Knee injuries in paediatric population are increasing signifi-
cantly these past few years and become more common because
of rising sports participation and competitive sports. Anterior cru-
ciate ligament (ACL) injuries may represent 30% of all knee injuries
in young soccer players. The number of ACL ruptures in young
population increases also secondary to much more accurate diag-
nosis methods such as early magnetic resonance imaging (MRI).
Because knee injuries in children could easily evolve towards early
arthritis, it should not be mistreated.the treatment of ACL ruptures in skeletally immature patients is not consensual. Several studies reported failure of conserva-
tive management and a more stable and functional knee after
ACL reconstruction in active child.
The behaviour of ACL in children will be interesting to know as in adults it is supposed to not heal by itself and requires reconstruction in complete tears.
Although the ACL injuries with avulsions of tibial eminences, if minimal displaced, heal well on many occasions through conservative management.
Looking for inputs from more colleagues on this one
@Ganesh S Dharmshaktu sir thank you for your inputs, before the advancement of MR imaging and arthroscopy; the internal derangement of knee in children was generally managed conservatively with rest and immobilization. This has greater advantage for nondisplaced/minimally displaced avulsions of tibial eminence. The risk vs benefit of conservative
approach for ACL injury in children needs to more in attention.
- Badges
- Science topic
- Similar topics
- Force