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Paediatric injuries around the knee: Soft tissue injuries
S Bolton1, M E A Bailey2, R Wei3
1Barnet Hospital, Royal Free Hospitals NHS Foundation Trust, UK.
Injury
|December 7, 2021
Summary
This review covers diagnosis and management of acute knee injuries in children, including anterior cruciate ligament (ACL) tears and patellar dislocations. It highlights evidence-based treatments and strategies to minimize complications during growth.
Area of Science:
- Pediatric Orthopedics
- Sports Medicine
- Knee Biomechanics
Background:
- Increasing incidence of acute soft tissue knee injuries in the pediatric population.
- Ongoing controversy regarding optimal treatment strategies for these injuries.
- Focus on anterior cruciate ligament (ACL) injuries, meniscal injuries, patellar dislocation, and patellofemoral instability (PFI).
Framework:
- Evidence-based review of diagnostic modalities.
- Analysis of current surgical and non-surgical management options.
- Consideration of growth modulation and skeletal maturity in treatment planning.
Implementation:
- Summarizing diagnostic criteria for pediatric knee injuries.
- Detailing evidence-based treatment protocols for ACL tears, meniscal tears, and patellar instability.
- Discussing surgical techniques and rehabilitation strategies tailored for skeletally immature patients.
Implications:
- Improved understanding of pediatric knee injury management.
- Strategies to minimize long-term complications and optimize functional outcomes.
- Guidance for clinicians managing acute knee injuries in growing athletes.
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