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. 2017 Apr 28:11:378-388.
doi: 10.2174/1874325001711010378. eCollection 2017.

Pediatric ACL Injuries: A Review of Current Concepts

Vikas Trivedi  1 , Panna Mishra  2 , Deepankar Verma  3
Affiliations

Pediatric ACL Injuries: A Review of Current Concepts

Vikas Trivedi et al. Open Orthop J. .

Abstract

Background: The number of anterior cruciate ligament (ACL) injuries reported in skeletally immature athletes has increased over the past 2 decades. The reasons for this increased rate include the growing number of children and adolescents participating in competitive sports vigorous sports training at an earlier age and greater rate of diagnosis because of increased awareness and greater use of advanced medical imaging. There is a growing need for a consensus and evidence based approach for management of these injuries to frame a dedicated age specific treatment strategy.

Methods: This article does a systematic evidence based literature review of management of Pediatric ACL injuries seen in several forms: tibial eminence avulsion fractures partial ACL tears and full thickness ligament tears and its outcome analysis.

Results: The mechanism of Safe and effective surgical techniques for children and adolescents with ACL injuries continues to evolve. The numerous age matched techniques are extensively discussed. Neuromuscular training can reduce the risk of ACL injury in adolescent girls.

Conclusion: This review outlines the current state of knowledge on diagnosis treatment and prevention of ACL injuries in children and adolescents and helps in guiding the treatment through a dedicated algorithm.

Keywords: ACL injury; ACL reconstruction; Adolescent; Injury prevention; Post op rehabilitation; Treatment algorithm.

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Figures

Fig. (1)
Fig. (1)
The Lachman Test.
Fig. (2)
Fig. (2)
The perfect lateral X-ray to diagnose tibial eminence fracture.
Fig. (3)
Fig. (3)
Sagittal MRI showing a complete ACL tear in a pediatric patient.
Fig. 4
Fig. 4
Tanner staging chart.
Fig. (5)
Fig. (5)
Treatment algorithm for guiding ACL reconstruction in a pediatric athlete.
Fig. (6)
Fig. (6)
Diagram of Ganley-Lawrence all epiphyseal all inside technique.
Fig. (7)
Fig. (7)
Navigated physeal tunnel placement.
Fig. (8)
Fig. (8)
Hybrid All inside fixation of displaced Tibial eminence fracture by a suture anchor (Type III A or Type III B).
See this image and copyright information in PMC

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