The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population
<i>Background and Objectives</i>: 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) th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/8/1107 |
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| author | Goran Djuricic Djordje Milojkovic Jovana Mijucic Sinisa Ducic Bojan Bukva Marko Radulovic Nina Rajovic Petar Milcanovic Natasa Milic |
| author_facet | Goran Djuricic Djordje Milojkovic Jovana Mijucic Sinisa Ducic Bojan Bukva Marko Radulovic Nina Rajovic Petar Milcanovic Natasa Milic |
| author_sort | Goran Djuricic |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: 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. <i>Materials and Methods:</i> 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. <i>Results</i>: 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 (<i>p</i> = 0.030), while boys were more prone to other joint injuries (<i>p</i> = 0.016), re-injury of the same joint (<i>p</i> = 0.036), bone bruises (<i>p</i> < 0.001), and ligament injuries (<i>p</i> = 0.001). In children older than 15 years, tibial plateau cartilage edema (<i>p</i> = 0.016), chondromalacia patellae (<i>p</i> = 0.005), and retropatellar effusion (<i>p</i> = 0.011) were detected more frequently compared to younger children. <i>Conclusions</i>: 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. |
| first_indexed | 2024-03-09T12:58:54Z |
| format | Article |
| id | doaj.art-80530cf133cc42a9953414483b83ce00 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T12:58:54Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-80530cf133cc42a9953414483b83ce002023-11-30T21:56:48ZengMDPI AGMedicina1010-660X1648-91442022-08-01588110710.3390/medicina58081107The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric PopulationGoran Djuricic0Djordje Milojkovic1Jovana Mijucic2Sinisa Ducic3Bojan Bukva4Marko Radulovic5Nina Rajovic6Petar Milcanovic7Natasa Milic8University Children’s Hospital, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaUniversity Children’s Hospital, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaUniversity Children’s Hospital, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaInstitute of Oncology and Radiology of Serbia, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaInstitute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaLaboratory for Sports Institute of Medical Physiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaInstitute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia<i>Background and Objectives</i>: 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. <i>Materials and Methods:</i> 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. <i>Results</i>: 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 (<i>p</i> = 0.030), while boys were more prone to other joint injuries (<i>p</i> = 0.016), re-injury of the same joint (<i>p</i> = 0.036), bone bruises (<i>p</i> < 0.001), and ligament injuries (<i>p</i> = 0.001). In children older than 15 years, tibial plateau cartilage edema (<i>p</i> = 0.016), chondromalacia patellae (<i>p</i> = 0.005), and retropatellar effusion (<i>p</i> = 0.011) were detected more frequently compared to younger children. <i>Conclusions</i>: 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.https://www.mdpi.com/1648-9144/58/8/1107knee injurychildrenmagnetic resonance imagingphysical activityoveruse syndrome |
| spellingShingle | Goran Djuricic Djordje Milojkovic Jovana Mijucic Sinisa Ducic Bojan Bukva Marko Radulovic Nina Rajovic Petar Milcanovic Natasa Milic The Magnetic Resonance Imaging Pattern of the Lesions Caused by Knee Overuse in the Pediatric Population Medicina knee injury children magnetic resonance imaging physical activity overuse syndrome |
| 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 | knee injury children magnetic resonance imaging physical activity overuse syndrome |
| url | https://www.mdpi.com/1648-9144/58/8/1107 |
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