Surgical Considerations and Treatment Algorithm for ACL Tear



Fig. 10.1
Proposed conservative treatment algorithm for anterior cruciate ligament injury in skeletally immature individuals (Adapted from Management of anterior cruciate ligament injuries in skeletally immature individuals. J Orthop Sports Phys Ther, 2012. 42(3): p. 172–83)



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Fig. 10.2
Treatment algorithm devised on the basis of the available data and technical considerations. Surgical decision-making is based on several patient-related variables: clinical instability, associated intra-articular pathology, patient activity level and goals, and skeletal age (Adapted from Reconstruction of the anterior cruciate ligament in the skeletally immature athlete: a review of current concepts: AAOS exhibit selection. J Bone Joint Surg Am, 2013. 95(5): p. e28)


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Fig. 10.3
Diagnostic and treatment flowchart for the management of ACL injury in children and adolescents (Adapted from Management of ACL Injuries in Children and Adolescents. J Bone Joint Surg Am, 2017. 99(7): p. 600–612)




References



1.

Dodwell ER, et al. 20 years of pediatric anterior cruciate ligament reconstruction in New York state. Am J Sports Med. 2014;42(3):675–80.CrossrefPubMed


2.

Moksnes H, Engebretsen L, Risberg MA. Management of anterior cruciate ligament injuries in skeletally immature individuals. J Orthop Sports Phys Ther. 2012;42(3):172–83.CrossrefPubMed


3.

Fabricant PD, et al. Reconstruction of the anterior cruciate ligament in the skeletally immature athlete: a review of current concepts: AAOS exhibit selection. J Bone Joint Surg Am. 2013;95(5):e28.CrossrefPubMed


4.

McCarroll JR, Rettig AC, Shelbourne KD. Anterior cruciate ligament injuries in the young athlete with open physes. Am J Sports Med. 1988;16(1):44–7.CrossrefPubMed


5.

Fabricant PD, et al. Youth sports specialization and musculoskeletal injury: a systematic review of the literature. Phys Sportsmed. 2016;44(3):257–62.CrossrefPubMed


6.

Angel KR, Hall DJ. Anterior cruciate ligament injury in children and adolescents. Arthroscopy. 1989;5(3):197–200.CrossrefPubMed

Jan 18, 2018 | Posted by in RHEUMATOLOGY | Comments Off on Surgical Considerations and Treatment Algorithm for ACL Tear

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