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Type: Journal article
Title: Natural history of anterior knee pain: a 14- to 20- year follow-up of nonoperative management
Author: Nimon, G.
Murray, D.
Sandow, M.
Goodfellow, J.
Citation: Journal of Pediatric Orthopaedics, 1998; 18(1):118-122
Publisher: Ovid Technologies (Wolters Kluwer Health)
Issue Date: 1998
ISSN: 0271-6798
Statement of
Gavin Nimon, David M.D. Murray, Michael Sandow and Joh Goodfellow
Abstract: We describe a consecutive series of girls with idiopathic anterior knee pain in adolescence and who were treated nonoperatively. At a mean follow-up of 16 years, 22% had no pain, 71% thought that their symptoms were better than at presentation, 88% used analgesics rarely or not at all, and 90% continued to participate regularly in sports. Nevertheless, about one in four of the patients continued to have significant symptoms for < or = 20 years after presentation. No features were identified that predicted those patients in whom symptoms would persist. We conclude that surgical treatment of idiopathic anterior knee pain in adolescents is not justified until a procedure has been shown to provide a better outcome than that reported here or until a way has been found to distinguish the few patients who will not get better spontaneously from the majority who will.
Keywords: Knee Joint
Follow-Up Studies
DOI: 10.1097/01241398-199801000-00021
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Appears in Collections:Aurora harvest
Orthopaedics and Trauma publications

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