By Lyle J. Micheli MD, Mininder Kocher MD
A accomplished, one-stop source at the surgical administration of knee issues in youngsters and teens! This cutting-edge reference examines either bought and congenital stipulations in addition to a number of non-surgical difficulties. in the course of the textual content, readers will locate 250 scientific illustrations, descriptions of the injection components for the knee, key issues, and pointers on strategy that make sensible assistance effortless to appreciate and apply.Considers the original anatomic, physiologic, and mental features of kids and youngsters, and the way those features impact analysis, remedy, and rehabilitation.Integrates the information and event of specialists from round the world.Reviews non-surgical subject matters as hemophilia, infections, metabolic stipulations, and neurological disordersReveals "how the specialists do it"-whether it is a rehabilitation prescription for patellofemoral discomfort or drilling for osteochondritis dissecans-in the Technical Notes sections.Features many unique halftones from the picture library at Boston kid's health center, activities medication department.
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Extra resources for The Pediatric and Adolescent Knee
J Bone Joint Surg Am 75(9):1407–1416, 1993. 11. Smith A, Stroud L, McQueen C: Flexibility and anterior knee pain in adolescent elite figure skaters. J Pediatr Orthop 11:77–82, 1991. 12. Dupont J: Synovial plicae of the knee. Clin Sports Med 16(1):87–122, 1997. 13. Stanitski C: Articular hypermobility and chondral injury in patients with acute patellar dislocation. Am J Sports Med 23(2):146–150, 1995. 14. Angletti P, Buzzi R, Insall J: Disorders of the patellofemoral joint. In Insall JA, Windsor, RE, Scott WN (eds): Surgery of the Knee, 2nd ed.
The menisci of the developing child have a greater vascular supply. The adult pattern described by Arnoczky and Warren is not achieved until early adulthood. 15 The characteristic cell contained within meniscal tissue has been termed the fibrochondrocyte. Its structure contains elements of both fibroblasts and chondrocytes. Along with the progressive decrease in cellularity in the developing meniscus, the cells undergo changes in both their structure and arrangement within the matrix. The cells undergo maturation, such that they become arranged in a more orderly fashion and their nuclei become smaller.
The authors studied human fetal specimens ages 20–36 weeks and skeletally immature knee specimens ages 5–15 years grossly, histologically, and Developmental Anatomy of the Pediatric and Adolescent Knee radiographically. The fetal ACL was found to develop as a confluence of ligament fibers with periosteum at 20 weeks, with vascular invasion into the epiphysis occurring at 24 weeks, and establishment of a secure epiphyseal attachment for the ACL being noted by 36 weeks. In all specimens the ACL origin was distal to the physis.