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The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population

Background and Objectives: Excessive use of the knee in patients with immature locomotor systems leads to a whole spectrum of morphological changes with possible consequences in adulthood. This study aimed to examine the morphological pattern in magnetic resonance imaging (MRI) that is associated wi...

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Autores principales: Djuricic, Goran, Milojkovic, Djordje, Mijucic, Jovana, Ducic, Sinisa, Bukva, Bojan, Radulovic, Marko, Rajovic, Nina, Milcanovic, Petar, Milic, Natasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9416774/
https://www.ncbi.nlm.nih.gov/pubmed/36013574
http://dx.doi.org/10.3390/medicina58081107
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author Djuricic, Goran
Milojkovic, Djordje
Mijucic, Jovana
Ducic, Sinisa
Bukva, Bojan
Radulovic, Marko
Rajovic, Nina
Milcanovic, Petar
Milic, Natasa
author_facet Djuricic, Goran
Milojkovic, Djordje
Mijucic, Jovana
Ducic, Sinisa
Bukva, Bojan
Radulovic, Marko
Rajovic, Nina
Milcanovic, Petar
Milic, Natasa
author_sort Djuricic, Goran
collection PubMed
description Background and Objectives: Excessive use of the knee in patients with immature locomotor systems leads to a whole spectrum of morphological changes with possible consequences in adulthood. This study aimed to examine the morphological pattern in magnetic resonance imaging (MRI) that is associated with recurrent pain due to increased physical activity in children. Materials and Methods: This was a retrospective study conducted among pediatric patients treated at the University Children’s Hospital in Belgrade in 2018 and 2019. MRI findings of patients who reported recurrent pain in the knee joint during physical activity and who were without any pathological findings on both clinical examination and knee radiographs were included in the study. Results: MRI findings of 168 patients (73 boys and 95 girls, mean age 14.07 ± 3.34 years) were assessed. Meniscus and cartilage lesions were the most commonly detected morphological findings: meniscus lesions in 49.4%, cartilage ruptures in 44.6%, and cartilage edema in 26.2% of patients. The medial meniscus was more often injured in girls (p = 0.030), while boys were more prone to other joint injuries (p = 0.016), re-injury of the same joint (p = 0.036), bone bruises (p < 0.001), and ligament injuries (p = 0.001). In children older than 15 years, tibial plateau cartilage edema (p = 0.016), chondromalacia patellae (p = 0.005), and retropatellar effusion (p = 0.011) were detected more frequently compared to younger children. Conclusions: Children reporting recurrent knee pain due to increased physical activity, without any detected pathological findings on clinical examination and knee radiography, may have morphological changes that can be detected on MRI. Timely diagnosis of joint lesions should play a significant role in preventing permanent joint dysfunction in the pediatric population as well as in preventing the development of musculoskeletal diseases in adulthood.
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spelling pubmed-94167742022-08-27 The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population Djuricic, Goran Milojkovic, Djordje Mijucic, Jovana Ducic, Sinisa Bukva, Bojan Radulovic, Marko Rajovic, Nina Milcanovic, Petar Milic, Natasa Medicina (Kaunas) Article Background and Objectives: Excessive use of the knee in patients with immature locomotor systems leads to a whole spectrum of morphological changes with possible consequences in adulthood. This study aimed to examine the morphological pattern in magnetic resonance imaging (MRI) that is associated with recurrent pain due to increased physical activity in children. Materials and Methods: This was a retrospective study conducted among pediatric patients treated at the University Children’s Hospital in Belgrade in 2018 and 2019. MRI findings of patients who reported recurrent pain in the knee joint during physical activity and who were without any pathological findings on both clinical examination and knee radiographs were included in the study. Results: MRI findings of 168 patients (73 boys and 95 girls, mean age 14.07 ± 3.34 years) were assessed. Meniscus and cartilage lesions were the most commonly detected morphological findings: meniscus lesions in 49.4%, cartilage ruptures in 44.6%, and cartilage edema in 26.2% of patients. The medial meniscus was more often injured in girls (p = 0.030), while boys were more prone to other joint injuries (p = 0.016), re-injury of the same joint (p = 0.036), bone bruises (p < 0.001), and ligament injuries (p = 0.001). In children older than 15 years, tibial plateau cartilage edema (p = 0.016), chondromalacia patellae (p = 0.005), and retropatellar effusion (p = 0.011) were detected more frequently compared to younger children. Conclusions: Children reporting recurrent knee pain due to increased physical activity, without any detected pathological findings on clinical examination and knee radiography, may have morphological changes that can be detected on MRI. Timely diagnosis of joint lesions should play a significant role in preventing permanent joint dysfunction in the pediatric population as well as in preventing the development of musculoskeletal diseases in adulthood. MDPI 2022-08-16 /pmc/articles/PMC9416774/ /pubmed/36013574 http://dx.doi.org/10.3390/medicina58081107 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Djuricic, Goran
Milojkovic, Djordje
Mijucic, Jovana
Ducic, Sinisa
Bukva, Bojan
Radulovic, Marko
Rajovic, Nina
Milcanovic, Petar
Milic, Natasa
The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population
title The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population
title_full The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population
title_fullStr The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population
title_full_unstemmed The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population
title_short The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population
title_sort magnetic resonance imaging pattern of the lesions caused by knee overuse in the pediatric population
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9416774/
https://www.ncbi.nlm.nih.gov/pubmed/36013574
http://dx.doi.org/10.3390/medicina58081107
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