Knee Deformities in Children With Down Syndrome: A Focus on Knee Malalignment
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Patellofemoral instability (PFI) has been the most reported knee abnormality in people with Down syndrome. Other reported knee abnormalities have been associated with PFI and different management approaches have been described with variable outcomes. The aim of this study was to describe the anatomic variations of the knee in children with Down syndrome. A comparison between knees with and without PFI was performed and our experience in treating knee abnormalities in Down syndrome was also reported.
In children with Down syndrome, different variations of the knee anatomy can be found. Although PFI might be the most evident knee abnormality, other underlying deformities are common. Treatment of the PFI should be planned through a comprehensive anatomic approach that addresses all aspects of knee deformity.
En los niños con síndrome de Down, diferentes variaciones de la anatomía de la rodilla se pueden encontrar. Aunque PFI podría ser la anormalidad de la rodilla más evidente, otras deformidades subyacentes son comunes. El tratamiento del PFI se debe planear a través de un enfoque anatómico integral que aborde todos los aspectos de la deformidad de la rodilla.
LEVEL OF EVIDENCE:
Level IV-prognostic and therapeutic study.
- PMID: 27328121 [PubMed – as supplied by publisher]