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Pediatric ACL Injuries: Treatment and Challenges

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ESSKA Instructional Course Lecture Book

Abstract

The number of publications on treatment of anterior cruciate ligament (ACL) injuries in the skeletally immature population has increased through the past decade [1–6]. However, opinions on whether pediatric ACL injuries should primarily be surgically reconstructed or conservatively treated are still divided within the pediatric orthopedic community [7, 8]. Evidence from high-level studies and randomized controlled trials is lacking [9], which leaves the field open for various treatment algorithms due to the lack of a solid scientific knowledge base. Risk factors for ACL injuries in skeletally immature patients are unknown, although it seems that boys may be more prone to rupturing their ACL before skeletal maturity, while girls have an increased risk through and after puberty [10, 11]. Many authors argue that the incidence of pediatric ACL injuries is rising. However, no epidemiological studies are available to support this statement. Increased awareness and advances in diagnostic methods, in addition to higher participation rates and earlier specialization in sports, may have led to an increase in the incidence of pediatric ACL tears.

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery and Trauma, Máxima Medical Center, Eindhoven-Veldhoven, The Netherlands

    Rob Janssen

  2. Orthopedic and Sports Medicine Knee Research Center, Orthopedic Associates Eindhoven Greater Area, Eindhoven, The Netherlands

    Rob Janssen

  3. Division of Sports Traumatology, Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark

    Martin Lind & Peter Faunø

  4. Department of Orthopedic Surgery, Oslo University Hospital, University of Oslo, Oslo, Norway

    Lars Engebretsen

  5. Oslo Sports Trauma Research Center, Oslo, Norway

    Lars Engebretsen

  6. International Olympic Committee (IOC), Oslo, Norway

    Lars Engebretsen

  7. Oslo Sports Trauma Research Center, The Norwegian School of Sport Sciences, Oslo, Norway

    Håvard Moksnes

  8. The Norwegian Olympic Training Center (Olympiatoppen), Oslo, Norway

    Håvard Moksnes

  9. The Norwegian Sports Medicine Center (Idrettens Helsesenter), Oslo, Norway

    Håvard Moksnes

  10. Department of the Locomotor System, Centre Hospitalier de Luxembourg, Luxemburg, Luxembourg

    Romain Seil

  11. Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxemburg, Luxembourg

    Romain Seil

  12. Orthopedic Surgery, Harvard Medical School, Boston, MA, USA

    Martha Murray

  13. Orthopedic Surgeon, Boston Children’s Hospital, Boston, MA, USA

    Martha Murray

Authors
  1. Rob Janssen
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  2. Martin Lind
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  3. Lars Engebretsen
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  4. Håvard Moksnes
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  5. Romain Seil
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  6. Peter Faunø
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  7. Martha Murray
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Corresponding author

Correspondence to Rob Janssen .

Editor information

Editors and Affiliations

  1. Orthopaedic Surgery, Academic Medical Center, AZ Amsterdam, The Netherlands

    Gino M. M. J. Kerkhoffs

  2. Orthopaedics and Trauma, University College London Hospitals, London, UK

    Fares Haddad

  3. Kantonsspital Baselland , Bruderholz, Switzerland

    Michael T. Hirschmann

  4. Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden

    Jón Karlsson

  5. Clinique d’Eich, Centre Hospitalier de Luxembourg Clinique d’Eich, Luxembourg, Luxembourg

    Romain Seil

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© 2018 ESSKA

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Janssen, R. et al. (2018). Pediatric ACL Injuries: Treatment and Challenges. In: Kerkhoffs, G.M.M.J., Haddad, F., Hirschmann, M.T., Karlsson, J., Seil, R. (eds) ESSKA Instructional Course Lecture Book. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56127-0_17

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  • DOI: https://doi.org/10.1007/978-3-662-56127-0_17

  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-662-56127-0

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