Paediatric knee fractures: A current concept review
Turati, Marco; Accadbled, Franck; Tercier, Stéphane; Thüsing, Monika; Rigamonti, Luca; Sinikumpu, Jaakko; Tschopp, Benjamin; Nicolaou, Nicolas (2025-05-31)
Sage publications
31.05.2025
Turati M, Accadbled F, Tercier S, et al. Paediatric knee fractures: A current concept review. Journal of Children’s Orthopaedics. 2025;0(0). doi:10.1177/18632521251327129
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© The Author(s) 2025. 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) 2025. 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-202506044141
https://urn.fi/URN:NBN:fi:oulu-202506044141
Tiivistelmä
Abstract
Knee periarticular and intra-articular fractures in children and adolescents have specific features and should be carefully detected. Typical non-contact and contact mechanisms that may lead to an anterior cruciate ligament injury in a skeletally immature patient can cause a tibial eminence fracture. During patellar dislocation or other traumatic events, pure chondral fractures can occur and should be excluded. During sports, traumatic events leading to a forceful quadriceps contraction can cause specific paediatric fracture patterns such as patella sleeve and tibial apophyseal fractures. This review will highlight controversies and innovative aspects of non-operative and operative treatment, basic science, new evidence and unanswered questions for these fractures.
Knee periarticular and intra-articular fractures in children and adolescents have specific features and should be carefully detected. Typical non-contact and contact mechanisms that may lead to an anterior cruciate ligament injury in a skeletally immature patient can cause a tibial eminence fracture. During patellar dislocation or other traumatic events, pure chondral fractures can occur and should be excluded. During sports, traumatic events leading to a forceful quadriceps contraction can cause specific paediatric fracture patterns such as patella sleeve and tibial apophyseal fractures. This review will highlight controversies and innovative aspects of non-operative and operative treatment, basic science, new evidence and unanswered questions for these fractures.
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