{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:55:22Z","timestamp":1791824122490,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate differences in the incidence, diagnosis, and management of pediatric tibial eminence fractures between the Asia\u2010Pacific region and North America.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review and subjective synthesis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines. PubMed, MEDLINE, and Cochrane databases were searched from inception to May 1, 2025, using the keywords \u201ctibial eminence\u201d or \u201ctibial spine\u201d or \u201canterior cruciate ligament\u201d and \u201cfracture or avulsion.\u201d All original human surgical studies on pediatric tibial eminence fractures published in the Asia\u2010Pacific region and North America were included, and data on the incidence, diagnosis, and treatment of pediatric tibial eminence fractures were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 24 studies (9 from Asia\u2010Pacific and 15 from North America) were selected with a total of 1973 patients. Subset analysis (of 6 Asia\u2010Pacific and 3 North American studies) showed a trend toward higher rates of preoperative magnetic resonance imaging use among Asia\u2010Pacific (96.3%\u2010100%) compared with North American patients (36.2%\u201046.0%). There were also trends toward higher rates of arthroscopic reduction (compared with open reduction) and suture\u2010based fixation (compared with screw fixation and other modalities) observed in Asia\u2010Pacific patients compared with North American patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Asia\u2010Pacific surgeons reported substantially higher preoperative magnetic resonance imaging use compared with North American surgeons, alongside potential trends toward greater use of arthroscopic reduction and suture\u2010based fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level III and IV studies.<\/jats:p>\n                  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