There have been no population-based studies to evaluate the rate of pediatric anterior cruciate ligament (ACL) reconstruction.The primary aim current study was determine yearly ACL reconstruction over past 20 years in New York State. Secondary aims were age distribution for and whether patient demographic socioeconomic factors associated with reconstruction.Descriptive epidemiology study.The Statewide Planning Research Cooperative System (SPARCS) database contains a census all hospital...

Background: Patellar dislocation is a common traumatic injury in the pediatric and adolescent population. The primary constraint to lateral subluxation of patella medial patellofemoral ligament (MPFL), which serves resist translation patella. Injury MPFL may predispose recurrent but anatomic site poorly characterized children adolescents. Purpose: authors addressed 2 questions: (1) What zone pediatric/adolescent population after patellar dislocation? (2) location femoral attachment with...

Although patellofemoral instability is among the most prevalent knee disorders, management of patients with this condition complex and remains variable, given lack long-term, high-level clinical outcome studies to compare various operative nonoperative modalities.To discover a consensus within treatment controversies in experienced surgeons specific interest joint.Expert opinion; Level evidence, 5.A 3-step modified Delphi technique was used establish consensus. A 34-question, case-based...

Having simple and reliable validated outcome measures is vital to conducting high-quality outcomes research in the field of orthopaedic surgery. Activity level a key prognostic variable for patients with sports injuries. There paucity such activity scales children adolescents who are otherwise healthy athletically active. In addition frequency intensity athletic activity, play coach/trainer supervision important variables unique that not captured available adult scoring systems.To create...

Increased posterior tibial slope is associated with increased risk of anterior cruciate ligament (ACL) injury in adults. A similar association has not been rigorously examined children and adolescents.To determine whether alterations are ACL tears pediatric adolescent patients to quantify changes by age.Case-control study; Level evidence, 3.Magnetic resonance imaging (MRI) studies the knee were reviewed 3 raters blinded each other a 1:1 sample cases age- sex-matched controls. total 76...

Anterior cruciate ligament (ACL) injuries are an increasingly recognized problem in the juvenile population. Unfortunately, outcomes with conservative treatment extremely poor. Adult reconstruction techniques inappropriate to treat skeletally immature patients because of risk physeal complications, including limb-length discrepancy and angular deformities. "Physeal-sparing" exist, but their ability restore knee stability is not well understood. We describe all-epiphyseal ACL for use...

Anterior cruciate ligament (ACL) injuries in skeletally immature athletes are increasing.To evaluate the 2-year clinical outcomes of all-inside, all-epiphyseal ACL reconstruction with 3 to 6 years remaining growth, a focus on return sport and incidence second surgery.Case series; Level evidence, 4.Twenty-three were prospectively evaluated after utilizing hamstring autograft. The athletes' age, sex, sport, mechanism injury, radiographs, magnetic resonance imaging (MRI) findings noted....

There is no standardized complication classification system that has been evaluated for use in pediatric or general orthopaedic surgery. Instead, subjective terms such as major and minor are commonly used. The Clavien-Dindo-Sink demonstrated high interrater intrarater reliability hip-preservation surgery increasingly used within other subspecialties. This based on the magnitude of treatment required potential each to result long-term morbidity. purpose current study was modify application...

Retrospective cohort study.To describe long-term clinical and imaging results focusing on the uninstrumented lumbar spine after posterior spinal fusion for adolescent idiopathic scoliosis.Although previous studies found rates of low back pain long scoliosis which are comparable to in general population, many surgeons believe that lever arm associated with mass will result increased stress at caudal intervertebral discs accelerated degenerative changes.This is a retrospective chart review...

Background: The cause of adolescent idiopathic scoliosis (AIS) is unknown and currently believed to be multifactorial. AIS a largely asymptomatic condition many adolescents with are involved organized athletics physical activity. To date, no data exist indicating predictors return activity after posterior spinal fusion for AIS. In this cohort study, who underwent were evaluated determine what clinical, surgical, demographic variables predicted rate play in athletics. Methods: Forty-two...

With sports specialization and level of competition on the rise, anterior cruciate ligament reconstruction (ACLR) in athletes under age 20 has increased significantly recent years. Reports have demonstrated that revision ACLR rate is higher return to sport (RTS) lower this population.To evaluate 2-year clinical outcomes 3 cohorts primary pediatric adolescent based skeletal with a focus RTS incidence second surgery.Case series; Level evidence, 4.This prospective evaluation 324 younger than...

Reinjury rates after anterior cruciate ligament reconstruction (ACLR) are highest among young athletes, who consequently suffer from low of return to play. Historically, quantitative measures have been used determine readiness sport; however, they do not assess modifiable risk factors related the quality movement.To effectiveness a criteria-based rehabilitation progression and return-to-sport criteria on efficient activity prevention second injury in athletes post-ACLR.Case series; Level...

The incidence of anterior cruciate ligament (ACL) reconstruction (ACLR) in children and adolescents has increased significantly, many such patients are at risk for ACL retear. Lateral extra-articular tenodesis (LET) may be performed conjunction with ACLR to reduce the retear.To evaluate 2-year clinical outcomes soft tissue quadriceps tendon (QUAD) autograft a concomitant LET using modified Lemaire technique skeletally immature patients.Case series; Level evidence, 4.A consecutive series...