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Updated: Aug 26, 2025

Subject-specific Musculoskeletal Model for Studying Bone Strain During Dynamic Motion
Published on: April 11, 2018
Stress Injuries of the Knee.
Emily Kraus1, Katherine Rizzone2, Mahala Walker3
1Division of Physical Medicine and Rehabilitation, Department of Orthopedic Surgery, Stanford University, Center for Academic Medicine, Pediatric Orthopaedic Surgery, MC 5658, 453 Quarry Road, Stanford, CA 94304, USA.
Active adolescents frequently experience knee stress injuries, including bone stress injuries (BSIs) and chronic physeal stress injuries. Early diagnosis is key to effective management and preventing lasting issues.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Sports Medicine
Background:
- Knee stress injuries are prevalent in active adolescents.
- These injuries include bone stress injuries (BSIs) and chronic physeal stress injuries.
- BSIs stem from repetitive bone loading; physeal injuries involve the apophysis or epiphysis.
Purpose of the Study:
- To review the classification and management of knee stress injuries in adolescents.
- To emphasize the importance of early and accurate diagnosis.
Main Methods:
- Literature review on adolescent knee stress injuries.
- Classification of bone stress injuries and chronic physeal stress injuries.
- Discussion of treatment strategies, including rest and surgical intervention.
Main Results:
- Most knee stress injuries in adolescents respond to conservative treatment like rest.
- Severe cases may necessitate surgical intervention.
- Timely diagnosis is crucial for successful outcomes.
Conclusions:
- Stress injuries of the knee are common in active adolescents.
- Effective management relies on early and accurate identification.
- Prompt treatment can prevent long-term complications.
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