Diagnosis and Treatment of Pediatric Knee Fractures

Abstract

Knee fractures are relatively rare injuries in children, occurring with an incidence of approximately 13 per 100,000. Due to the presence of physes and apophyses, traumatic forces to the knee of a skeletally immature individual result in patterns of injury that are different from those seen in an adult knee. Areas of the skeleton where there is growing cartilage tend to be weaker than the ligaments that attach to them, and are thus more susceptible to injury. The frequency and severity of pediatric knee fractures are increasing due to increasing participation in sports. Many pediatric knee fractures require surgical intervention, and some are associated with acute and late complications. This article reviews the pathophysiology, etiology, diagnosis, and treatment options for the most common knee fractures in children and adolescents.

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