{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T00:33:11Z","timestamp":1649205191408},"reference-count":62,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sportverletz Sportschaden"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die patellofemorale Instabilit\u00e4t (PFI) ist eine typische Erkrankung im Kindes- und Jugendalter. Aufgrund des hohen Reluxationsrisikos ist eine gezielte Risikoanalyse notwendig. Die Patella alta und eine ver\u00e4nderte Zugrichtung des Streckapparates, die \u00fcber den TTTG-Abstand ermittelt werden kann, stellen auch im jungen Alter Hauptrisikofaktoren der PFI dar. Die zunehmend evidenzbasierte Indikationsstellung unterscheidet sich nicht wesentlich von der Erwachsener. Aufgrund der Gefahr einer gest\u00f6rten Wachstumslenkung kann bei offenen Fugen ein Tuberositas-Transfer jedoch nicht erfolgen, sodass die operativen Techniken den Gegebenheiten angepasst werden m\u00fcssen. Eine Korrektur der Patella alta und eines erh\u00f6hten TTTG-Abstands ist mit weichteiligen distalen Eingriffen ohne Beeintr\u00e4chtigung der Wachstumsfugen auch im Kindes- und Jugendalter m\u00f6glich und verbessert die Ergebnisse gegen\u00fcber isolierten MPFL-Rekonstruktionen bei \u00dcberschreiten von Grenzwerten der Risikofaktoren und korrekter Indikationsstellung.<\/jats:p>","DOI":"10.1055\/a-1486-1654","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T23:33:06Z","timestamp":1639092786000},"page":"194-201","source":"Crossref","is-referenced-by-count":0,"title":["Der Tuberositas-Transfer im kindlichen Alter"],"prefix":"10.1055","volume":"35","author":[{"given":"Daniel","family":"Wagner","sequence":"additional","affiliation":[{"name":"Sportortho, Hessingpark-Clinic GmbH, Augsburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"issue":"01","key":"ref1","first-page":"42","article-title":"Combined Medial Patellofemoral Ligament Reconstruction and Tibial Tubercle Transfer Results at a Follow-Up of 2 years","volume":"30","author":"R Ahmad","year":"2017","journal-title":"J Knee Surg"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.arthro.2006.08.022","article-title":"Patellofemoral evaluation with radiographs and computed tomography scans in 60 knees of asymptomatic subjects","volume":"23","author":"J Alemparte","year":"2007","journal-title":"Arthroscopy"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1097\/JSA.0b013e31805752d0","article-title":"Surgical options for patellar stabilization in the skeletally immature patient","volume":"15","author":"J Andrish","year":"2007","journal-title":"Sports Med Arthrosc Rev"},{"issue":"14","key":"ref4","doi-asserted-by":"crossref","first-page":"3385","DOI":"10.1177\/0363546518803936","article-title":"Risk of Redislocation After Primary Patellar Dislocation: A Clinical Prediction Model Based on Magnetic Resonance Imaging Variables","volume":"46","author":"E A Arendt","year":"2018","journal-title":"Am J Sports Med"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1177\/03635465000280040601","article-title":"Characteristics of patients with primary acute lateral patellar dislocation and their recovery within the first 6 months of injury","volume":"28","author":"D M Atkin","year":"2000","journal-title":"Am J Sports Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1756","DOI":"10.1177\/0363546511404883","article-title":"Value of the Tibial Tuberosity-Trochlear Groove Distance in Patellar Instability in the Young Athlete","volume":"39","author":"P Balcarek","year":"2011","journal-title":"The American Journal of Sports Medicine"},{"issue":"11","key":"ref7","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1007\/s00402-018-2971-4","article-title":"Does patella alta lead to worse clinical outcome in patients who undergo isolated medial patellofemoral ligament reconstruction? 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Patella groove distanced technique and results (author's transl)","volume":"64","author":"D Goutallier","year":"1978","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"issue":"04","key":"ref19","first-page":"229","article-title":"Die Behandlung der Subluxation und Luxation der Kniescheibe beim Kind. Technik von Elmslie mit beweglichem Weichteilstiel (8-Jahres-Ubersicht) [Treatment of subluxation and dislocation of the patella in the child. Elmslie technic with movable soft tissue pedicle (8 year review)]","volume":"14","author":"P M Grammont","year":"1985","journal-title":"Orthopade"},{"issue":"05","key":"ref20","doi-asserted-by":"crossref","first-page":"563","DOI":"10.3109\/17453670903350107","article-title":"The Scandinavian ACL registries 2004\u20132007: baseline epidemiology","volume":"80","author":"L P Granan","year":"2009","journal-title":"Acta Orthop"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1177\/0363546514563690","article-title":"Systematic technique-dependent differences in CT versus MRI measurement of the tibial tubercle-trochlear groove distance","volume":"43","author":"C P Ho","year":"2015","journal-title":"Am J Sports Med"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1097\/00003086-197210000-00012","article-title":"Recurrent dislocation and the high-riding patella","volume":"88","author":"J Insall","year":"1972","journal-title":"Clin Orthop"},{"issue":"07","key":"ref23","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1097\/BPO.0000000000000674","article-title":"Predictors of Recurrent Patellar Instability in Children and Adolescents After First-time Dislocation","volume":"37","author":"B P Jaquith","year":"2017","journal-title":"J Pediatr Orthop"},{"issue":"12","key":"ref24","doi-asserted-by":"crossref","first-page":"2988","DOI":"10.1177\/0363546515606102","article-title":"Factors Affecting the Outcomes of Double-Bundle Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Dislocations Evaluated by Multivariate Analysis","volume":"43","author":"K Kita","year":"2015","journal-title":"Am J Sports Med"},{"issue":"05","key":"ref25","doi-asserted-by":"crossref","first-page":"504","DOI":"10.3109\/17453674.2012.736168","article-title":"Patella re-alignment in children with a modified Grammont technique","volume":"83","author":"T Kraus","year":"2012","journal-title":"Acta Orthop"},{"issue":"08","key":"ref26","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.2106\/00004623-197557080-00015","article-title":"Patella alta and patella infera. their etiological role in patellar dislocation, chondromalacia, and apophysitis of the tibial tubercle","volume":"57","author":"J E Lancourt","year":"1975","journal-title":"J Bone Joint Surg Am"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1097\/00003086-198211000-00023","article-title":"Conservative treatment of patellar dislocations. Influence of evident factors on the tendency to redislocation and the therapeutic result","volume":"171","author":"E Larsen","year":"1982","journal-title":"Clin Orthop Relat Res"},{"issue":"03","key":"ref28","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1177\/0363546512472873","article-title":"Predictors of recurrent instability after acute patellofemoral dislocation in pediatric and adolescent patients","volume":"41","author":"L W Lewallen","year":"2013","journal-title":"Am J Sports Med"},{"issue":"10","key":"ref29","doi-asserted-by":"crossref","first-page":"2545","DOI":"10.1007\/s00167-013-2445-8","article-title":"Treatment of patella alta in patients with episodic patellar dislocation: a systematic review","volume":"22","author":"R A Magnussen","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"04","key":"ref30","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1177\/03635465010290041401","article-title":"A comparison of preoperative imaging techniques for predicting patellar tendon graft length before cruciate ligament reconstruction","volume":"29","author":"D R McAllister","year":"2001","journal-title":"Am J Sports Med"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1177\/0363546515577786","article-title":"Epidemiology of patellofemoral instability injuries among high school athletes in the United States","volume":"43","author":"J Mitchell","year":"2015","journal-title":"Am J Sports Med"},{"issue":"09","key":"ref32","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1007\/s00402-003-0560-6","article-title":"Shortening of the patellar tendon length does not influence the patellofemoral alignment in a cadaveric model","volume":"123","author":"T Muellner","year":"2003","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1007\/s00142-020-00386-y","article-title":"Instabile Patella bei Kindern und Jugendlichen","volume":"33","author":"M Nelitz","year":"2020","journal-title":"Arthroskopie"},{"issue":"01","key":"ref34","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S0968-0160(01)00136-3","article-title":"Patellar tendon length \u2013 the factor in patellar instability?","volume":"9","author":"P Neyret","year":"2002","journal-title":"Knee"},{"issue":"07","key":"ref35","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/S0749-8063(03)00401-8","article-title":"Chondral and osteochondral injuries associated with acute patellar dislocation","volume":"19","author":"E Nomura","year":"2003","journal-title":"Arthroscopy"},{"issue":"03","key":"ref36","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.arthro.2005.09.024","article-title":"In vitro investigation of the effect of medial patellofemoral ligament reconstruction and medial tibial tuberosity transfer on lateral patellar stability","volume":"22","author":"S Ostermeier","year":"2006","journal-title":"Arthroscopy"},{"issue":"12","key":"ref37","doi-asserted-by":"crossref","first-page":"1799","DOI":"10.1007\/s00264-011-1240-8","article-title":"Magnetic resonance imaging assessment of tibial tuberosity-trochlear groove distance: normal values for males and females","volume":"35","author":"S Pandit","year":"2011","journal-title":"Int Orthop"},{"issue":"01","key":"ref38","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.ocl.2015.08.016","article-title":"Classification of Lateral Patellar Instability in Children and Adolescents","volume":"47","author":"S N Parikh","year":"2016","journal-title":"Orthop Clin North Am"},{"issue":"05","key":"ref39","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1007\/s11999-009-0995-3","article-title":"Which is the Best Method to Determine the Patellar Height in Children and Adolescents?","volume":"468","author":"M S Park","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"10","key":"ref40","doi-asserted-by":"crossref","first-page":"2325967120959318","DOI":"10.1177\/2325967120959318","article-title":"Patellar Tendon Imbrication Is a Safe and Efficacious Technique to Shorten the Patellar Tendon in Patients With Patella Alta","volume":"8","author":"R M Patel","year":"2020","journal-title":"Orthop J Sports Med"},{"issue":"02","key":"ref41","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1177\/0363546513509058","article-title":"Variation in tibial tubercle-trochlear groove measurement as a function of age, sex, size, and patellar instability","volume":"42","author":"A T Pennock","year":"2014","journal-title":"Am J Sports Med"},{"issue":"S 10","key":"ref42","first-page":"S158","article-title":"A comparison of lateral radiograph of the knee in extended weight bearing and 30 degrees flexion to predict a patellar tendon length","volume":"95","author":"N Reeboonlap","year":"2012","journal-title":"J Med Assoc Thai"},{"key":"ref43","first-page":"682","article-title":"Luxation habituelle de la royule; traitement operatoire","volume":"8","author":"C Roux","year":"1888","journal-title":"Rev Chir Paris"},{"issue":"04","key":"ref44","first-page":"1037","article-title":"High rate of recurrent patellar dislocation in skeletally immature patients: a long-term population-based study","volume":"26","author":"T L Sanders","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"06","key":"ref45","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1177\/0363546519838405","article-title":"Clinical Outcomes and Predictive Factors for Failure With Isolated MPFL Reconstruction for Recurrent Patellar Instability: A Series of 211 Reconstructions With a Minimum Follow-up of 3 Years","volume":"47","author":"E Sappey-Marinier","year":"2019","journal-title":"Am J Sports Med"},{"issue":"02","key":"ref46","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1007\/s12306-010-0094-3","article-title":"A technique for treating patello-femoral instability in immature patients: the tibial tubercle periosteum transfer","volume":"95","author":"E Savarese","year":"2011","journal-title":"Musculoskelet Surg"},{"issue":"05","key":"ref47","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1177\/0363546512438762","article-title":"Tibial tubercle-posterior cruciate ligament distance: a new measurement to define the position of the tibial tubercle in patients with patellar dislocation","volume":"40","author":"G Seitlinger","year":"2012","journal-title":"Am J Sports Med"},{"key":"ref48","first-page":"333","volume-title":"Shortening the patellar tendon","author":"E Servien","year":"2014"},{"key":"ref49","first-page":"265","article-title":"Patella alta and recurrent dislocation of the patella","volume":"274","author":"E Simmons Jr","year":"1992","journal-title":"Clin Orthop Relat Res"},{"issue":"08","key":"ref50","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1016\/0021-9290(94)90222-4","article-title":"Effects of patella alta and patella infera on patellofemoral contact forces","volume":"27","author":"R Singerman","year":"1994","journal-title":"J Biomech"},{"issue":"04","key":"ref51","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1177\/0363546514563904","article-title":"The prevalence and combined prevalences of anatomic factors associated with recurrent patellar dislocation: a magnetic resonance imaging study","volume":"43","author":"R N Steensen","year":"2015","journal-title":"Am J Sports Med"},{"issue":"01","key":"ref52","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1177\/0363546514554553","article-title":"The effect of tibial tuberosity medialization and lateralization on patellofemoral joint kinematics, contact mechanics, and stability","volume":"43","author":"J M Stephen","year":"2015","journal-title":"Am J Sports Med"},{"issue":"17","key":"ref53","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.2106\/JBJS.N.01313","article-title":"What Components Comprise the Measurement of the Tibial Tuberosity-Trochlear Groove Distance in a Patellar Dislocation Population?","volume":"97","author":"K Tensho","year":"2015","journal-title":"J Bone Joint Surg Am"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1007\/s00167-007-0418-5","article-title":"Recurrent patellar dislocation after medial patellofemoral ligament reconstruction","volume":"16","author":"M Thaunat","year":"2008","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"08","key":"ref55","doi-asserted-by":"crossref","first-page":"e35","DOI":"10.2106\/JBJS.J.00759","article-title":"Is the Caton-Deschamps index a valuable ratio to investigate patellar height in children?","volume":"93","author":"C Th\u00e9venin-Lemoine","year":"2011","journal-title":"J Bone Joint Surg Am"},{"issue":"12","key":"ref57","doi-asserted-by":"crossref","first-page":"e1479","DOI":"10.1016\/j.eats.2019.07.027","article-title":"Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient","volume":"8","author":"M Trivellas","year":"2019","journal-title":"Arthrosc Tech"},{"issue":"10","key":"ref58","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1177\/0363546505275346","article-title":"Effect of patellar tendon shortening on tracking of the patella","volume":"33","author":"N Upadhyay","year":"2005","journal-title":"Am J Sports Med"},{"issue":"05","key":"ref59","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1302\/0301-620X.88B5.16866","article-title":"Cartilage-bone mismatch in the dysplastic trochlea. An MRI study","volume":"88","author":"A L van Huyssteen","year":"2006","journal-title":"J Bone Joint Surg Br"},{"key":"ref60","first-page":"56","volume-title":"Medialisierung und Distalisierung des Ligamentum patellae bei Kindern","author":"D Wagner","year":"2016"},{"key":"ref61","first-page":"1749","article-title":"Patella alta: association with patellofemoral alignment and changes in contact area during weight-bearing","volume":"89","author":"S R Ward","year":"2007","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"06","key":"ref62","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/j.arthro.2006.03.005","article-title":"Magnetic resonance imaging evaluation of patellofemoral malalignment","volume":"22","author":"J R Wittstein","year":"2006","journal-title":"Arthroscopy"},{"issue":"03","key":"ref63","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/JSA.0b013e3182631707","article-title":"Surgical options for patellar stabilization in the skeletally immature patient","volume":"20","author":"K D Weeks 3rd","year":"2012","journal-title":"Sports Med Arthrosc"}],"container-title":["Sportverletzung \u00b7 Sportschaden"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1486-1654.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T23:34:20Z","timestamp":1639092860000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1486-1654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":62,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2021,12,9]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1486-1654","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0932-0555","1439-1236"],"issn-type":[{"value":"0932-0555","type":"print"},{"value":"1439-1236","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}