Management of Pediatric Anterior Cruciate Ligament Injuries: A Critical Analysis

Henry B Ellis Jr; Taylor K Zak; Adam Jamnik; Dane R G Lind; Jessica Dabis; Michael Losito; Philip Wilson; Gilbert Moatshe

doi:10.2106/JBJS.RVW.22.00223

Management of Pediatric Anterior Cruciate Ligament Injuries: A Critical Analysis

JBJS Rev. 2023 Aug 3;11(8). doi: 10.2106/JBJS.RVW.22.00223. eCollection 2023 Aug 1.

Authors

Henry B Ellis Jr^{1

2}, Taylor K Zak¹, Adam Jamnik¹, Dane R G Lind³, Jessica Dabis¹, Michael Losito¹, Philip Wilson^{1

2}, Gilbert Moatshe^{4

5}

Affiliations

¹ Scottish Rite for Children, Dallas, Texas.
² University of Texas Southwestern, Dallas, Texas.
³ University of Pennsylvania, Philadelphia, Pennsylvania.
⁴ Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway.
⁵ Department of Orthopedics, Oslo University Hospital, Oslo, Norway.

PMID: 37535763
DOI: 10.2106/JBJS.RVW.22.00223

Abstract

» Overall evidence for the treatment of an anterior cruciate ligament (ACL) injury in a pediatric or skeletally immature patient remains lows.» An ACL reconstruction is recommended with concomitant repairable chondral and meniscus injury or with symptoms of persistent instability despite high-quality rehabilitation.» Treatment decision for pediatric ACL reconstruction should use a shared decision-making model weighing the risks and benefits of both a nonoperative vs. surgical treatment.

MeSH terms

Anterior Cruciate Ligament Injuries* / complications
Anterior Cruciate Ligament Injuries* / surgery
Anterior Cruciate Ligament Reconstruction*
Child
Humans
Knee Injuries* / diagnosis
Knee Injuries* / surgery
Tibial Meniscus Injuries* / surgery