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Epidemiology and history Patellar instabilities account for the most prevalent knee problems during growth. The overall incidence is around 50 in 100 000 children and adolescents per year with a peak at the age of 15 years. 1 , 2 Most
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◦ Excessive plantarflexion (stride) • Leg length discrepancy Early ankle plantarflexion (early stance) • Plantarflexors overactivity ◦ Premature knee extension/hyperextension • Leg length discrepancy or foot clearance problem on