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Acl pediatric

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7 papers 0 to 25 followers
S Clifton Willimon, Christopher R Jones, Mackenzie M Herzog, Keith H May, Melissa J Leake, Michael T Busch
BACKGROUND: The management of anterior cruciate ligament (ACL) tears in the skeletally immature patient remains controversial. Outcomes on a physeal-sparing technique using the iliotibial band for combined intra-articular and extra-articular ACL reconstruction, called the Micheli technique, have been described and reported by the original authors. PURPOSE: To evaluate the clinical outcomes of a physeal-sparing technique using the iliotibial band for combined intra-articular and extra-articular ACL reconstruction...
December 2015: American Journal of Sports Medicine
David E Ramski, Wajdi W Kanj, Corinna C Franklin, Keith D Baldwin, Theodore J Ganley
BACKGROUND: Debate regarding the optimal initial treatment for anterior cruciate ligament (ACL) injuries in children and adolescents has not resulted in a clear consensus for initial nonoperative treatment or operative reconstruction. HYPOTHESIS/PURPOSE: The purpose of this meta-analysis was to systematically analyze aggregated data from the literature to determine if a benefit exists for either nonoperative or early operative treatment for ACL injuries in the pediatric patient...
November 2014: American Journal of Sports Medicine
Xavier Cassard, Etienne Cavaignac, Laurent Maubisson, Mark Bowen
BACKGROUND: The management of anterior cruciate ligament (ACL) tears in growing patients must balance activity modification with the risk of secondary (meniscal and cartilaginous) lesions, and surgical intervention, which could adversely affect skeletal growth. Many ACL reconstruction techniques have been developed or modified to decrease the risk of growth disturbance. We have not found any description of ACL reconstruction using a single hamstring, short graft implanted into intraepiphyseal, retroreamed sockets...
January 2014: Journal of Pediatric Orthopedics
Peter D Fabricant, Kristofer J Jones, Demetris Delos, Frank A Cordasco, Robert G Marx, Andrew D Pearle, Russell F Warren, Daniel W Green
Intrasubstance tears of the anterior cruciate ligament (ACL) were once considered a rare injury in skeletally immature athletes but are now observed with increasing frequency. Treatment strategies have evolved as recent studies have identified unique considerations specific to the skeletally immature patient. The current literature now supports the trend toward early operative treatment to restore knee stability and prevent progressive meniscal and/or articular cartilage damage, but the optimal approach to ACL reconstruction in this age group remains controversial...
March 6, 2013: Journal of Bone and Joint Surgery. American Volume
Sara L Collins, Scott E Van Valin
We present the case study of a 7-year-old boy with an initial partial anterior cruciate ligament (ACL) tear. Initially, this patient was treated conservatively due to his age and immature skeletal structure. He returned to competitive sports, but reinjured the knee resulting in a complete ACL tear. The purpose of this paper is to outline the incidence, mechanism of injury, treatment and prevention of ACL injuries in the pediatric population. Evaluation of the injury and treatment options, including complex reconstruction will be presented via a case study approach and review of the literature...
January 2013: American Journal of Orthopedics
Aaron K Schachter, Andrew S Rokito
Anterior cruciate ligament injuries in the pediatric and adolescent population are becoming more common with the trends of increased participation in competitive athletics in younger children. The natural history of this injury is similar to that of the adult and results in frequent reinjury, instability, and debilitation. Delayed reconstruction has proven to be a clinically effective treatment method but requires a prolonged restriction of competitive athletics. Reconstruction in the acute and subacute period has been shown by many authors to be a successful, reproducible treatment regimen...
May 2007: Orthopedics
Kevin G Shea, Ronald Pfeiffer, Jo Han Wang, Mike Curtin, Peter J Apel
Injury claims from an insurance company specializing in soccer coverage were reviewed for a 5-year period. A total of 8215 injury claims (3340 females, 4875 males) were divided into three categories: (1) all injury, (2) knee injury, and (3) ACL injury. Knee injuries accounted for 22% of all injuries (30% female, 16% male). ACL injury claims represented 31% of total knee injury claims (37% female, 24% males). The youngest ACL injury was age 5. The ratio of knee injury/all injury increased with age. Compared with males, females demonstrated a higher ratio of knee injury/all injury and a higher ratio of ACL injury/all injury...
November 2004: Journal of Pediatric Orthopedics
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