The epidemiology of knee injuries in children and adolescents

Kraus, Tanja; Švehlík, Martin; Singer, Georg; Schalamon, Johannes; Zwick, Ernst B.; Linhart, Wolfgang E.

doi:10.1007/s00402-012-1480-0

Cited by 56 publications

(44 citation statements)

References 41 publications

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“…A literature review reveals a significant body of information regarding the epidemiology of either specific fractures (craniofacial [21], maxillofacial [22], wrist/distal radius [23,24], hand [25,26], knee [27], tibial tuberosity [28] or metatarsal bones [29]) or certain activity-related injuries (motocross [30], all-terrain vehicles [31], bicycle [32], falling down the stairs [33] or holiday-related [34]). However, the objective of the study was to address the epidemiology of MSP in the ED and not the epidemiology of pediatric fractures or injuries.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of musculoskeletal pain in a pediatric emergency department

et al. 2015

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The objectives of this study were (1) to determine the percentage of emergency department (ED) visits due to musculoskeletal pain (MSP) by children 3-14 years of age during a period of 1 year; (2) to determine the most frequent presenting complaints; and (3) to characterize their etiology. A cross-sectional study was performed on children aged 3-14(11/12) years attended at the ED of a tertiary hospital due to MSP. The demographic and clinical characteristics of the patients were reviewed 5 days each month for 12 consecutive months. Study days were selected by computer-generated simple random sampling. Out of 4,531 visits to the ED, 826 were due to MSP (18.2 %; 95 % CI 17.1-19.4 %). When compared with children with no skeletal complaints, children with MSP had a similar sex distribution but were older (mean ± SD 7 ± 3.5 years vs 9.9 ± 3.1 years; p < 0.0001). The most common complaints were pain at the wrist (19 %), ankle (19 %) and finger (15 %). The most common etiology was trauma (88.4 %), including contusions (38 %), fractures (21 %) and sprains (18 %). Children with hip (6.7 ± 3 years; p < 0.0001) and elbow (7.8 ± 3.5 years; p < 0.0001) complaints were younger than children with pain in other locations, whereas children with wrist pain (10.5 ± 2.6 years; p < 0.002) and joint sprains (10.7 ± 2.7 years; p < 0.0001) were older. Fractures were more frequent in boys (64 vs 36 %, p = 0.008; OR 1.6; CI 1.1-2.2). Visits to the ED due to MSP increased with age. Pain at three locations represented 50 % of the presenting complaints. Trauma was the principal etiology, but fractures only represented one-fifth of the total.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of musculoskeletal pain in a pediatric emergency department

et al. 2015

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“…17,27 From a series of 23,842 accidents sustained by children and adolescents, only 0.5% involved the knee. 17 Soft tissue injuries, fractures, and dislocations can present with or without findings on plain radiography. Several mechanisms are possible, including overt knee dislocations 29 and proximal tibial physeal injuries.…”

Section: Discussionmentioning

confidence: 99%

Death After Closed Adolescent Knee Injury and Popliteal Artery Occlusion

2013

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A healthy adolescent male soccer player sustained a radiograph-negative, effusion-negative physeal injury of the proximal tibia from a ground-level fall with traumatic occlusion of the popliteal artery. Orthopaedic evaluation and arteriography were delayed for 72 hours after the injury. He arrived at a tertiary referral center in multisystem organ failure secondary to lower extremity ischemic necrosis, septic pulmonary thromboembolism, and systemic shock. Emergent medical evaluation, a high index of suspicion, and a careful neurovascular examination are imperative after every closed knee injury in the young athlete.

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“…Knee joint injuries greatly affect athletic and recreational sport populations. Sex-related and sports based factors are the leading determinants of knee injuries [17,21,32,37]. The loading of the knee joint in dynamic sporting activities influences the stresses and strains which the tissues within and surrounding the knee joint capsule tolerate.…”

Section: Introductionmentioning

confidence: 99%

Static Loading of the Knee Joint Results in Modified Single Leg Landing Biomechanics

Olson

2019

Preprint

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17Background: External loading of the ligamentous tissues induces mechanical creep, which 18 modifies neuromuscular response to perturbations. It is not well understood how ligamentous 19 creep affects athletic performance and contributes to modifications of knee biomechanics during 20 functional tasks. 21 Hypothesis/Purpose: The purpose of this study was to examine the mechanical and 22 neuromuscular responses to single leg drop landing perturbations before and after passive 23 loading of the knee joint. 24 Study Design: Descriptive laboratory study 25 Methods: Male (n=7) and female (n=14) participants' (21.3 ± 2.1 yrs, 1.69 ± 0.09 m, 69.3 ± 13.0 26 kg) right hip, knee, and ankle kinematics were assessed during drop landings performed from a 27 30 cm height onto a force platform before and after a 10 min creep protocol. Electromyography 28 (EMG) signals were recorded from rectus femoris (RF), vastus lateralis (VL), vastus medialis 29 (VM), semimembranosus (SM), and biceps femoris (BF) muscles. The creep protocol involved 30 fixing the knee joint at 35° during static loading with perpendicular loads of either 200 N (males) 31 or 150 N (females). Maximum, minimum, range of motion (ROM), and angular velocities were 32 assessed for the hip, knee, and ankle joints, while normalized average EMG (NAEMG), average 33 vertical ground reaction forces (aVGRF), and rate of force development (RFD) were assessed at 34 landing. Rate of force development (RFD) was calculated during the landings using ANOVAs. 35 Alpha was set at 0.05.36

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The epidemiology of knee injuries in children and adolescents

Abstract: IV.

Cited by 56 publications

References 41 publications

Epidemiology of musculoskeletal pain in a pediatric emergency department

Epidemiology of musculoskeletal pain in a pediatric emergency department

Death After Closed Adolescent Knee Injury and Popliteal Artery Occlusion

Static Loading of the Knee Joint Results in Modified Single Leg Landing Biomechanics

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