Advancing Pediatric Sports Medicine: Insights and Innovations

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 25 August 2025 | Viewed by 931

Special Issue Editor


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Guest Editor
Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA
Interests: sports surgery; patellar instability; early sport specialization

Special Issue Information

Dear Colleagues,

With the increasing participation of children in athletics, there has been a rise in orthopedic sports-related injuries in the pediatric population. While some injuries do not lead to future consequences, the inadequate diagnosis or treatment of many conditions may lead to long-term impacts on the health and well-being of children and adolescents, especially considering the developmental risks associated with certain injury subtypes. Additionally, we have a limited understanding of how social or environmental factors impact the pediatric sports population. As pediatric patients have historically been an understudied population, it is crucial to develop a more complex understanding of these conditions and injury patterns.

The goal of this Special Issue is to explore new advancements and perceptions in pediatric sports medicine with regard to prevention, diagnosis, treatment, and return to play. In order to provide the highest standard of care, it is vital for the community to have a holistic understanding of these injuries to better guide recommendations and care for young athletes. 

Dr. Brian C. Lau
Guest Editors

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Keywords

  • sport surgery
  • patellar instability
  • early sport specialization
  • triplane fractures
  • pediatric sports medicine
  • orthopedic surgery
  • access to care
  • arthroscopic

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Published Papers (1 paper)

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Review

16 pages, 2457 KiB  
Review
Physeal-Sparing Soft Tissue Realignment in Pediatric Patellofemoral Instability Patients: A Review of Treatment Options and Outcomes
by Christian F. Zirbes, Alyssa Henriquez, Alaowei Amanah, Aaron D. Therien, Sebastian Perez-Espina, Emilie Dorrestein, Diana Zheng, Jason Lilly, Emily J. Luo, Michael A. Fox and Brian C. Lau
J. Clin. Med. 2025, 14(4), 1116; https://doi.org/10.3390/jcm14041116 - 9 Feb 2025
Viewed by 732
Abstract
Patellofemoral instability is a common condition in children, with an annual incidence of approximately 50 cases per 100,000 children. Instability of the patella involves a number of structures, such as the medial patellofemoral ligament and the vastus medialis obliquus, which can be used [...] Read more.
Patellofemoral instability is a common condition in children, with an annual incidence of approximately 50 cases per 100,000 children. Instability of the patella involves a number of structures, such as the medial patellofemoral ligament and the vastus medialis obliquus, which can be used for patellar realignment in soft tissue, physeal-sparing procedures. In this rapid review, we aim to review the surgical interventions, post-operative outcomes, and associated surgical complications of global soft tissue procedures in the management of patellofemoral instability. A search of the Medline database was conducted to identify studies evaluating the treatment and outcomes of global treatment of pediatric patellofemoral instability. The included studies analyzed the surgical management of patellofemoral instability in pediatric patients, utilizing soft tissue global procedures and reported functional outcomes, return to sport or play, and post-operative complications. A total of eight studies were included, comprising a cohort of 270 pediatric and adolescent patients and 334 knees. The average patient age was 10.6 years, with 60.4% (163/270) patients being female, and the mean follow-up duration was 58.4 months. Of the eight studies, two examined the three-in-one procedure, three examined the four-in-one procedure, one examined a combination of medial and lateral release, and two examined the Galeazzi procedure. This review underscores the variety of global physeal-sparing surgical procedures available for treating patellofemoral instability. While outcomes are generally favorable, with high rates of return to sport, recurrent residual instability and recurrent dislocation remain significant challenges, with residual instability affecting nearly half of patients. Future research should focus on exploring long-term outcomes, optimizing patient selection, and identifying the causes of recurrent instability to further enhance patient outcomes and reduce complication rates. Full article
(This article belongs to the Special Issue Advancing Pediatric Sports Medicine: Insights and Innovations)
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