TY - JOUR
T1 - Anterior cruciate ligament injuries
T2 - Diagnosis, treatment, and prevention
AU - LaBella, Cynthia R.
AU - Hennrikus, William
AU - Hewett, Timothy E.
AU - Brenner, Joel S.
AU - Brooks, Alison
AU - Demorest, Rebecca A.
AU - Halstead, Mark E.
AU - Weiss Kelly, Amanda K.
AU - Koutures, Chris G.
AU - LaBotz, Michele
AU - Loud, Keith J.
AU - Martin, Stephanie S.
AU - Moffatt, Kody A.
AU - Benjamin, Holly J.
AU - Cappetta, Charles T.
AU - McCambridge, Teri
AU - Gregory, Andrew J.M.
AU - Kluchurosky, Lisa K.
AU - Philpot, John F.
AU - Walter, Kevin D.
AU - Emanuel, Anjie
AU - Schwend, Richard M.
AU - Gordon, J. Eric
AU - Otsuka, Norman Y.
AU - Raney, Ellen M.
AU - Shaw, Brian A.
AU - Smith, Brian G.
AU - Wells, Lawrence
AU - Hennrikus, William L.
AU - Alexander, S. Niccole
PY - 2014/5
Y1 - 2014/5
N2 - The number of anterior cruciate ligament (ACL) injuries reported in athletes younger than 18 years has increased over the past 2 decades. Reasons for the increasing ACL injury rate include the growing number of children and adolescents participating in organized sports, intensive sports training at an earlier age, and greater rate of diagnosis because of increased awareness and greater use of advanced medical imaging. ACL injury rates are low in young children and increase sharply during puberty, especially for girls, who have higher rates of noncontact ACL injuries than boys do in similar sports. Intrinsic risk factors for ACL injury include higher BMI, subtalar joint overpronation, generalized ligamentous laxity, and decreased neuromuscular control of knee motion. ACL injuries often require surgery and/or many months of rehabilitation and substantial time lost from school and sports participation. Unfortunately, regardless of treatment, athletes with ACL injuries are up to 10 times more likely to develop degenerative arthritis of the knee. Safe and effective surgical techniques for children and adolescents continue to evolve. Neuromuscular training can reduce risk of ACL injury in adolescent girls. This report outlines the current state of knowledge on epidemiology, diagnosis, treatment, and prevention of ACL injuries in children and adolescents.
AB - The number of anterior cruciate ligament (ACL) injuries reported in athletes younger than 18 years has increased over the past 2 decades. Reasons for the increasing ACL injury rate include the growing number of children and adolescents participating in organized sports, intensive sports training at an earlier age, and greater rate of diagnosis because of increased awareness and greater use of advanced medical imaging. ACL injury rates are low in young children and increase sharply during puberty, especially for girls, who have higher rates of noncontact ACL injuries than boys do in similar sports. Intrinsic risk factors for ACL injury include higher BMI, subtalar joint overpronation, generalized ligamentous laxity, and decreased neuromuscular control of knee motion. ACL injuries often require surgery and/or many months of rehabilitation and substantial time lost from school and sports participation. Unfortunately, regardless of treatment, athletes with ACL injuries are up to 10 times more likely to develop degenerative arthritis of the knee. Safe and effective surgical techniques for children and adolescents continue to evolve. Neuromuscular training can reduce risk of ACL injury in adolescent girls. This report outlines the current state of knowledge on epidemiology, diagnosis, treatment, and prevention of ACL injuries in children and adolescents.
KW - Adolescents
KW - Athletes
KW - Knee injuries
KW - Sports
UR - http://www.scopus.com/inward/record.url?scp=84899820148&partnerID=8YFLogxK
U2 - 10.1542/peds.2014-0623
DO - 10.1542/peds.2014-0623
M3 - Article
C2 - 24777218
AN - SCOPUS:84899820148
SN - 0031-4005
VL - 133
SP - e1437-e1450
JO - Pediatrics
JF - Pediatrics
IS - 5
ER -