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Skeletal fractures are traumatic injuries that are widely accepted as requiring acute treatment to avoid long-term disability and dysfunction. There are a number of soft-tissue injuries or non-traditional fractures, frequently treated by sports medicine surgeons, which additionally require treatment in an expedited fashion in order to optimize healing and function. Sports medicine injuries of the lower extremity requiring acute treatment include, but are not limited to, multiligamentous knee injuries, proximal hamstring ruptures, quadriceps tendon ruptures, patellar sleeve avulsions, patellar tendon ruptures, tibial spine avulsions, posterior cruciate ligament avulsions, bucket handle meniscus tears, and achilles tendon ruptures.
View Article and Find Full Text PDFImaging of the Pediatric Knee.
Semin Musculoskelet Radiol
August 2024
Section of Musculoskeletal Imaging, Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Article Synopsis
- The article discusses how the normal development of the knee joint in children can present imaging findings that may look like injuries or weaknesses, emphasizing the importance of understanding these variations.
- It categorizes developmental variants into tibiofemoral and patellofemoral compartments, focusing on specific conditions and injuries that can occur in each area.
- Additionally, the article highlights various soft tissue and bone structures that can also exhibit unique developmental characteristics, which can be easily confused with actual pathologies.
[Injuries of the knee extensor complex in children].
Orthopadie (Heidelb)
August 2024
Klinik für Unfallchirurgie, BG Unfallklinik Murnau, Professor-Küntscher-Straße 8, 82418, Murnau am Staffelsee, Deutschland.
Background: Fractures of the knee extensor complex are relatively rare injuries in children. We distinguish between a pure tendon rupture and ruptures with bony avulsions. A mid-substance tear in children is a relatively rare injury, whereas bony avulsions due to skeletal immaturity are seen more often.
View Article and Find Full Text PDFFunctions and Effectiveness of Unloader, Patellofemoral, and Knee Sleeve Orthoses: A Review.
Regen Eng Transl Med
June 2024
The Cato T. Laurencin Institute for Regenerative Engineering, University of Connecticut Health, Farmington, CT, USA.
Article Synopsis
- Knee orthoses are commonly used to help manage knee deficiencies, particularly in patients with osteoarthritis, which is a leading cause of disability.
- This literature review aims to inform clinicians, patients, and researchers about the main types of knee braces—unloader, patellofemoral, and knee sleeves—by discussing their design, function, and effectiveness.
- While many patients feel they benefit from wearing these braces, the scientific evidence supporting their effectiveness remains inconclusive.
What is the Utilization and Impact of Advanced Imaging for Tibial Tubercle Fractures? An Analysis of 598 Patients From the Tibial Tubercle Study (TITUS) Group.
J Pediatr Orthop
October 2024
Division of Orthopaedic Surgery and Sports Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, IL.
Article Synopsis
- * A total of 598 patients were included, with a majority being male (88.6%) and an average age of around 14 years; different imaging techniques (X-rays, CT, MRI) were used variably, with CT most often used for specific fracture types.
- * The research found that advanced imaging revealed additional findings not seen in X-rays, particularly in CT scans, highlighting differences in diagnostic approaches and the impact of advanced imaging on managing these fractures.
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