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Anterior Cruciate Ligament Rupture in Skeletally Immature Patients

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dc.contributor.authorCancino, Benjamín
dc.contributor.authorMuñoz, Carlos
dc.contributor.authorTuca, Maria
dc.contributor.authorBirrer, Estefanía
dc.contributor.authorSepúlveda, Matías
dc.date.accessioned2024-06-12T15:53:52Z
dc.date.available2024-06-12T15:53:52Z
dc.date.issued2022
dc.description.abstractIn the past 20 years, sports injuries in pediatric and adolescent athletes have increased dramatically, with anterior cruciate ligament (ACL) injuries accounting for more than 25% of all knee injuries at this age. Diagnosis is based on detailed clinical history, physical examination, and imaging assessment, where magnetic resonance imaging plays a central role. The growing immature skeleton presents specific characteristics, which require unique methods for surgical reconstruction, ideally avoiding the physes or minimizing the risk of damaging them. Specific rehabilitation protocols are needed, and these patients face a higher risk of recurrent and contralateral ACL injury. Nonsurgical treatment or delayed reconstruction has been associated with persistent instability, activity modifications, worst functional outcomes, and increased risk of irreparable injuries to menisci and articular cartilage. Consequently, surgical stabilization is the preferred treatment for most patients, despite the eventual risk of angular deformities or limb-length discrepancies due to iatrogenic physeal injury. A variety of surgical techniques have been described, depending on the skeletal maturity and growth remaining. Targeted prevention programs play a key role in reducing the risk of ACL injury, are easy to implement, and require no additional equipment. High-quality evidence supports its use in all pediatric athletes.
dc.description.versionPublicada
dc.identifier.citationCancino B, Muñoz C, Tuca MJ, Birrer EAM, Sepúlveda MF. Anterior Cruciate Ligament Rupture in Skeletally Immature Patients. J Am Acad Orthop Surg Glob Res Rev. 2022 May 1;6(5):e21.00166. doi: 10.5435/JAAOSGlobal-D-21-00166
dc.identifier.doihttps://doi.org/10.5435/JAAOSGlobal-D-21-00166
dc.identifier.urihttps://hdl.handle.net/11447/9079
dc.language.isoen
dc.subjectAnterior Cruciate Ligament surgery
dc.subjectAnterior Cruciate Ligament Injuries diagnostic imaging
dc.subjectAnterior Cruciate Ligament Injuries etiology
dc.subjectAnterior Cruciate Ligament Reconstruction adverse effects
dc.subjectAnterior Cruciate Ligament Reconstruction methods
dc.subjectGrowth Plate surgery
dc.subjectKnee Injuries etiology
dc.subjectKnee Injuries surgery
dc.subjectAdolescent
dc.titleAnterior Cruciate Ligament Rupture in Skeletally Immature Patients
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscovery00caeb5a-46d9-417e-8d91-c5ea2775b174

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