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The Pediatric Patella: Normal Development, Anatomical Variants and Malformations, Stability, Imaging, and Injury
Ezekiel Maloney1, A Luana Stanescu1,2, Anh-Vu Ngo1,2
1Department of Radiology, University of Washington, Seattle, Washington.
Seminars in Musculoskeletal Radiology
|February 7, 2018
Summary
This review covers pediatric patella imaging, focusing on normal development, variants, genetic syndromes, and instability. Accurate imaging interpretation is key for diagnosis and effective treatment of pediatric patellar conditions.
Area of Science:
- Pediatric Radiology
- Orthopedic Imaging
- Anatomy
Background:
- The pediatric patella presents unique imaging considerations distinct from adults.
- Understanding normal development and common variations is crucial for accurate diagnosis.
Purpose of the Study:
- To provide a comprehensive overview of pediatric patella imaging.
- To highlight key imaging findings related to development, variants, syndromes, and instability.
- To emphasize the importance of timely diagnosis for optimal outcomes.
Main Methods:
- Review of current literature on pediatric patellar imaging.
- Discussion of normal patellar development and anatomical variants.
- Analysis of imaging features associated with genetic syndromes and patellofemoral instability.
- Classification of pediatric patellar injuries, including sleeve fractures.
Main Results:
- Normal patellar development follows predictable patterns on imaging.
- Anatomical variants and genetic syndromes have characteristic imaging appearances.
- Imaging findings are critical for diagnosing patellofemoral instability and associated injuries.
- Patellar sleeve fractures require prompt recognition for effective management.
Conclusions:
- Accurate diagnostic imaging of the pediatric patella is essential to prevent errors and guide treatment.
- Knowledge of syndromes and instability patterns aids in differential diagnosis and management planning.
- Timely identification of pediatric-specific injuries like sleeve fractures improves patient outcomes.
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