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Knee injuries by mechanism in skeletally immature patients

Knee injuries by mechanism in skeletally immature patients
Mechanism of injury Likely diagnosis Other possible conditions
Twisting or pivoting maneuvers
  • Anterior cruciate ligament injury with or without meniscus tear
  • Medial collateral ligament injury
  • Patellar dislocation
  • Posterior lateral corner injury
Hyperextension (eg, landing a jump)
  • Anterior cruciate ligament injury with or without meniscus tear
  • Posterior cruciate ligament injury 
  • Distal femoral physeal fracture
  • Proximal tibial physeal fracture
  • Meniscal tear
  • Posterior capsule tear
  • Posterior lateral corner injury
Valgus stress (direct force to the lateral knee)
  • Medial collateral ligament injury with or without meniscus tear
  • Anterior cruciate ligament injury
  • Distal femoral physeal fracture
  • Proximal tibial physeal fracture
  • Tibial eminence (spine) fracture
  • Patellar dislocation
  • Posterior lateral corner injury
Direct blow to the anterior knee
  • Patellar fracture
  • Chondral fracture (articular cartilage)
  • Posterior cruciate ligament injury
  • Prepatellar bursitis
  • Chondral contusion
  • Posterior capsule tear
  • Posterior lateral corner injury
Varus stress (direct force to the medial knee)
  • Lateral collateral ligament tear
  • Distal femoral physeal fracture
  • Posterior lateral corner tear
  • Tibiofemoral dislocation
  • Tibial eminence (spine) fracture
  • Peroneal nerve injury
Hyperflexion (taking off from a jump)
  • Meniscus tear
  • Proximal tibial physeal fracture
  • Tibial tuberosity avulsion fracture
  • Patellar sleeve fracture
  • Tibial eminence (spine) fracture
  • Osteochondral fracture
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