main Outcome Measure(s): Participants were evaluated by physicians for anterior knee pain over 3 consecutive basketball seasons. Given the longitudinal nature of this study, some participants were tested longitudinally over multiple years.Results: Over the course of 3 basketball seasons, 688 patient evaluations were performed. Of these, 183 (26.6%) were positive for anterior knee pain. A statistically significant difference was noted in the prevalence of anterior knee pain by school level, with 34.4% (n ¼ 67) in high school-aged athletes versus 23.5% (n ¼ 116) in middle school-aged athletes (P , .05). In the 1376 knees evaluated, patellofemoral dysfunction was the most common diagnosis, with an overall prevalence of 7.3% (n ¼ 100). The only diagnosis shown to be statistically different between age levels was Sinding-LarsenJohansson disease or patellar tendinopathy, with 38 cases (9.7%) in high school-aged and 31 (3.1%) in middle schoolaged athletes (P , .05).Conclusions: Anterior knee pain was present in 26.6% of the adolescent female athletes screened over 3 years. Symptoms of anterior knee pain likely persist after middle school-aged onset and reach peak prevalence during the high school years.

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Section: Discussionmentioning

confidence: 93%