Musculoskeletal Key

Fig. 3.1 Dissected 8-year-old male, left pediatric knee, showing an intact ACL with femoral origin (a) and tibial (b) insertion sites. Published with kind permission of © Kevin Shea 2017….

Fig. 11.1 Group of girls aged 11–12 years. It is apparent that despite similar chronologic age, the amount of growth remaining in each girl is variable. Skeletal age and Tanner…

Fig. 18.1 Heel slides demonstrating an active assisted range of motion of the surgical knee (right) to promote knee flexion . Can be done passively by pulling a towel that…

Fig. 13.1 The femoral guide. The handle of the guide should be elevated approximately 35–40° to avoid damaging the lateral collateral ligament and popliteus tendon during reaming (Copyright 2013 OrthoPediatrics…

Fig. 15.1 Radiographs revealing representative images of patients with bone ages of 6–14. (a) Bone age of 6: Micheli–Kocher intra-articular extra-articular procedure. (b) Bone age of 8: Anderson all-epiphyseal procedure,…

Fig. 22.1 This schematic drawing of the knee with the ACL shows the different ACL tear locations. The green zones indicate the location of tears on MRI that have a…

Fig. 20.1 Top down view of the tibial plateau demonstrating ligament insertions of the ACL anterior and PCL posterior as well as simulated fracture pattern demonstrating potential sources of entrapment:…

Fig. 19.1 ACL graft mid-substance failure after transphyseal tibial tunnel and epiphyseal femoral tunnel 2 years after index procedure Due to a lack of data, the rate of re-tear in…

Fig. 12.1 Modified MacIntosh IT band ACL reconstruction The iliotibial band combined extra- and intra-articular reconstruction has several advantages, including complete avoidance of the physes, improving the ease of revision…

Technique Anderson technique Modified Anderson Ganley-Lawrence all-epiphyseal technique with retroscrews Green-Cordasco all-inside technique Number of patients 12 – 3 23 Ages 13.3 ± 1.4 years – 10–12 years 12.6 Preparation…