Anterior cruciate ligament injuries in children

Romain Seil*, Franck Chotel

*Corresponding author for this work

    Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

    1 Citation (Scopus)

    Abstract

    The knowledge of pediatric ACL injuries and their treatment has made significant progress over the last three decades. This evolution was initiated by the advances made by orthopedic sports medicine pioneers in the 1980s and 1990s. At that time, most surgeons were confronted with a negative selection of children with chronic ACL injuries and secondary soft-tissue damage. Therefore, specific pediatric surgical techniques were successfully developed and proved to be safe if used in a technically correct way. Nowadays they are used on a large scale, but due to the pediatric specificities, surgery remains nevertheless a challenge. Surgery-related complications still do occur, although at an acceptably low frequency (<2 %). The last decade showed that nonoperative treatment may be suitable for 30-50 % of patients, whereas others may develop rapidly secondary soft-tissue injuries. Today pediatric ACL injuries are increasingly recognized and physicians are confronted with many different situations at different evolutionary stages. Thus, future progress has to be made to select the right treatment at the right moment for the right patient. This chapter presents the challenges of pediatric ACL injuries, their clinical appearance, diagnosis, and treatment options.

    Original languageEnglish
    Title of host publicationSports Injuries
    Subtitle of host publicationPrevention, Diagnosis, Treatment and Rehabilitation, Second Edition
    PublisherSpringer Berlin Heidelberg
    Pages2551-2565
    Number of pages15
    ISBN (Electronic)9783642365690
    ISBN (Print)9783642365683
    DOIs
    Publication statusPublished - 1 Jan 2015

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