Update on paediatric ACL injuries

In the last two decades there has been an increase in the incidence of anterior cruciate ligament (ACL) injuries in children. This may be due to increased awareness, more participation in high demand contact and non-contact sports at an earlier age and better diagnosis as a result of better imaging....

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Bibliographic Details
Published in:The knee 2006-10, Vol.13 (5), p.345-352
Main Authors: Utukuri, M.M., Somayaji, H.S., Khanduja, V., Dowd, G.S.E., Hunt, D.M.
Format: Article
Language:English
Subjects:
Anterior cruciate ligament
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Child
Growth Plate - growth & development
Humans
Incidence
Knee Injuries - classification
Knee Injuries - diagnosis
Knee Injuries - therapy
Management
Orthopedic Procedures - adverse effects
Orthopedic Procedures - methods
Paediatric
Physical Therapy Modalities
Tendons - transplantation
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Summary:In the last two decades there has been an increase in the incidence of anterior cruciate ligament (ACL) injuries in children. This may be due to increased awareness, more participation in high demand contact and non-contact sports at an earlier age and better diagnosis as a result of better imaging. A review of the literature suggests that the long-term results of non-operative treatment are poor. While the short to medium-term results of ACL reconstruction in children are encouraging, the long-term results are unknown. In this review, the current trends in the management of paediatric ACL injuries are discussed with particular emphasis on the natural history, surgical techniques, the effect of surgery on the growth plate and complications.
ISSN:0968-0160
1873-5800
DOI:10.1016/j.knee.2006.06.001