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Management of Anterior Cruciate Ligament Lesion in Adolescents

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Arthroscopy and Sport Injuries

Abstract

Anterior cruciate ligament (ACL) lesions in adolescent represent a serious concern for the physician. The increased involvement of children and adolescents in organized sports beginning at an early age raises concern regarding risk and severity of sports injury. Management of ACL injuries is an area of controversy because it can affect long-term growth and recovery as well as the ability to participate in sports. This means children and teenagers who suffer from ACL injuries are likely to face chronic pain and functional limitations from knee osteoarthritis in their 20s and 30s. ACL injury risk in young athletes is likely multifactorial. Injury data from many fields demonstrate that numerous physical and psychological parameters affect ACL injury rates. An accurate understanding of the athlete’s physical maturity by determining skeletal age and Tanner stage helps to identify which treatment is best for a specific patient. Surgery is indicated in skeletally immature patients with a torn ACL and an additional repairable meniscal injury and in patients who failed conservative care, but ACL tear in a youth athlete is not a surgical emergency. Multiple discussions with the athlete and parents may be needed to understand the athlete’s goals and parental expectations and to educate the family about possible treatment options. Pediatricians and orthopedic surgeons who work with schools and sports organizations are encouraged to educate athletes, parents, coaches, and sports administrators about the benefits of neuromuscular training in reducing ACL injuries and direct them to appropriate resources.

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Correspondence to Corrado Bait .

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Bait, C., Denti, M., Volpi, P. (2016). Management of Anterior Cruciate Ligament Lesion in Adolescents. In: Volpi, P. (eds) Arthroscopy and Sport Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-14815-1_48

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  • DOI: https://doi.org/10.1007/978-3-319-14815-1_48

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14814-4

  • Online ISBN: 978-3-319-14815-1

  • eBook Packages: MedicineMedicine (R0)

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