Radiographic Evaluation of Pediatric Patients with Patellofemoral Instability.
Kevin J OrellanaMorgan G BatleyJ Todd R LawrenceJie C NguyenBrendan A WilliamsPublished in: Current reviews in musculoskeletal medicine (2022)
Recent literature has broadened the radiographic characterization of the pediatric patellar instability and its anatomic risk factors. Knee MRI can inform the assessment of skeletal maturity and novel axial alignment measurements may enhance our identification of patients at increased risk of recurrent instability. Additional improvements have been made in the objective measurement and classification of trochlear dysplasia. Knee MRI-based skeletal age assessments may obviate the need for hand bone age assessments in growing children with patellofemoral instability. Novel objective measures exist in the evaluation of pediatric patellar instability both in the assessment of axial alignment and trochlear dysplasia. Future work should focus on how these measures can aid in guiding surgical decision-making.
Keyphrases
- total knee arthroplasty
- risk factors
- magnetic resonance imaging
- anterior cruciate ligament
- decision making
- anterior cruciate ligament reconstruction
- contrast enhanced
- deep learning
- machine learning
- knee osteoarthritis
- bone mineral density
- diffusion weighted imaging
- computed tomography
- current status
- postmenopausal women
- soft tissue