The Impact of Race, Insurance, and Socioeconomic Factors on Pediatric Knee Injuries

Neeraj M Patel; Bianca R Edison; Cordelia W Carter; Nirav K Pandya

doi:10.1016/j.csm.2022.05.012

The Impact of Race, Insurance, and Socioeconomic Factors on Pediatric Knee Injuries

Clin Sports Med. 2022 Oct;41(4):789-798. doi: 10.1016/j.csm.2022.05.012.

Authors

Neeraj M Patel¹, Bianca R Edison², Cordelia W Carter³, Nirav K Pandya⁴

Affiliations

¹ Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Avenue, Box 69, Chicago, IL 60611, USA. Electronic address: neepatel@luriechildrens.org.
² Children's Hospital Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027, USA.
³ New York University Langone Orthopedic Hospital, 301 E 17th St, New York, NY 10010, USA.
⁴ University of California San Francisco Benioff Children's Hospital, 747 52nd St, Oakland, CA 94609, USA.

PMID: 36210171
DOI: 10.1016/j.csm.2022.05.012

Abstract

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.

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

Publication types

Review

MeSH terms

Child
Healthcare Disparities* / ethnology
Healthcare Disparities* / statistics & numerical data
Humans
Insurance, Health* / statistics & numerical data
Knee Injuries* / ethnology
Knee Injuries* / therapy
Racial Groups* / statistics & numerical data
Socioeconomic Factors