An increase in paediatric arthroscopy in Europe: Experience of the EPOS Sport Study Group
Turati, Marco; Crippa, Marco; Nicolaou, Nicolas; Tassistro, Elena; Sinikumpu, Jaakko; Courvoisier, Aurelien; Mumme, Marcus; Duart, Julio; Thüsing, Monika; Bigoni, Marco; Accadbled, Franck (2024-11-28)
Sage publications
28.11.2024
Turati M, Crippa M, Nicolaou N, et al. An increase in paediatric arthroscopy in Europe: Experience of the EPOS Sport Study Group. Journal of Children’s Orthopaedics. 2025;19(1):64-74. doi:10.1177/18632521241302997
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© The Author(s) 2024. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
https://creativecommons.org/licenses/by-nc/4.0/
© The Author(s) 2024. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
https://creativecommons.org/licenses/by-nc/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202412037020
https://urn.fi/URN:NBN:fi:oulu-202412037020
Tiivistelmä
Abstract
Purpose:
Paediatric musculoskeletal injuries in association with increased participation in sports activities continue to increase. Arthroscopy is recognized as a safe and effective procedure in children. This study aims to identify trends in European paediatric sports centres over 20 years.
Methods:
A survey was performed across the European Paediatric Orthopaedic Society (EPOS) Sports Study Group focusing on 3 years (2000, 2009 and 2019). Centres were divided into two groups: Group 1 (n = 5, with data for 2000, 2009 and 2019) and Group 2 (n = 8, with data for 2009 and 2019). Data were analysed as the total annual number of cases and separately by anatomical region and patient demographics. A descriptive analysis was performed to characterize the trends.
Results:
Data from eight centres across Europe showed an increase in total annual arthroscopy cases (G1 from 53 to 202 and G2 from 393 to 615, p-value < 0.001) and as a percentage of paediatric orthopaedic surgeries (G1 from 1.6% to 5.2%; G2 from 5.1% to 6.8%) in seven out of eight centres. The knee remained the most commonly treated joint (G1 from 79.2% to 83.3%; G2 from 78.9% to 84.4%), despite the rise of others such as the elbow (p-value = 0.020) and decline of the shoulder (p-value = 0.014). Cases involving paediatric patients over 11 years increased while there was no gender distinction among paediatric patients.
Conclusion:
Paediatric arthroscopy procedures in Europe have increased in number over the past 3 decades. Technological advancements have allowed a surge in procedures and applications to new anatomical areas.
Level of evidence:
IV – retrospective database review.
Purpose:
Paediatric musculoskeletal injuries in association with increased participation in sports activities continue to increase. Arthroscopy is recognized as a safe and effective procedure in children. This study aims to identify trends in European paediatric sports centres over 20 years.
Methods:
A survey was performed across the European Paediatric Orthopaedic Society (EPOS) Sports Study Group focusing on 3 years (2000, 2009 and 2019). Centres were divided into two groups: Group 1 (n = 5, with data for 2000, 2009 and 2019) and Group 2 (n = 8, with data for 2009 and 2019). Data were analysed as the total annual number of cases and separately by anatomical region and patient demographics. A descriptive analysis was performed to characterize the trends.
Results:
Data from eight centres across Europe showed an increase in total annual arthroscopy cases (G1 from 53 to 202 and G2 from 393 to 615, p-value < 0.001) and as a percentage of paediatric orthopaedic surgeries (G1 from 1.6% to 5.2%; G2 from 5.1% to 6.8%) in seven out of eight centres. The knee remained the most commonly treated joint (G1 from 79.2% to 83.3%; G2 from 78.9% to 84.4%), despite the rise of others such as the elbow (p-value = 0.020) and decline of the shoulder (p-value = 0.014). Cases involving paediatric patients over 11 years increased while there was no gender distinction among paediatric patients.
Conclusion:
Paediatric arthroscopy procedures in Europe have increased in number over the past 3 decades. Technological advancements have allowed a surge in procedures and applications to new anatomical areas.
Level of evidence:
IV – retrospective database review.
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