The Painful Knee in Adolescence

  • James Robb


Knee problems are common in adolescence, and as the child approaches skeletal maturity, adult patterns of injury, particularly of the ACL, begin to emerge. It is essential not to overlook referred pain from the hip as the source of the problem, and unfortunately delays in diagnosing a slipped capital femoral epiphysis still occur. Adolescents are often active and minor trauma to the knee is commonplace, but again, it is important not to overlook a more serious diagnosis. For example, delays in diagnosing a malignant primary bone tumor of the distal femur or proximal tibia may occur because pain has been ascribed to recent minor trauma and red flag signs and symptoms have been overlooked.


Anterior Cruciate Ligament Patellar Tendon Anterior Cruciate Ligament Injury Tibial Tuberosity Complex Regional Pain Syndrome 
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  1. Detterline AJ, Goldstein JL, Rue JP, Bach Jr BR. Evaluation and treatment of osteochondritis dissecans of the knee. J Knee Surg. 2008;21:106–15.PubMedGoogle Scholar
  2. Frank JS, Gambacorta PL. Anterior cruciate ligament injuries in the skeletally immature athlete: diagnosis and management. J Am Acad Orthop Surg. 2013;21:78–87.PubMedCrossRefGoogle Scholar
  3. Pandya NK, Otsuka NY, Sanders JO. What’s new in pediatric orthopaedics. J Bone Joint Surg Am. 2014;96A:345–50.CrossRefGoogle Scholar

Further Reading

  1. Hunt DM, Macnicol MF. The knee. In: d’A Benson M, Fixsen J, Macnicol MF, Parsch K, editors. Children’s orthopaedics and fractures. 3rd ed. London/Dordrecht/Heidelberg/New York: Springer; 2010.Google Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  • James Robb
    • 1
  1. 1.OrthopaedicUniversity of St AndrewsScotlandUK

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