The Impact of Race, Insurance, and Socioeconomic Factors on Pediatric Knee Injuries - 07/10/22

Doi : 10.1016/j.csm.2022.05.012

Neeraj M. Patel, MD, MPH, MBS ^a,^⁎ , Bianca R. Edison, MD, MS ^b, Cordelia W. Carter, MD ^c, Nirav K. Pandya, MD ^d
^a Ann & Robert H. Lurie Children’s Hospital of Chicago, 225 East Chicago Avenue, Box 69, Chicago, IL 60611, USA
^b Children’s Hospital Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027, USA
^c New York University Langone Orthopedic Hospital, 301 E 17th St, New York, NY 10010, USA
^d University of California San Francisco Benioff Children’s Hospital, 747 52nd St, Oakland, CA 94609, USA

^∗Corresponding author.

Résumé

Disparities persist in pediatric sports medicine along the lines of race, ethnicity, insurance status, and other demographic factors. In the context of knee injuries such as anterior cruciate ligament (ACL) ruptures, meniscus tears, and tibial spine fractures, these inequalities affect evaluation, treatment, and outcomes. The long-term effects can be far-reaching, including sports and physical activity participation, comorbid chronic disease, and socio-emotional health. Further research is needed to more concretely identify the etiology of these disparities so that effective, equitable care is provided for all children.

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Keywords : Pediatric sports, Knee injury, Disparities, Anterior cruciate ligament, Meniscus, Osteochondritis dissecans, Tibial spine, Tibial eminence