Management of Pediatric Anterior Cruciate Ligament Injuries: A Critical Analysis
- PMID: 37535763
- DOI: 10.2106/JBJS.RVW.22.00223
Management of Pediatric Anterior Cruciate Ligament Injuries: A Critical Analysis
Abstract
» Overall evidence for the treatment of an anterior cruciate ligament (ACL) injury in a pediatric or skeletally immature patient remains lows.» An ACL reconstruction is recommended with concomitant repairable chondral and meniscus injury or with symptoms of persistent instability despite high-quality rehabilitation.» Treatment decision for pediatric ACL reconstruction should use a shared decision-making model weighing the risks and benefits of both a nonoperative vs. surgical treatment.
Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A988).
References
-
- Swenson DM, Collins CL, Best TM, Flanigan DC, Fields SK, Comstock RD. Epidemiology of knee injuries among U.S. high school athletes, 2005/2006-2010/2011. Med Sci Sports Exerc. 2013;45(3):462-9.
-
- Popkin CA, Wright ML, Pennock AT, Vogel LA, Padaki A, Redler LH, Ahmad CS. Trends in management and complications of anterior cruciate ligament injuries in pediatric patients: a survey of the PRiSM society. J Pediatr Orthop. 2018;38(2):e61-5.
-
- Moksnes H, Engebretsen L, Risberg MA. The current evidence for treatment of ACL injuries in children is low: a systematic review. J Bone Joint Surg Am. 2012;94(12):1112-9.
-
- Liddle AD, Imbuldeniya AM, Hunt DM. Transphyseal reconstruction of the anterior cruciate ligament in prepubescent children. J Bone Joint Surg Br. 2008;90-B(10):1317-22.
-
- Janarv PM, Nyström A, Werner S, Hirsch G. Anterior cruciate ligament injuries in skeletally immature patients. J Pediatr Orthop. 1996;16(5):673-7.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
