2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries

Clare L. Ardern*, Guri Ekås, Hege Grindem, Håvard Moksnes, Allen Anderson, Franck Chotel, Moises Cohen, Magnus Forssblad, Theodore J. Ganley, Julian A. Feller, Jón Karlsson, Mininder S. Kocher, Robert F. LaPrade, Mike McNamee, Bert Mandelbaum, Lyle Micheli, Nicholas Mohtadi, Bruce Reider, Justin Roe, Romain SeilRainer Siebold, Holly J. Silvers-Granelli, Torbjørn Soligard, Erik Witvrouw, Lars Engebretsen

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    41 Citations (Scopus)

    Abstract

    In October 2017, the International Olympic Committee hosted an international expert group of physiotherapists and orthopaedic surgeons who specialise in treating and researching paediatric anterior cruciate ligament (ACL) injuries. Representatives from the American Orthopaedic Society for Sports Medicine, European Paediatric Orthopaedic Society, European Society for Sports Traumatology, Knee Surgery and Arthroscopy, International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine, Pediatric Orthopaedic Society of North America, and Sociedad Latinoamericana de Artroscopia, Rodilla y Deporte attended. Physiotherapists and orthopaedic surgeons with clinical and research experience in the field, and an ethics expert with substantial experience in the area of sports injuries also participated. Injury management is challenging in the current landscape of clinical uncertainty and limited scientific knowledge. Injury management decisions also occur against the backdrop of the complexity of shared decision-making with children and the potential long-term ramifications of the injury. This consensus statement addresses six fundamental clinical questions regarding the prevention, diagnosis, and management of paediatric ACL injuries. The aim of this consensus statement is to provide a comprehensive, evidence-informed summary to support the clinician, and help children with ACL injury and their parents/guardians make the best possible decisions.

    Original languageEnglish
    Pages (from-to)989-1010
    Number of pages22
    JournalKnee Surgery, Sports Traumatology, Arthroscopy
    Volume26
    Issue number4
    DOIs
    Publication statusPublished - 1 Apr 2018

    Keywords

    • ACL
    • Anterior cruciate ligament
    • Child
    • Consensus
    • Knee
    • Orthopaedics
    • Paediatric

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