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Abstract

Injuries to the knee are common among young athletes. Three percent of all injuries in children between 5–9yr of age occur at the knee. This rate is doubled in children between the ages of 10–14 (5.9%) and 15–19 (6.2%) (1). The number of knee injuries can be partially attributed to the increase in organized youth sport.

Keywords

Posterior Cruciate Ligament Patellar Tendon Anterior Cruciate Ligament Injury Medial Collateral Ligament Knee Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Public Health Agency of Canada Injury Surveillance Online. Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP). Distribution of all body parts touched by the injury. http://dsol-smed.phac-aspc.gc.ca/dsol-smed/is-sb/chirpp/Final%20BdyPrt.xls (accessed December 22, 2006).Google Scholar
  2. 2.
    Bernhardt DT. Knee and leg injuries. In: Birrer RB, Griesemer BA, Cataletto MB, eds. Pediatric Sports Medicine for Primary Care. Philadelphia: Lippincott, Williams &Wilkins; 2002Google Scholar
  3. 3.
    Davids JR. Common orthopedic problems II. Pediatr Clin N Am 1996;43(5)1067–1090.CrossRefGoogle Scholar
  4. 4.
    Fithian DC, Paxton EW, Cohen AB. Indications in the treatment of patellar instability. J Knee Surg 2004;17(1)47–56.PubMedGoogle Scholar
  5. 5.
    Stanitski, CL. Patellar instability in the school age athlete. In: Dilworth Cannon W, ed. AAOS Instructional Course Lectures. Vol. 47. Rosemont, Ill.: American Academy of Orthepedic Surgeons; 1998Google Scholar
  6. 6.
    Virolainen H, Visure T, Kuseela T. Acute dislocations of the patella: MR findings. Radiology 1993;189:243–246.PubMedGoogle Scholar
  7. 7.
    Hinton RY, and Sharma KM. Acute and recurrent patellar instability in the young athlete. Orthop Clin North Am 2003;34:385–396.CrossRefPubMedGoogle Scholar
  8. 8.
    Maenpaa H, Lehto MU. Patellar dislocation. The long term results of nonoperated managements in 100 patients. Am J Sports Med 1997;25: 213–217.CrossRefPubMedGoogle Scholar
  9. 9.
    Mikku R, Nietoscaara Y, Kallio PE, Aalto K, Michelsson JE. Operative versus closed treatment of primary dislocation of the patella: similar 2-year results in 125 randomized patients. Acta Orthop Scand 1997;68:419–423.Google Scholar
  10. 10.
    Andrade A, Thomas N. Randomized comparison of operative vs. non operative treatment following first time patellar dislocation. Presented at: The European Society of Sports Traumatology, Knee Surgery and Arthroscopy; April 2002; Rome, Italy.Google Scholar
  11. 11.
    Bales CP, Joseph HG, Moorman CT. Anterior cruciate ligament injuries in children with open physes. Am J Sport Med 2004;32(8)1978–1985.CrossRefGoogle Scholar
  12. 12.
    DeLee JC. Ligamentous injury of the knee. In: Stanitski CL, DeLee JC, Drez D, eds. Pediatric and Adolescent Sports Medicine. Vol. 3. Philadelphia: WB Saunders; 1994:406–432.Google Scholar
  13. 13.
    Prince JS, Laor T, Bean JA. MRI of anterior cruciate ligament injuries and associated findings in the pediatric knee: changes with skeletal maturation. AJR 2005;185:756–762.PubMedGoogle Scholar
  14. 14.
    Huston LJ, Greenfield ML, Wojtys EM. Anterior cruciate ligament injuries in the female athlete: potential risk factors. Clin Orthop Rel Res 2000;372:50–63.CrossRefGoogle Scholar
  15. 15.
    Kocher MS, Garg S, Micheli LJ. Physeal sparing reconstruction of the anterior cruciate ligament in skeletally immature prepubescent children and adolescents. J Bone Joint Surg 2005;87A(11):2371–2379.CrossRefGoogle Scholar
  16. 16.
    Kocher MS, Klingele K, Rassman SO. Meniscal disorders: Normal, discoid and cysts. Orthop Clin N Am 2003;34:329–340.CrossRefGoogle Scholar
  17. 17.
    Kocher, MS, Micheli LJ. The pediatric knee: evaluation and treatment. In: Insall JN, Scott WN, eds. Surgery of the knee. 3rd ed. New York: Churchill-Livingstone; 2001:1356–1397.Google Scholar
  18. 18.
    Andrish JT. Meniscal injuries in children and adolescents. J Am Acad Orthop Surg 1996;4:231–237.PubMedGoogle Scholar
  19. 19.
    Kocher MS, Di Canzio J, Zurakowski D, Micheli LJ. Diagnostic performance of clinical examination and selective magnetic resonance images in the evaluation of intra-articular knee disorders in children and adolescents. Am J Sports Med 2001;29:292–296.PubMedGoogle Scholar
  20. 20.
    Mintzer CM, Richmond JC, Taylor J. Meniscal repair in the young athlete. Am J Sport Med 1988;26:630–633.Google Scholar
  21. 21.
    Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears that extend into the vascular zone in patients younger than twenty years of age. Am J Sports Med 2002;30:589–600.PubMedGoogle Scholar
  22. 22.
    Rubman MH, Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears that extend into the avascular zone: a review of 198 single and complex tears. Am J Sports Med 1998;26:87–95.PubMedGoogle Scholar
  23. 23.
    Diduch D, Scuderi GR, Scot WN. Knee Injuries. In: Scuderi GR, McCann PD, eds. Sports Medicine: A Comprehensive Approach. 2nd ed. Philadelphia: Elsevier Mosby; 2005:346–387.Google Scholar
  24. 24.
    Mosier SM, Stanitski CL. Acute tibial tubercle avulsion fractures. J Pediatr Orthop 2004;24(2)181–184.PubMedGoogle Scholar
  25. 25.
    McKoy BE, Stanitski CL. Acute tibial tubercle avulsion fracture. Orthop Clin N Am. 2003;34:397–403.CrossRefGoogle Scholar
  26. 26.
    Hand WL, Hand CR, Dunn AW. Avulsion fractures of the tibial tubercle. J Bone Joint Surg Am 1971;53(8)1579–1583.PubMedGoogle Scholar
  27. 27.
    Stanitski CL. Acute tibial tubercle avulsion fracture. In: Stanitski CL, DeLee JC, Drez D, eds. Pediatric and Adolescent Sports Medicine. Vol. 3. Philadelphia: WB Saunders; 1994:329–334.Google Scholar
  28. 28.
    Watson-Jones R. Fractures and Joint Injuries. 5th ed. Baltimore: Williams and Wilkins;1976Google Scholar
  29. 29.
    Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg Am Mar 1980;62(2)205–215.Google Scholar
  30. 30.
    Duri ZAA, Patel DV, Aichroth PM. The immature athlete. Clin Sports Med 2002;21(3)461–482.CrossRefPubMedGoogle Scholar
  31. 31.
    Fairbank JC, Pynsent PB, van Poortvliet JA, Phillips H. Mechanical factors in the incidence of knee pain in adolescents and young adults. J Bone Joint Surg 1984;66B(5):685–693.Google Scholar
  32. 32.
    Crossley K, Bennell K, Green S, McConnell J. A systematic review of physical interventions for patellofemoral pain syndrome. Clin J Sport Med 2001;11:103–110CrossRefPubMedGoogle Scholar
  33. 33.
    Koshino T, Sugimoto K. New measurement of patellar height in the knees of children using the epiphyseal line midpoint. J Pediatr Orthop 1989;9(2)216–218PubMedGoogle Scholar
  34. 34.
    Blackburn JS, Peel TYE. A new method of measuring patellar height. J Bone Joint Surg 1977;59B(2):241–242.Google Scholar
  35. 35.
    Panni AS, Biedirt RN, Maffulli N, Tartarone M, Romanini E. Overuse injuries of the extensor mechanism in athletes. Clin Sports Med 2002:21(3);483–498.CrossRefPubMedGoogle Scholar
  36. 36.
    Safran MR, Fu FH. Uncommon causes of knee pain in the athlete. Orthop Clin N Am. 1995;26(3)547–559.Google Scholar
  37. 37.
    Fredericson M, Cookingham CL, Chaudhari AM, et al. Hip abductor weakness in distance runners with iliotibial band friction syndrome. Clin J Sport Med 2000;10(3)169–175.CrossRefPubMedGoogle Scholar
  38. 38.
    Fyfe I, Stanish WD. The use of eccentric training and stretching in the treatment and prevention of tendon injuries. Clin Sports Med 1992;11(3)601–624.PubMedGoogle Scholar
  39. 39.
    Medlar RD, Lyne ED. Sinding-Larsen-Johansson disease. J Bone Joint Surg 1978;60A:1112–1116.Google Scholar
  40. 40.
    Osgood RB. Lesions of the tibial tubercle occurring during adolescence. Boston Med Surg J 1903;148:114–117.Google Scholar
  41. 41.
    Schlatter C. Verletzungen des schnabelforminogen fortsatzes der oberen tibiaepiphyse. Beitre Klin Chir Tubing 1903;38:874–878.Google Scholar
  42. 42.
    Kujala UM, Kvist M, Heinonen O. Osgood Schlatter’s disease in adolescent athletes: retrospective study of incidence and duration. Am J Sports Med 1985;13:236–241.CrossRefPubMedGoogle Scholar
  43. 43.
    Krause BL, Williams JP, Catteral A. Natural history of Osgood Schlatter’s disease. J Pediatr Orthop 1990;10:65–69.PubMedGoogle Scholar
  44. 44.
    Mital MA, Matza RA, Cohen J. The so-called unresolved Osgood Schlatter lesion. Clin Orthop 1993;289:202–204.Google Scholar
  45. 45.
    Stanitski CL. Osteochondritis dissecans of the knee. In: Stanitski CL, DeLee JC, Drez D, eds. Pediatric and Adolescent Sports Medicine Vol. 3. Philadelphia: W.B. Saunders; 1994:387.Google Scholar
  46. 46.
    Wall E, Von Stein D. Juvenile osteochondritis dissecans. Orthop Clin N Am 2003;(34):341–353.Google Scholar
  47. 47.
    Linden B. The incidence of osteochondritis dissecans in the condyles of the femur. Acta Orthop Scand 1976;47:664–667.PubMedCrossRefGoogle Scholar
  48. 48.
    Hefti F, et al. Osteochondritis dissecans: a multicenter study of the European Pediatric Orthopedic Society. J Pediatr Orthop B 1999;8(4)231–245.CrossRefPubMedGoogle Scholar
  49. 49.
    Carroll NC, Mubarack SJ. Juvenile osteochondritis dissecans of the knee. J Bone Joint Surg 1977;59B:506.Google Scholar
  50. 50.
    Litchman HM, McCullough RW, Gandsman EJ, et al. Computerized bloodflow analysis for decision making in the treatment of osteochondritis dissecans. J Pediatr Orthop 1988;8:208–212.PubMedGoogle Scholar
  51. 51.
    Cain EL, Clancy WG. Treatment algorithm for osteochondral injuries of the knee. Clin Sport Med 2001;20(2)321–342.CrossRefGoogle Scholar
  52. 52.
    Milgram JW. Radiological and pathological manifestations of osteochondritis dissecans of the distal femur. Radiology 1978;126(2)305–311.PubMedGoogle Scholar
  53. 53.
    Cahill BR, Berg BC. 99m-Technetium phosphate compound joint scintigraphy in the management of juvenile OCD of the femoral condyles. Am J Sports Med 1983;11(5)329–335.CrossRefPubMedGoogle Scholar
  54. 54.
    Cahill BR, Phillips MR, Navarro R. The results of conservative management of juvenile osteochondritis dissecans using joint scintigraphy. A prospective study. Am J Sports Med 1989;17(5)601–605.CrossRefPubMedGoogle Scholar
  55. 55.
    Hughes JA, Cook JV, Churchill MA, Warren ME. Juvenile osteochondritis dissecans: a 5-year review of the natural history using clinical and MRI evaluation. Pediatr Radiol 2003;33:410–417.PubMedGoogle Scholar
  56. 56.
    O’Connor MA, Palaniappan M, Khan N, Bruce CE. Osteochondritis dissecans of the knee in children. J Bone Joint Surg 2002;84B:259–262.Google Scholar
  57. 57.
    Paletta GA, Bednarz PA, Stanitiski CL, et al. The prognostic value of quantitative bone scan in knee ostechondritis dissecans. Am J Sport Med 1998;26(1)7–14.Google Scholar
  58. 58.
    King JB, Cook, JL, Khan KM, Maffulli N. Patellar tendinopathy. Sports Medicine Arthrosc Rev 2000;8:86–95.CrossRefGoogle Scholar
  59. 59.
    Testa V, Capasso G, Maffulli N, et al. Ultrasound guided percutaneous longitudinal tenotomy for the management of patellar tendinopathy. Med Sci Sports Excer 1999;31(11)1509–1515.CrossRefGoogle Scholar
  60. 60.
    Ferretti A, Ippolito E, Mariani PP, et al. Jumper’s knee. Am J Sports Med. 1983;11:58–62.CrossRefPubMedGoogle Scholar
  61. 61.
    Stanitski CL. Plica. In: Stanitski CL, DeLee JC, Drez D, eds. Pediatric and Adolescent Sports Medicine. Vol. 3. Philadelphia: WB Saunders; 1994:317–319Google Scholar
  62. 62.
    Rovere GD, Adair D. Medial synovial shelf plica syndrome; treatment by intraplical steroid injection. Am J Sports Med 1985; 13:383.Google Scholar
  63. 63.
    Kelly BT, Green DW. Discoid lateral meniscus in children. Curr Opin Pediatr 2002;14:54–61.CrossRefPubMedGoogle Scholar
  64. 64.
    Bellier G, Dupont JY, Larrin M, et al. Lateral discoid menisci in children. Arthroscopy 1989;5:52–56.PubMedCrossRefGoogle Scholar
  65. 65.
    Watanabe M, Takada S, Ikeuchi H. Atlas of arthroscopy. Tokyo: Igaku-Shoin;1969.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Michelle McTimoney
    • 1
  1. 1.Department of Emergency Medicine, IWK Health CenterDalhousie UniversityHalifaxCanada

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