Adolescent knee pain and patellar dislocations are associated with patellofemoral osteoarthritis in adulthood: A case control study

Abstract

This should bring into question the traditional belief that adolescent anterior knee pain is a benign pathology. Patellar dislocation is also a significant risk factor. These patients merit investigation, we encourage clinical acknowledgement of the potential consequences when encountering patients suffering from anterior knee pain or patellar dislocation.

Anatomic patellar instability risk factors in primary lateral patellar dislocations do not predict injury patterns: an MRI-based study

“…A total of 107 patients were skeletally mature (46 M/61 F; mean age 23 years, SD ± 9.5, range 11-50) and 50 were skeletally immature (33 M/17 F; mean age 14.3 years, SD ± 1.4, range [10][11][12][13][14][15][16][17]. Of the 157 patients, 26 (17%) had surgery for their injury due to clinician-perceived need for cartilage debridement.…”

Arthroscopic deepening trochleoplasty for chronic anterior knee pain after previous failed conservative and arthroscopic treatment. Report of two cases

“…Questions have been raised if AKP later in life can lead to arthritis and Conchie et al found 7.5 times more risk of PF arthritis if they had AKP in adolescence [6] . This supports the findings from Utting et al, who found a significant number of patients with PF arthritis have described preceding anterior knee pain in their adolescence and early adult years [21] .…”

“…With respect to this proportion of patients with chronic AKP, there is little consensus of treatment. A recent study reported that 22% of patients having patellofemoral (PF) arthroplasty described adolescent or early adulthood anterior knee pain as compared to 6% in patient having medial unicompartmental arthroplasty (p < 0.001) [6] . This means there is a clear link between AKP and later development of PF osteoarthritis.…”

Status Quo: Diagnostics and Surgical Treatment of Excessive Lateral Pressure Syndorome

“…Элиас и соавт. [20][21][22][23][24][25][26] при обследовании пациентов с нестабильностью надколенника с помощью фМСКТ выявили ряд закономерностей:…”

“…3) латерализация надколенника при его нахождении в межмыщелковой борозде может значительно повысить давление на латеральную фасетку надколенника [24,25]. H. Conchie et al в исследовании случай-контроль установили, что у подростков, страдающих от болей в результате латерализации надколенника, в 7,5 раз чаще развивается пателлофеморальный артроз [26].…”