Sports Medicine

, Volume 20, Issue 2, pp 117–127 | Cite as

Anterior Cruciate Ligament Injuries in Young Athletes

Recommendations for Treatment and Rehabilitation
  • John R. McCarroll
  • K. Donald Shelbourne
  • Dipak V. Patel
Injury Clinic


Complete midsubstance tears of the anterior cruciate ligament (ACL) in skeletally-immature adolescents are being diagnosed and reported with increasing frequency. Conservative treatment of such ACL tears in junior high schools, subsequent meniscal tears, and very early osteoarthritis. Results of primary repair of the torn ACL and extra-articular reconstructive procedures have been disappointing.

Intra-articular ACL reconstruction in young athletes approaching skeletal maturity using the autogenous patellar tendon graft gives excellent knee stability, and decreases the risk of meniscal tears. Athletes are able to return to competitive sports at their preinjury level.

Here, the existing literature on the subject of midsubstance ACL tears in young athletes is reviewed, and guidelines for the management of ACL-deficient knee in this population are provided.


Anterior Cruciate Ligament Anterior Cruciate Ligament Injury Meniscal Tear Skeletal Maturity Young Athlete 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Adis International Limited 1995

Authors and Affiliations

  • John R. McCarroll
    • 1
  • K. Donald Shelbourne
    • 1
  • Dipak V. Patel
    • 1
  1. 1.Department of Research and EducationMethodist Sports Medicine CenterIndianapolisUSA

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