Hans Christian S. Vistisen , Mathias Clausen , Rasmus Elsoe , Sinan Mouaayad Abdulaimma Said , Peter Larsen
{"title":"Incidence and epidemiology of knee dislocation","authors":"Hans Christian S. Vistisen , Mathias Clausen , Rasmus Elsoe , Sinan Mouaayad Abdulaimma Said , Peter Larsen","doi":"10.1016/j.orthtr.2025.11.002","DOIUrl":"10.1016/j.orthtr.2025.11.002","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to provide up-to-date information concerning the incidence of KDs. Secondary aims were to report the injury distribution according to the Schenck classification and describe the mode of injury and patients’ basic characteristics.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional, retrospective review of all patients with an ICD10-code suggestive of KD between 1 January 2002 and 31 December 2021 in the XXBLINDEDXX Region. KDs were classified according to Schenck’s classification through manual review of Magnetic Resonance Imaging (MRI) and X-rays. Baseline characteristics, associated injuries and mode of injury were recorded for all patients.</div></div><div><h3>Results</h3><div>A total of 72 KDs, 51 men (71 %) and 21 women (29 %), with a mean age of 38.5 years ±17.7 (range 12–88 years) were included. The overall incidence was 0.6/100,000/year. Vascular injury was observed in 6 % and nerve injury in 14 % of patients. The most common Schenck classification was Type III (tears of both cruciate ligaments and one collateral ligament), accounting for 54 % of all KDs, followed by Type V (multiligamentous injury with an associated periarticular fracture),<!--> <!-->accounting for 19 % of all KDs. The most common mode of injury (MOI) was sport (26 %) followed by motor vehicle operator or passenger (25 %).</div></div><div><h3>Conclusion</h3><div>KD showed an incidence of 0.6/100,000/year. The most common Schenck classification was Type III (tears of both cruciate ligaments and one collateral ligament), accounting for 54 % of all KDs.</div></div><div><h3>Hintergrund</h3><div>Die Studie wurde durchgeführt, um aktuelle Informationen zur Inzidenz von Kniegelenksluxationen (knee dislocation, KD) bereitzustellen. Sekundäre Ziele der Studie waren das Gewinnen von Erkenntnissen zum Auftreten von Begleitverletzungen basierend auf der Klassifikation nach Schenck sowie die Beschreibung von Verletzungsmechanismen und Patientencharakteristika.</div></div><div><h3>Material und Methoden</h3><div>Für den Zeitraum zwischen dem 1. Januar 2002 und 31. Dezember 2021 wurde eine regionsspezifische, sektionsübergreifende, retrospektive Observationsstudie an Patienten durchgeführt, bei denen aufgrund einer per ICD-10-Code definierten Diagnose eine KD vorlag. Die KDs wurden basierend auf der entsprechenden Klassifikation nach Schenck mittels Sichtung von MRI- oder Röntgenaufnahmen eingeordnet. Basischarakteristika, Begleitverletzungen sowie Verletzungsmechanismen wurden für alle Patienten dokumentiert.</div></div><div><h3>Ergebnisse</h3><div>In die Studie wurden 72 Patienten mit KD, davon 51 (71 %) Männer und 21 (29 %) Frauen eingeschlossen. Das mittlere Alter der Teilnehmer lag bei 38,5 ±17,7 Jahren, wobei sich das Altersspektrum zwischen 12 und 88 Jahren bewegte. Die Jahresinzidenz lag bei 0,6/100.000. Bei 6 % der Teilnehmer wurden Gefäßverletzungen und bei 14 % Nervenschädigungen beobachtet. Die mit 54 % ","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"42 1","pages":"Pages 47-53"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147682166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Muskuloskelettale Besonderheiten und Risiken in verschiedenen Lebensphasen der Athletin: Pubertät, Schwangerschaft und Menopause Teil 1: Pubertät und Menopause","authors":"Nora Wieloch , Milena L. Pachowsky","doi":"10.1016/j.orthtr.2025.12.001","DOIUrl":"10.1016/j.orthtr.2025.12.001","url":null,"abstract":"<div><div>Die Lebensphasen der Pubertät, Schwangerschaft und Menopause sind durch hormonelle Veränderungen und deren Auswirkungen geprägt. Die Würdigung und die individuelle Behandlung von verschiedenen Problematiken in diesen besonderen Phasen im Leben eines Mädchens oder einer Frau stellt uns im klinischen Alltag regelmässig vor spezifische Herausforderungen. Allen drei Lebensphasen ist gemeinsam, dass häufig ein Mangel an wissenschaftlich fundierten Daten, evidenzbasierte Empfehlungen und Behandlungsentscheidungen erschwert. Sport ist in allen Lebensphasen ein zentraler Gesundheitsfaktor. (Leistungs)-Sportlerinnen sollten eine Betreuung erhalten, die die hormonellen Besonderheiten der verschiedenen Lebensphasen individuell berücksichtigt.</div></div><div><div>The stages of puberty, pregnancy, and menopause are characterized by hormonal changes and their effects. Recognizing and treating the various issues that arise during these special phases in a girl’s or woman’s life regularly confronts us with specific challenges in everyday clinical practice. What all three stages have in common is that a lack of scientifically sound data often makes it difficult to provide evidence-based recommendations and treatment decisions. Sport is a key health factor in all stages of life. Female athletes should receive care that takes into account the hormonal characteristics of the different stages of life on an individual basis.</div></div>","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"42 1","pages":"Pages 3-7"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147682372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safe the Date – Ankündigung VÄ Symposium","authors":"","doi":"10.1016/S0949-328X(26)00031-1","DOIUrl":"10.1016/S0949-328X(26)00031-1","url":null,"abstract":"","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"42 1","pages":"Page 107"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147682236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Invitation to the congress","authors":"","doi":"10.1016/S0949-328X(26)00039-6","DOIUrl":"10.1016/S0949-328X(26)00039-6","url":null,"abstract":"","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"42 1","pages":"Page 103"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147682607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Checkliste: Instabilitäten des Ellenbogens im Kindesalter","authors":"Patrick Vavken , Carlo Camathias","doi":"10.1016/j.orthtr.2026.01.005","DOIUrl":"10.1016/j.orthtr.2026.01.005","url":null,"abstract":"<div><div>Instabilitäten des Ellenbogens im Kindesalter stellen eine diagnostische und therapeutische Herausforderung dar. Anders als Frakturen sind sie oft klinisch schwer fassbar und manifestieren sich nicht selten in Form funktioneller Bewegungseinschränkungen aufgrund unbewusster Schonhaltungen. Die radiologische Diagnostik ist limitiert: Röntgen zeigt häufig keine Auffälligkeiten, während MRT-Bilder durch Artefakte verfälscht sein können. Eine strukturierte klinische Untersuchung ist daher essenziell. Der Beitrag beleuchtet vier relevante Instabilitätsformen: laterale, posterolaterale, mediale sowie longitudinale Instabilitäten. Es werden spezifische klinische Tests wie der Moving Valgus Stress Test, das Milking-Manöver sowie der Sleeper-Stretch zur Unterscheidung medialer Instabilität gegenüber anderen Pathologien wie GIRD (glenohumerales Innenrotationsdefizit) erläutert. Differenzialdiagnosen wie Osteochondrosis dissecans werden berücksichtigt, da sie ähnliche Symptome verursachen, jedoch andere therapeutische Konsequenzen haben. Ziel ist es, ein praxisnahes, differenziertes Vorgehen zur frühzeitigen Erkennung und Behandlung kindlicher Ellenbogeninstabilitäten darzustellen und so Langzeitfolgen zu vermeiden.</div></div><div><div>Elbow instabilities in children present a diagnostic and therapeutic challenge. Unlike fractures, they are often difficult to detect clinically and may manifest as functional movement limitations due to unconscious avoidance behavior. Radiological assessment is limited: conventional X-rays often appear normal, while MRIs are frequently compromised by motion artifacts. Thorough clinical evaluation is thus essential. This article reviews four primary forms of pediatric elbow instability: lateral, posterolateral, medial, and longitudinal. Specific clinical tests such as the moving valgus stress test, the milking maneuver, and the sleeper stretch are discussed to distinguish medial instability from conditions like GIRD (glenohumeral internal rotation deficit). Differential diagnoses, including osteochondritis dissecans, are also addressed, as they can mimic mechanical symptoms without true joint instability. The aim is to provide a practical and structured clinical approach for early identification and management of pediatric elbow instability, ultimately preventing long-term complications and improving functional outcomes.</div></div>","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"42 1","pages":"Pages 81-88"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147682176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}