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The pediatric knee: current concepts in sports medicine

Beck, Nicholas A.a; Patel, Neeraj M.b; Ganley, Theodore J.c

Journal of Pediatric Orthopaedics B: January 2014 - Volume 23 - Issue 1 - p 59–66
doi: 10.1097/BPB.0b013e3283655c94

As the popularity and intensity of children’s athletics have increased, so has the risk for knee injuries. Fractures of the tibial eminence may be treated operatively or nonoperatively depending on fracture classification, but arthrofibrosis is a potentially significant complication. Anterior cruciate ligament rupture presents treatment challenges as regards the optimal timing and method of reconstruction. A number of novel reconstructive techniques have been developed to minimize risks to the physes in this population. Recent studies have focused on the prognosis, surgical indications, and operative techniques for osteochondritis dissecans in children. A number of authors have also sought to better-define the optimal diagnostic testing and management of patellar dislocation. In this review, we provide an update on current concepts for tibial eminence fractures, anterior cruciate ligament injuries, osteochondritis dissecans of the knee, and patellar dislocation in young athletes.

aDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota

bDepartment of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York

cDivision of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

Correspondence to Theodore J. Ganley, MD, Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, Wood Building, 2nd Floor, 34th Street & Civic Center Boulevard, Philadelphia, PA 19104, USA Tel: +1 215 590 1527; fax: +1 215 590 1501; e-mail:

© 2014 by Lippincott Williams & Wilkins, Inc.