scholarly journals Sport Specialization’s Association With an Increased Risk of Developing Anterior Knee Pain in Adolescent Female Athletes

2015 ◽  
Vol 24 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Randon Hall ◽  
Kim Barber Foss ◽  
Timothy E. Hewett ◽  
Gregory D. Myer
Keyword(s):  
Relative Risk ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Female Athletes ◽  
Sports Participation ◽  
Patellar Tendinopathy ◽  
Iliotibial Band ◽  
Adolescent Female ◽  
Increased Risk ◽  
Anterior Knee

Objectives:To determine if sport specialization increases the risk of anterior knee pain in adolescent female athletes.Design:Retrospective cohort epidemiology study.Methods:Female basketball, soccer, and volleyball players (N = 546) were recruited from a single county public school district in Kentucky consisting of 5 middle schools and 4 high schools. A total of 357 multisport and 189 single-sport (66 basketball, 57 soccer, and 66 volleyball) athlete subjects were included due to their diagnosis of patellofemoral pain (PFP) on physical exam. Testing consisted of a standardized history and physician-administered physical examination to determine the presence of PFP. This study compared self-reported multisport athletes with sport-specialized athletes participating in only 1 sport. The sports-participation data were normalized by sport season, with each sport accounting for 1 season of exposure. Incidence rate ratios and 95% confidence intervals (CI) were calculated and used to determine significant differences between athletes who specialized in sport in early youth and multisport athletes.Results:Specialization in a single sport increased the relative risk of PFP incidence 1.5-fold (95% CI 1.0−2.2, P = .038) for cumulative PFP diagnoses. Specific diagnoses such as Sinding Larsen Johansson/patellar tendinopathy (95% CI 1.5−10.1, P = .005) and Osgood Schlatter disease (95% CI 1.5−10.1, P = .005) demonstrated a 4-fold greater relative risk in single-sport compared with multisport athletes. Incidence of other specific PFP diagnoses such as fat pad, plica, trauma, pes anserine bursitis, and iliotibial-band tendonitis was not different between single-sport and multisport participants (P > .05).Conclusion:Early sport specialization in female adolescents is associated with increased risk of anterior knee-pain disorders including PFP, Osgood Schlatter, Sinding Larsen-Johansson compared with multisport athletes.

scholarly journals Is Body Composition Associated with an Increased Risk of Developing Anterior Knee Pain in Adolescent Female Athletes?

2012 ◽  
Vol 40 (1) ◽  
pp. 13-19 ◽  
Author(s):  
Kim D. Barber Foss ◽  
Myles Hornsby ◽  
Nicholas M. Edwards ◽  
Gregory D. Myer ◽  
Timothy E. Hewett
Keyword(s):  
Body Composition ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Female Athletes ◽  
Adolescent Female ◽  
Increased Risk ◽  
Anterior Knee

scholarly journals Expected Prevalence From the Differential Diagnosis of Anterior Knee Pain in Adolescent Female Athletes During Preparticipation Screening

2012 ◽  
Vol 47 (5) ◽  
pp. 519-524 ◽  
Author(s):  
Kim D. Barber Foss ◽  
Gregory D. Myer ◽  
Stephen S. Chen ◽  
Timothy E. Hewett
Keyword(s):  
High School ◽  
Middle School ◽  
Differential Diagnosis ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Female Athletes ◽  
Adolescent Female ◽  
Preparticipation Screening ◽  
Common Diagnosis ◽  
Anterior Knee

Context Anterior knee pain is a common disorder in female athletes with an undefined cause. The relative prevalence of specific patellofemoral disorders associated with anterior knee pain in adolescent females remains undetermined. Objective To determine the prevalence of specific patellofemoral disorders obtained using the differential diagnosis of anterior knee pain in adolescent female athletes during preparticipation screening. Design Descriptive epidemiology study. Setting Preparticipation screening evaluations at a county public school district in Kentucky. Patients or Other Participants A total of 419 unique middle and high school–aged female athletes. Main Outcome Measure(s) Participants were evaluated by physicians for anterior knee pain over 3 consecutive basketball seasons. Given the longitudinal nature of this study, some participants were tested longitudinally over multiple years. Results Over the course of 3 basketball seasons, 688 patient evaluations were performed. Of these, 183 (26.6%) were positive for anterior knee pain. A statistically significant difference was noted in the prevalence of anterior knee pain by school level, with 34.4% (n = 67) in high school–aged athletes versus 23.5% (n = 116) in middle school–aged athletes (P < .05). In the 1376 knees evaluated, patellofemoral dysfunction was the most common diagnosis, with an overall prevalence of 7.3% (n = 100). The only diagnosis shown to be statistically different between age levels was Sinding-Larsen-Johansson disease or patellar tendinopathy, with 38 cases (9.7%) in high school–aged and 31 (3.1%) in middle school–aged athletes (P < .05). Conclusions Anterior knee pain was present in 26.6% of the adolescent female athletes screened over 3 years. Symptoms of anterior knee pain likely persist after middle school–aged onset and reach peak prevalence during the high school years.

scholarly journals Cross-Sectional Risk Factors of Anterior Knee Pain in Adolescents

2021 ◽  
Vol 2 ◽  
Author(s):  
Gregory Borschneck ◽  
Laura St. John ◽  
Kristy Brundage ◽  
Daniel Patrick Borschneck
Keyword(s):  
Risk Factors ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Sport Participation ◽  
Past History ◽  
Sports Participation ◽  
Cross Sectional ◽  
Increased Risk ◽  
History Of ◽  
Anterior Knee

Background: Anterior knee pain is a common complaint amongst adolescents, which can both be persistent, and in some cases, disabling. This study investigated a series of potential risk factors potentially linked to the onset of anterior knee pain.Methods: Questionnaires were distributed amongst 367 10–15 years-olds enrolled in the local school board. These surveys included questions on sex, age, sport participation, and history of anterior knee pain verified by a physician. Bivariate correlations and a binomial logistic regression were conducted. Overall rate of AKP in the population studied was 7.4%. The results indicated that past history of knee pain, age, and increased sports participation significantly correlated with increased risk of AKP. AKP was significantly more common in females than males. While sex, height, age, overall sport participation, participation in specific sports, and history of knee injury all contributed to the binomial model.

scholarly journals Use of the suprapatellar approach in intramedullary nailing of a multi-fragmentary dislocated tibia fracture with a hypermobile intermediate fragment in a young patient

2017 ◽  
Vol 8 (4) ◽  
Author(s):  
Patrick Haubruck ◽  
Ulf Brunnemer ◽  
Arash Moghaddam ◽  
Gerhard Schmidmaier
Keyword(s):  
Case Report ◽  
Intramedullary Nailing ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Young Patients ◽  
First Grade ◽  
Adolescent Female ◽  
Suprapatellar Approach ◽  
Anterior Knee ◽  
Type Of Fracture

A case of an adolescent female patient who suffered from first grade open multi-fragment fracture of the tibia (AO42-C2) with a large hypermobile intermediate fragment is presented in this case report. Intramedullary nailing of the tibia remains the treatment of choice despite a high risk of malformation and anterior knee pain especially in multi-fragment fractures. Here the suprapatellar approach as a semiextended nailing technique seems favorable. The specialty in our case was an early change of procedures necessary due to persistent swelling during external fixation based on the hypermobile intermediate fragment. Decision in favor of this surgical technique was conducted in order to achieve beneficial alignment and union while protecting the softtissue despite the hypermobile intermediate fragment and decrease the risk of anterior knee pain. In our case we achieved successful alignment and proper bone healing without any signs of anterior knee pain or limitations in the range of motion of the knee. With this report we would like to recommend the suprapatellar approach as a favorable alternative in intramedullary nailing in this type of fracture also in young patients.

scholarly journals Unusual presentation of anterior knee pain in elite female athletes: report of two cases

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Xinning Li ◽  
Phillip Williams ◽  
Emily J. Curry ◽  
Jo A. Hannafin
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Female Athletes ◽  
Correct Diagnosis ◽  
False Negative ◽  
Physical Exam ◽  
Diagnostic Arthroscopy ◽  
Common Diagnosis ◽  
History Of ◽  
Anterior Knee

Two elite female athletes presented with anterior knee pain with range of motion and reproducible tenderness to palpation. Diagnostic arthroscopy was performed in both cases resulting in excision of a nodular pigmented villonodular synovitis (PVNS) in the first patient and scar tissue in the second patient. Correct diagnosis of anterior knee pain in the elite female athlete can present a challenge to clinicians. Although patellofemoral pain is the most common diagnosis, other uncommon causes include PVNS and residual scar formation in patients with a history of surgery or trauma. Magnetic resonance imaging (MRI) images are helpful in confirming the diagnosis, however, in a subset of patients, the physician must rely on clinical suspicion and physical exam to make the proper diagnosis. Given the possibility of a false negative MRI images, patients with persistent anterior knee pain with a history of knee surgeries and focal tenderness reproducible on physical exam may benefit from a diagnostic arthroscopy.

scholarly journals Jumper's knee

2003 ◽  
Vol 7 (3) ◽  
pp. 22-23
Author(s):  
R. V.P. De Villiers
Keyword(s):  
High Resolution ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Inflammatory Cells ◽  
Patellar Tendinopathy ◽  
High Definition ◽  
Jumper’S Knee ◽  
Common Cause ◽  
Anterior Knee

Patellar tendinopathy or 'jumper's knee' is a common cause of anterior knee pain in athletes. This condition is often resistant to therapy and can cause a premature end to a professional sporting career. MRI and high-definition ultrasound are the modalities of choice for evaluating the athlete with anterior knee pain. Ultrasound with a linear, high-resolution 10 or 12 MHz probe is suggested. Comparison is always made with the presumed normal contralateral tendon. MRI, although more expensive, is not operator-dependent. It also demonstrates a more global picture. Fluid-sensitive studies are used in the axial and sagittal planes. The pathology of patellar tendinopathy represents a tendinosis, rather than a tendonitis, due to the absence of inflammatory cells.

scholarly journals Role of Magnetic Resonance Imaging in Evaluation Of Anterior Knee Pain

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
Y A Abbas ◽  
Y I Abdulkhalik ◽  
Y H Motlaq
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Complex Structure ◽  
The Body ◽  
University Hospital ◽  
Patellar Tendinopathy ◽  
Radiology Department ◽  
Male Predominance ◽  
Anterior Knee

Abstract Background The knee joint is one of the most commonly injured joints in the body. Because of its complex structure, this joint is subjected to numerous pathologies and due to the recent increase in various sport activities, there has been a parallel increase in sport-induced internal derangements of the knee. The main strength of knee MRI is the assessment of articular and Peri-articular diseases. The specific structures best suited for MRI assessment include tendons, muscles and ligaments, as well as peri-articular soft tissue masses. Objective The purpose of this study is to detect the accuracy of MR imaging as a diagnostic tool in the evaluation of different knee joint pathologies that cause anterior knee pain, with emphasis on some of their grades and types for better assessment. Methodology This study included 20 patients (6 female and 14 male). Their ages range between 10-60 years (average age 30 years). All presented by anterior knee pain and were referred to radiology department of Ain Shams University hospital or private centers for MRI examination after orthopedic consultation. Results 5% of the patients presented with anterior knee pain showed MRI evidence of patellar tendinopathy (66% below the age of 30 years and more in females). In all cases the hyperintense focal thickening was at the proximal third of the tendon, with the AP diameter of the patellar tendon greater than 8mm. In our results about 10% of the patients in the study sample, had MRI evidence of tear in the anterior horn of lateral knee meniscus with a female equal to male (50% females and 50% males). Cartilage injuries were detected in 5% of the study sample, showing male predominance (100% were male and 0% were female) with average age 32 years. All have a past history of trauma. Conclusion MRI is generally safe, accurate, and specific modality which has been proven to be the modality of choice in the diagnosis of different knee pathologies that cause anterior knee pain in different age groups. Also, it has a high specification in detecting the grades and types of some of these diseases.

scholarly journals The Burden and Risk Factors of Patellar and Achilles Tendinopathy in Youth Basketball: A Cohort Study

2021 ◽  
Vol 18 (18) ◽  
pp. 9480
Author(s):  
Oluwatoyosi B. A. Owoeye ◽  
Luz Palacios-Derflingher ◽  
Kati Pasanen ◽  
Tate HubkaRao ◽  
Preston Wiley ◽  
...  
Keyword(s):  
Risk Factors ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Achilles Tendinopathy ◽  
Patellar Tendinopathy ◽  
Future Research ◽  
Basketball Players ◽  
Competitive Season ◽  
Median Proportion ◽  
Anterior Knee

This study aimed at evaluating the burden and risk factors of patellar and Achilles tendinopathy among youth basketball players. Patellar and Achilles tendinopathy were prospectively monitored in 515 eligible male and female youth basketball players (11–18 years) through a competitive season. Overall, the season prevalence of patellar tendinopathy was 19.0% (95% CI: 15.7–22.7%), 23.2% (95% CI: 18.6–28.2%) in males and 12.5% (95% CI: 8.3–17.9%) in females. The season prevalence of Achilles tendinopathy was 4.3% (95% CI: 2.7–6.4%), 4.1% (95% CI: 2.2–7.0%) in males and 4.5% (95% CI: 2.1–8.4%) in females. Median proportion of symptoms duration was 83% of average total weeks of basketball exposure for patellar tendinopathy and 75% for Achilles tendinopathy. Median time to patellar tendinopathy onset was 8 weeks for male players and 6 weeks for female players. Higher odds of patellar tendinopathy risk were seen in males (OR: 2.23, 95% CI: 1.10–4.69) and players with previous anterior knee pain had significantly elevated odds (OR: 8.5, 95% CI: 4.58–16.89). The burden and risk of patellar tendinopathy is high among competitive youth basketball players. Risk factors include sex and previous anterior knee pain. These findings provide directions for practice and future research.

Sign in / Sign up

Export Citation Format

Share Document