Evidence map›Paper›PMID 37071284›Full record

ReviewCurrent reviews in musculoskeletal medicine2023

Patellofemoral Instability in the Pediatric Population.

Prushoth Vivekanantha, Dan Cohen, Devin Peterson, Darren de Sa

Open access · greenAbstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Patellofemoral Instability in Children with Down Syndrome.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
  4. Article
  5. Patellofemoral Instability in the Adolescent Age Group.Indian journal of orthopaedics · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Care for Pediatric Patellofemoral Instability Prior to Orthopaedic Referral.Journal of the Pediatric Orthopaedic Society of North America · 2025
    Article
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Prushoth VivekananthaMichael DeGroote School of Medicine, McMaster University, 1280 Main Street W, Hamilton, ON, Canada. prushoth.vivekanantha@medportal.ca.ORCID http://orcid.org/0000-0002-1298-5121
Dan CohenDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada.
Devin PetersonDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada.
Darren de SaDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada.
McMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThis review focuses on the etiology, diagnosis, and management of patellar instability in pediatric patients. RECENT

findingsRadiological outcomes such as tibial-tubercle to trochlear groove (TT-TG) distance used in diagnosis are subject to factors of influence such as femoral anteversion and knee flexion angle, and new measure such as tibial-tubercle to posterior cruciate ligament distance as well as TT-TG/trochlear width (TT-TG/TW) are under investigation. To prevent recurrent instability, surgical intervention for acute patellar dislocations may be advantageous compared to conservative management. Patellar instability is a common pathology found in pediatric cohorts. Diagnosis can be performed via a combination of history, physical examination maneuvers, and radiological risk factors such as patella alta, patellar tilt, trochlear dysplasia, and elevated TT-TG distances. Current literature advocates the usage of additional radiological measures to TT-TG such as TT-TG/TW, especially as TT-TG varies with age in younger patients. Recent literature potentially suggests the utilization of surgical procedures such as MPFL reconstruction or repair for acute dislocations in the hope of preventing recurrent instability. Special indications for pediatric patients include osteochondral fracture identification to help prevent patellofemoral osteoarthritis. A comprehensive workup and understanding of current literature can aid clinicians in aiming to prevent recurrent patellar dislocation in pediatric patients.

Indexed as

DislocationInstabilityPatellaPediatrics

Identifiers

PMID37071284
PMCPMC10356699
OpenAlexW4366242351

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.