Navigation Links
Children with ACL injuries require special treatment
Date:2/6/2013

Until a child's bones have fully matured (in girls, typically by age 14; in boys, age 16), an injury to the anterior cruciate ligament (ACL)the primary, stabilizing ligament of the knee jointrequires special consideration, treatment and care to ensure appropriate healing and to prevent long-term complications.

According to a review article in the February 2013 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), ACL injuries once were considered rare in children and adolescents. However, the number of ACL injuries in young athletes is on the rise, "whether they result from year-round training, less free play or increased single sport concentration," said lead study author and pediatric orthopaedic surgeon Jeremy Frank, MD, with Joe DiMaggio Children's Hospital's Department of Pediatric Orthopaedics and [U18] Sports Medicine in Hollywood, Fla.

To avoid potential future complications, such as early onset osteoarthritis, the literature review outlines the optimal strategies for treating pediatric ACL injuries based on the specifics of the injury and the child's skeletal (bone), age and developmental maturity.

Among the recommendations:

  • Children should be treated by an orthopaedic surgeon who has expertise in the operative treatment of pediatric ACL injuries.
  • For pediatric and adolescent patients with partial ACL tears compromising less than 50 percent of the diameter of the ligament, non-surgical management, including activity modification, bracing and/or physical therapy, can be considered.
  • Treatment for complete ACL ruptures typically involves transphyseal ACL reconstruction surgery that partially or completely spares the femoral physis (the growth plate, contributing to 70 percent of thigh-bone growth), and adult-type surgical or arthroscopic reconstruction in adolescents at or nearing skeletal maturity.
  • Postoperative management may include weight-bearing and activity modifications, bracing, and a progressive physical therapy program emphasizing range of motion (ROM), closed-chain strengthening (exercises on the knee while the foot remains stationary) and a gradual and measured return to sport-specific maneuvers and activities.

"There are currently numerous safe and effective surgical techniques to reconstruct the ACL in the skeletally immature sportsperson to restore stability and forestall the early progression towards meniscal and chondral (cartilage) pathologies (disease)," said Dr. Frank. Complications from ACL surgery are rare in children when the appropriate operation is performed on the right patient.


'/>"/>

Contact: Kayee Ip
ip@aaos.org
847-384-4035
American Academy of Orthopaedic Surgeons
Source:Eurekalert

Related medicine news :

1. IntegraGen launches ARISk test, a genetic screening tool for autism in high-risk children
2. In children born with severe heart defect, surgical management has little effect on neuro outcomes
3. Children Born to Obese Moms May Face Higher Autism Risk: Study
4. Supporting LGB children may influence their long-term health, BU study finds
5. Out-of-hand tree nut consumption associated with better diet quality in children and adults
6. BASPCAN - UK-wide increase in number of children
7. Nearly 1 in 4 grandparents store prescription medicines where children can easily find them
8. U.S. Children Exposed to Hours of Background TV Daily
9. Leaders in childrens health to gather in Boston
10. Dietary changes help some children with ADHD
11. Bullied Children at Greater Risk for Self-Harm, Study Finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/24/2017)... ... 2017 , ... Gastro Health (“GH”) ( http://www.gastrohealth.com ) ... colonoscopy at the HyGIeaCare® Center that is to be located adjacent to the ... The HyGIeaCare® Prep, cleared by the U.S. Food and Drug Administration (FDA), will ...
(Date:3/24/2017)... ... March 24, 2017 , ... “End Time GPS”: ... events will interrelate. “End Time GPS” is the creation of published author, Wesley ... while working on military munitions and space-vehicle projects. Now, at age ninety-one, he shares ...
(Date:3/23/2017)... , ... March 23, 2017 , ... In 2016 the ... estimates that there could be four million Zika-related cases in the Americas within the ... numbers of US cases reported per year skyrocketing to an estimated 329,000. Yet, Zika, ...
(Date:3/23/2017)... ... March 23, 2017 , ... Texas Physical Therapy Specialists (TexPTS) is pleased ... Building 2. The clinic is the group’s second in New Braunfels and 22nd in ... second New Braunfels location brings things full circle for the group, “It’s crazy to ...
(Date:3/23/2017)... NY (PRWEB) , ... March 23, 2017 , ... 82% of adults are unaware of ... kids do not brush their teeth the minimum two times a day that dentists recommend. ... students missing 51 million hours of school and adults missing 164 million hours of work ...
Breaking Medicine News(10 mins):
(Date:3/23/2017)... , March 23, 2017 CENTRO DE IMAGEM ... 157, paragraph 4 of Law 6,404/76 and Instruction 358/02 ... informs its shareholders and the market in general that ... subsidiary Centro de Diagnosticos por Imagem Ltda. (" CDI ... interest in RADIOLOGISTAS ASSOCIADOS LTDA. (" Partnership " and ...
(Date:3/23/2017)... 2017 Ascendis Pharma A/S (Nasdaq: ASND), a ... address significant unmet medical needs in rare diseases, today ... and webcast on Monday, April 3 during ENDO 2017, ... Orlando, Florida , to discuss new data ... Hormone, TransCon PTH and TransCon CNP). Ascendis ...
(Date:3/23/2017)... 2017 /PRNewswire/ - INVICTUS MD STRATEGIES CORP. ("Invictus MD" ... MD announces that AB Laboratories Inc. ("AB Labs") has ... facility under the Access to Cannabis for Medical Purposes ... . The facility, which was licensed ... currently operating at half capacity, with full production capacity ...
Breaking Medicine Technology: