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Impact of Pediatric Knee Anatomy on ACL Reconstruction: Lessons Learned From Cadaveric Dissections-A Review. 儿童膝关节解剖对前交叉韧带重建的影响：来自尸体解剖的经验教训综述。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-03-01 Epub Date: 2024-12-18 DOI: 10.1097/JSA.0000000000000418
Amin M Alayleh, Jude Alawa, Austin Stoner, Stewart Bryant, Stockton Troyer, Theodore J Ganley, Henry Ellis, Marc Tompkins, Kevin G Shea
{"title":"Impact of Pediatric Knee Anatomy on ACL Reconstruction: Lessons Learned From Cadaveric Dissections-A Review.","authors":"Amin M Alayleh, Jude Alawa, Austin Stoner, Stewart Bryant, Stockton Troyer, Theodore J Ganley, Henry Ellis, Marc Tompkins, Kevin G Shea","doi":"10.1097/JSA.0000000000000418","DOIUrl":"10.1097/JSA.0000000000000418","url":null,"abstract":"<p><p>Anterior Cruciate Ligament (ACL) injuries in pediatric patients are rising and present unique challenges for orthopedic surgeons due to skeletal immaturity and risk for physeal damage during ACL reconstruction. This review aims to share insights from pediatric cadaveric anatomic studies and related research to inform surgical management of ACL injuries in skeletally immature patients. We highlight age-dependent variations in the distances between the ACL and medial collateral ligament and their respective physes, developmental variability in the anterolateral structures of the pediatric knee, and variability in the proximity of the neurovascular bundle's proximity to the iliotibial band graft pathway during ACL reconstruction. In addition, we review biomechanical properties of different grafts to assess their strength and suitability for ACL reconstruction. Our findings emphasize the importance of age-specific surgical approaches that consider individual anatomic differences of pediatric patients, collectively advancing our understanding of pediatric knee anatomy and its relevance to successful ACL reconstruction.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 1","pages":"14-23"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Three-dimensional Analysis of Patellar Instability: A Review of Current Concepts. 髌骨不稳的三维分析：当前概念综述。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-03-01 Epub Date: 2025-01-15 DOI: 10.1097/JSA.0000000000000420
Nancy Park, Johannes M Sieberer, Armita R Manafzadeh, John P Fulkerson
{"title":"Three-dimensional Analysis of Patellar Instability: A Review of Current Concepts.","authors":"Nancy Park, Johannes M Sieberer, Armita R Manafzadeh, John P Fulkerson","doi":"10.1097/JSA.0000000000000420","DOIUrl":"10.1097/JSA.0000000000000420","url":null,"abstract":"<p><p>Patellar instability presents diagnostic and treatment challenges despite advances in imaging and surgical techniques. Given the link between patellar instability and trochlear dysplasia, the key to understanding instability may lie in subtle morphological variations in the trochlea. Traditional 2-dimensional methods of understanding instability can suffer from issues of geometric alignment. As a result, 3-dimensional analysis has an emerging role in understanding the pathogenesis of patellar instability. One 3-dimensional metric, the entry point-transition point angle, is used to quantify the degree of lateralization of dysplastic trochlear grooves. This angle is measured on 3-dimensional reproductions of computed tomography scans and can be used for surgical decision-making in instability patients. Further research should investigate how to best incorporate 3-dimensional metrics in surgical decision-making.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 1","pages":"7-13"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disparities in Evaluation, Treatment, and Outcomes of Pediatric Knee Injuries. 儿童膝关节损伤的评估、治疗和预后差异。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI: 10.1097/JSA.0000000000000388
Patrick England, Neeraj M Patel
{"title":"Disparities in Evaluation, Treatment, and Outcomes of Pediatric Knee Injuries.","authors":"Patrick England, Neeraj M Patel","doi":"10.1097/JSA.0000000000000388","DOIUrl":"10.1097/JSA.0000000000000388","url":null,"abstract":"<p><p>Similar to other fields, there is growing evidence of disparities in pediatric sports medicine. For children and adolescents with knee injuries, disparities persist along the lines of sex, gender, race, ethnicity, insurance, socioeconomic status, and other determinants. These factors influence the evaluation, treatment, and outcomes for a variety of knee pathologies, including anterior cruciate ligament ruptures, meniscus tears, osteochondritis dissecans, cartilage injuries, and tibial spine fractures. Inequities in care may have long-term functional and psychosocial implications. Additional research is necessary to further elucidate the etiology of these disparities, raise patient and community voices, and design interventions so that equitable care is delivered to every patient.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"32 4","pages":"182-188"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Sports Medicine. 儿童运动医学。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-12-01 Epub Date: 2024-10-28 DOI: 10.1097/JSA.0000000000000415
Kelly Vanderhave
{"title":"Pediatric Sports Medicine.","authors":"Kelly Vanderhave","doi":"10.1097/JSA.0000000000000415","DOIUrl":"10.1097/JSA.0000000000000415","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"32 4","pages":"163"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tibial Spine Fractures. 胫骨脊柱骨折。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI: 10.1097/JSA.0000000000000385
Crystal A Perkins
{"title":"Tibial Spine Fractures.","authors":"Crystal A Perkins","doi":"10.1097/JSA.0000000000000385","DOIUrl":"10.1097/JSA.0000000000000385","url":null,"abstract":"<p><p>Tibial spine fractures (TSFs) are a relatively uncommon knee injury that most commonly occurs in skeletally immature pediatric patients following a sports or bicycle-related injury. Treatment of TSFs is guided based on fracture displacement on radiographs and associated injuries. Surgical treatment is recommended for displaced TSFs with arthroscopic or open reduction and fixation. Arthroscopic reduction and suture fixation can be utilized for all tibial spine fractures, regardless of comminution, and allows for treatment of both the TSF and concomitant meniscal and/or chondral injuries. Stable fixation and early motion are important to minimize the risk of arthrofibrosis.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"32 4","pages":"164-168"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Index. 索引。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI: 10.1097/01.jsa.0001096028.09262.35
{"title":"Index.","authors":"","doi":"10.1097/01.jsa.0001096028.09262.35","DOIUrl":"10.1097/01.jsa.0001096028.09262.35","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"32 4","pages":"199-203"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proximal Tibia Fractures. 胫骨近端骨折。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI: 10.1097/JSA.0000000000000392
Phong Truong, Richard E Bowen
{"title":"Proximal Tibia Fractures.","authors":"Phong Truong, Richard E Bowen","doi":"10.1097/JSA.0000000000000392","DOIUrl":"10.1097/JSA.0000000000000392","url":null,"abstract":"<p><p>Proximal tibia fractures in children pose challenges in management due to the complex anatomy in this region. The relationship between the proximal tibial physis, proximal tibial apophysis, extensor mechanism, and nearby vascular structures allows for potential injuries from toddler-aged children through adolescence. The most common injuries include tibial tubercle fractures, proximal tibia physeal fractures, and proximal tibia metaphyseal fractures; they may result from both low-energy and high-energy mechanisms. Nonoperative treatment is indicated for nondisplaced or adequately reduced fractures, while operative treatment is indicated for irreducible fractures or fractures with loss of adequate reduction. Complications of these injuries may include growth arrest, limb length discrepancy, angular deformity, vascular compromise, and compartment syndrome.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"32 4","pages":"189-197"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novel Treatment Options for Knee Cartilage Defects in 2023: Erratum. 2023年膝关节软骨缺损的新治疗方案：勘误。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI: 10.1097/JSA.0000000000000413
{"title":"Novel Treatment Options for Knee Cartilage Defects in 2023: Erratum.","authors":"","doi":"10.1097/JSA.0000000000000413","DOIUrl":"10.1097/JSA.0000000000000413","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"32 4","pages":"198"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Meniscal Tears. 小儿半月板撕裂。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI: 10.1097/JSA.0000000000000408
Kevin M Dale, Allison Tenfelde
{"title":"Pediatric Meniscal Tears.","authors":"Kevin M Dale, Allison Tenfelde","doi":"10.1097/JSA.0000000000000408","DOIUrl":"10.1097/JSA.0000000000000408","url":null,"abstract":"<p><p>As pediatric youth sports involvement has increased, there has been an increase in meniscus tears associated with acute pediatric knee injuries. The meniscus of pediatric patients has a more robust blood supply which may help its healing potential. The discoid meniscus is an anatomical variant that is more prone to meniscal tears in pediatric patients. Meniscectomy and saucerization are usually the treatment of choice for the complex meniscus tear and the discoid meniscus tear. Meniscus repair should be attempted when at all possible due to the good outcomes associated with meniscus repair and poor results associated with meniscectomy in pediatric patients.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"32 4","pages":"169-175"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Anterior Cruciate Ligament Tears. 小儿前十字韧带撕裂。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-12-01 Epub Date: 2024-10-28 DOI: 10.1097/JSA.0000000000000414
Zachary Stinson, Julia Fink
{"title":"Pediatric Anterior Cruciate Ligament Tears.","authors":"Zachary Stinson, Julia Fink","doi":"10.1097/JSA.0000000000000414","DOIUrl":"10.1097/JSA.0000000000000414","url":null,"abstract":"<p><p>Anterior cruciate ligament (ACL) tears have become an increasingly prevalent problem in pediatric patients due to increased youth sports participation and early sports specialization. A high index of suspicion should be utilized for any young patient with an acute knee injury and an associated effusion or difficulty bearing weight. A thorough work-up should be performed that includes a careful assessment of growth remaining and concomitant injuries. While nonoperative management may be a consideration for select cases, most patients will benefit from early surgical management. ACL deficiency or delayed reconstruction can lead to early chondral degeneration and risk for further injury to the cartilage and menisci. The goal of ACL reconstruction is to create a stable knee and prevent secondary chondral or meniscal injury. Physeal-sparing and physeal-respecting transphyseal techniques have been developed that allow for safe and successful ligament reconstruction while minimizing the risk of growth arrest. Younger patients have a higher risk of reinjury and require a longer recovery period for a full return to sports than their older counterparts. Even though there have been advances in the safe and successful treatment of ACL tears in pediatric patients, it remains a devastating physical and psychological injury, and increased efforts should be made at prevention. Injury prevention programs have been shown to reduce the risk of ACL tears, and it is important to increase awareness and utilization of prevention strategies.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"32 4","pages":"176-181"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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