Anterior knee pain in children with cerebral palsy

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dc.contributor.authorSenaran H.
dc.contributor.authorHolden C.
dc.contributor.authorDabney K.W.
dc.contributor.authorMiller F.
dc.date.accessioned2020-03-26T17:19:04Z
dc.date.available2020-03-26T17:19:04Z
dc.date.issued2007
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAnterior knee pain arising from the patellofemoral joint may be a significant problem in the cerebral palsy (CP) population. The aim of this study was to classify patients with anterior knee pain based on etiology and organize orthopaedic management based on this classification. This study was a retrospective chart review of patients with CP and anterior knee pain admitted to the orthopaedic outpatient clinic between 1991 and 2003. Children with CP who had intractable anterior knee pain despite 6 months of conservative treatment with at least 2 years' follow-up were identified and included. The medical records, radiographs, and treatment protocols were screened. Patients were classified into 3 groups according to pathology. Group I consisted of 7 children with patella alta only. Group II consisted of 7 children with patellar inferior pole fractures. Group III consisted of 13 children with subluxated or dislocated patellas. Conservative treatment methods such as anti-inflammatory drugs, local ice packs, stretching exercises, and braces should be the first step in treatment. For those patients in whom conservative treatment was not effective, surgical treatment alternatives were discussed. Knee pain resolved in all patients after surgical treatment of the underlying pathology. Gait analysis can be performed for patients with patellofemoral subluxations to evaluate the rotational malalignment of the tibia and femur. In conclusion, anterior knee pain arising from the patellofemoral joint in patients with CP should be evaluated and treated to prevent future functional deterioration. © 2007 Lippincott Williams & Wilkins, Inc.en_US
dc.identifier.doi10.1097/BPO.0b013e31802b715cen_US
dc.identifier.endpage16en_US
dc.identifier.issn0271-6798en_US
dc.identifier.issue1en_US
dc.identifier.pmid17195790en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage12en_US
dc.identifier.urihttps://dx.doi.org/10.1097/BPO.0b013e31802b715c
dc.identifier.urihttps://hdl.handle.net/20.500.12395/21799
dc.identifier.volume27en_US
dc.identifier.wosWOS:000243250200003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Pediatric Orthopaedicsen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAnterior knee painen_US
dc.subjectCerebral palsyen_US
dc.subjectDislocation subluxation of patellaen_US
dc.subjectPatella altaen_US
dc.titleAnterior knee pain in children with cerebral palsyen_US
dc.typeReviewen_US

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