Internal Derangement of the Knee in Children and Adolescents

Fairbank, H. A. T.

doi:10.1177/003591573703000450

Cited by 24 publications

(28 citation statements)

References 5 publications

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“…The main diagnostic criteria of patellar chondropathy (group C) were pain when the knee functions under load in flexion, pain during prolonged sitting with the knee flexed and pain when the patella was compressed and rubbed against the femoral condyles (22,26,50). People with patellar subluxations and dislocations were excluded from the material on the basis of clinical history and the apprehension test (11). The diagnosis of iliotibial tract friction pain (group D) was based on a history of pain on the lateral femoral condyle after running a distance of several kilometers and on pain at palpation after running (46,48).…”

Section: Methodsmentioning

confidence: 99%

Lower Limb Asymmetry and Patellofemoral Joint Incongruence in the Etiology of Knee Exertion Injuries in Athletes

et al. 1987

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The association between different knee exertion injuries and lower limb malalignments was studied in 121 male athletes with knee exertion injuries and in 20 male athletes without knee symptoms. The associations between different malalignments was also analyzed. Leg length inequality (LLI), knee valgus, and different indexes of patellofemoral joint congruence were measured using radiological methods. Male athletes with patellar apicitis (n = 59) had significantly more LLI (P less than 0.001) and patella alta (P less than 0.05) than athletes without knee symptoms. The knee valgus was of the same numerical value in the shorter and longer leg sides in subjects with LLI of at least 5 mm (n = 58). A positive correlation was found between lateral patellar displacement (LPD) and patella alta (LT/LP) (P less than 0.001). Negative correlations were found between the sulcus angle (SA) and the lateral patello-femoral angle (LPA) (P less than 0.001) as well as between the LPD and the LPA (P less than 0.001).

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Section: Methodsmentioning

confidence: 99%

Lower Limb Asymmetry and Patellofemoral Joint Incongruence in the Etiology of Knee Exertion Injuries in Athletes

et al. 1987

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“…This test was first described by Fairbank in 1936. 70 The test, often referred to as the Fairbank's Apprehension Test, has been described by Fairbank as such:…”

Section: Tests For Patellofemoral Disordersmentioning

confidence: 99%

“…This sign, when present, I regard as strong evidence in favour of a diagnosis of slipping patella. 70 A more detailed and more recent description of the apprehension test for subluxation of the patella was given by Hughston. 71 His description is as follows:…”

Section: Tests For Patellofemoral Disordersmentioning

confidence: 99%

Physical examination of the knee: A review of the original test description and scientific validity of common orthopedic tests

Malanga

Andrus²,

Nadler³

et al. 2003

Archives of Physical Medicine and Rehabilitation

228

146

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“…Lower limb alignment was normal, femoral torsion and tibial torsion were normal, passive and active range of motion were -5 to 140°, during knee extension the patella subluxated laterally (J-sign) [29] and the apphrension sign or Smillie test was positive [30].…”

Section: Pre-operative Examinationmentioning

confidence: 99%

A technique for treating patello-femoral instability in immature patients: the tibial tubercle periosteum transfer

et al. 2010

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Patello-femoral problems are frequently encountered in knee clinic. The most important role of the patella is to increase the quadriceps efficiency, although this function could be altered in the patello-femoral instability. Active stability of the patello-femoral joint is provided by the surrounding muscles and ligaments, passive stability is provided by the bony and cartilage structures. Patellofemoral instability is defined, from Henry Dejour, as a disease without engagement the patella in the femoral trochlea during knee range of motion. Every time should be performed careful radiological preoperative investigations (radiographs and computed tomography) involving an expert musculoskeletal radiologist. Surgical procedures may be divided into those that address the soft tissues (muscles and ligaments), generally on the immature skeletal, and those that effect bony changes, generally on the mature skeletal; sometimes, it is necessary to combine soft-tissue and bony procedures. In this report, the authors describe a tibial tubercle periosteum transfer technique for patello-femoral instability in immature patients, which may potentially improve clinical results in very young symptomatic patients with patello-femoral instability.

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Internal Derangement of the Knee in Children and Adolescents

Cited by 24 publications

References 5 publications

Lower Limb Asymmetry and Patellofemoral Joint Incongruence in the Etiology of Knee Exertion Injuries in Athletes

Lower Limb Asymmetry and Patellofemoral Joint Incongruence in the Etiology of Knee Exertion Injuries in Athletes

Physical examination of the knee: A review of the original test description and scientific validity of common orthopedic tests

A technique for treating patello-femoral instability in immature patients: the tibial tubercle periosteum transfer

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