Paediatric injuries around the knee: Bony injuries.
Paediatric knee injuries
Patella sleeve injury
Physeal injuries
Skeletally immature
Tibial spine fracture
Tibial tubercle fracture
Journal
Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
accepted:
18
12
2019
pubmed:
19
2
2020
medline:
23
1
2021
entrez:
19
2
2020
Statut:
ppublish
Résumé
The aim of this article is to discuss the diagnosis, management and pitfalls of bony injuries around the skeletally immature knee. Each within their own right is a relatively uncommon injury but associated with potential complications. Distal femoral physeal fractures can result in growth arrest and vascular injury. Tibial spine avulsions can result in an unstable knee. Tibial tubercle fractures can be associated with compartment syndrome and pose a risk to the extensor mechanism of the knee. Fixation can be complicated by growth arrest and subsequent recurvatum deformity. Finally, patella sleeve injuries are often missed and this can also threaten the extensor mechanism. We discuss the approach to clinical and radiological assessment of these injuries, and evidence based recommendations as to how they are best managed to avoid complications.
Identifiants
pubmed: 32067766
pii: S0020-1383(19)30829-0
doi: 10.1016/j.injury.2019.12.033
pii:
doi:
Types de publication
Journal Article
Practice Guideline
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
611-619Informations de copyright
Copyright © 2019. Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None Declared.