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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Related Experiment Video

Updated: Sep 19, 2025

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Paediatric knee fractures: A current concept review.

Marco Turati1,2,3,4,5, Franck Accadbled6, Stéphane Tercier7,8

  • 1School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.

Journal of Children'S Orthopaedics
|June 3, 2025
PubMed
Summary

This review focuses on pediatric knee fractures, including tibial eminence and patellar fractures, detailing their unique injury mechanisms and treatment controversies in young athletes. It emphasizes early detection and current evidence for managing these specific pediatric bone injuries.

Keywords:
arthroscopycartilagechildrenkneepatellasportstibial eminence fractures

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Area of Science:

  • Orthopedic surgery
  • Pediatric traumatology
  • Sports medicine

Background:

  • Knee fractures in children and adolescents present unique diagnostic and management challenges.
  • Specific injury mechanisms in skeletally immature patients can lead to fractures like tibial eminence and patellar sleeve fractures.
  • Chondral injuries associated with patellar dislocation require careful exclusion.

Purpose of the Study:

  • To review current evidence on pediatric knee periarticular and intra-articular fractures.
  • To highlight controversies and innovative aspects of treatment for these fractures.
  • To discuss basic science, new evidence, and unanswered questions in pediatric knee fracture management.

Main Methods:

  • Literature review focusing on pediatric knee fractures.
  • Analysis of injury mechanisms including anterior cruciate ligament (ACL) injury-related tibial eminence fractures.
  • Examination of fractures resulting from patellar dislocations and sports-related trauma.

Main Results:

  • Identified specific pediatric fracture patterns such as patella sleeve and tibial apophyseal fractures.
  • Discussed typical non-contact and contact mechanisms leading to tibial eminence fractures in young patients.
  • Highlighted the occurrence of pure chondral fractures during traumatic events.

Conclusions:

  • Careful detection of pediatric knee fractures is crucial due to their specific features.
  • The review addresses controversies and innovations in both operative and non-operative treatment strategies.
  • Further research is needed to answer remaining questions regarding pediatric knee fracture management.