Navigation Links
Repair ACL Injuries in Young Athletes Quickly
Date:7/14/2009

Postponing surgery can lead to more problems, study finds

TUESDAY, July 14 (HealthDay News) -- New research confirms what many orthopedists have long suspected -- it's better to operate quickly on a young athlete's ACL injury than it is to wait a few years for the child to grow some more.

"The gold standard has moved," said study co-author Dr. Theodore J. Ganley. "If we have a message, it's to treat these injuries when they occur."

Athletes of all ages commonly tear the anterior cruciate ligament, better known as the ACL, that helps to anchor the knee. The piece of tissue "prevents the lower leg from gliding forward, preventing forward motion of the tibia on the femur," explained Dr. Lyle Micheli, a professor of orthopedic sports medicine at Harvard Medical School.

A variety of activities that require athletes to jump or pivot can cause the ACL to tear. "In the 1950s, it was a guy's football injury," said Ganley, director of the Sports Medicine and Performance Center at The Children's Hospital of Philadelphia. "Now it shows up in soccer, basketball, volleyball."

Young female athletes are especially prone to injury. "Since the early 1970s, there's been a thousand-fold increase in participation for females in organized sports. It's been shown that the girls have somewhere between a two- and eight-fold higher risk of sustaining ACL injuries compared to males," Ganley said.

An ACL tear can lead to a cascade of other problems, including ligament tears around the knee.

In the past, surgeons chose to wait to repair ACL injuries if athletes were under age 15. The theory was that they should wait a few years until a child's bones had more time to grow. "We'd think, we don't want to drill through the [bone] growth plates, it's too risky," Micheli said.

But some orthopedists challenged the prevailing assumptions and performed such surgery on children aged 14 and under. The new study suggests they made the right call.

Ganley and colleagues examined the records of almost 70 patients who underwent ACL reconstruction surgery between 1991 and 2005. All were aged 14 and under.

Twenty-nine of the patients were treated more than three months after their injury, while the rest were operated on right after the damage occurred.

The study authors reported their findings Monday at the American Orthopaedic Society for Sports Medicine's annual meeting in Keystone, Colo.

The researchers found that the patients who delayed surgery had three to 11 times the risk of some types of related injuries, including torn cartilage. In some cases, the injuries couldn't be repaired.

The findings are "basically confirming what many of us had begun to realize about these kids," Micheli said. "Some of us have been doing this, but I think the average orthopedist doesn't know this, and is very reluctant to recommend surgery on a 10-year-old."

Essentially, "it's better to fix something sooner," said Ganley. "It's like fixing your car: you can change a few spark plugs, or you can wait and change more significant things."

More information

Learn more about ACL injuries from the U.S. National Institutes of Health.



SOURCES: Theodore Ganley, M.D., director, Sports Medicine and Performance Center, The Children's Hospital of Philadelphia; Lyle Micheli, M.D., head, sports medicine division, Children's Hospital Boston, and professor, orthopedics sports medicine, Harvard Medical School, Boston; July 12, 2009, presentation, American Orthopaedic Society for Sports Medicine annual meeting, Keystone, Colo.


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Cell transplantation and cardiac repair
2. Emerging Techniques Put a New Twist on Ankle Repair
3. ACL Repair Creator William G. Clancy, Jr., MD Inducted into AOSSM Hall of Fame
4. Intrinsic Therapeutics Barricaid and Magellan Spine Technologies DART to Drive European Annulus Repair Market
5. New Heart Valve Repair System Tested for Safety
6. BRIT1 allows DNA repair teams access to damaged sites
7. Three-Year Agreement for Surgical Instrument Repair Services
8. Cardiatis Multilayer Aneurysm Repair System, MARS, Receives CE Mark Approval for Treating Peripheral Aneurysms
9. iPod Repair Site Eases Scam Worries with Unexpected Announcements
10. Prominent Farmington Hills Plastic Surgeon Suggests Methods to Repair Skin Damaged by Sun Exposure
11. First 100 Patients Treated in Europe with the MitraClip(R) System for Percutaneous Mitral Repair
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Repair ACL Injuries in Young Athletes Quickly 
(Date:1/18/2017)... N.J. (PRWEB) , ... January 18, 2017 , ... ... delivery technologies and development solutions for drugs, biologics and consumer health products, today ... will be presenting at the upcoming WCBP Conference, to be held at the ...
(Date:1/18/2017)... Lebanon, NH (PRWEB) , ... January 18, 2017 ... ... the launch of the revolutionary Active Brake Technology (ABT), an innovative braking system ... stability. , Active Brake Technology addresses one of the biggest concerns of beginner ...
(Date:1/17/2017)... Marne, Michigan (PRWEB) , ... January 17, 2017 , ... January is National Stalking ... those who choose to lurk in the corners and commit the crime of stalking, a ... drug use and addiction, an often overlooked factor in stalking and other crimes. , “Stalking: ...
(Date:1/17/2017)... Angeles, California (PRWEB) , ... January 17, 2017 ... ... to have a point of difference. Eden Activewear is a stand-out company for ... Eden are exclusively online and only manufacture on demand, this is called 'Agile' ...
(Date:1/17/2017)... ... January 17, 2017 , ... Healthful Balance announces ... company, owned and operated by Ed Stroup, was created to offer the highest ... highest level of customer service. Healthful Balance products can be purchased online through ...
Breaking Medicine News(10 mins):
(Date:1/17/2017)... , Jan 17, 2017 Research and ... Devices System Market 2016-2020" report to their offering. ... The global artificial pancreas ... the period 2016-2020. Global Artificial Pancreas Devices System Market ... inputs from industry experts. The report covers the market landscape and ...
(Date:1/17/2017)... , Jan. 17, 2017 The interventional ... billion by 2021 from USD 6.35 billion in 2016, ... driving the growth of this market are rising incidence ... for minimally invasive surgeries. The global interventional ... application, and region. On the basis of type, the ...
(Date:1/17/2017)... 2017 Management to Discuss Acquisition of ... KIT-302 Development On Track For An NDA ... in Q1 2017   ... Pharmaceuticals Holdings Ltd. (NASDAQ: KTOV ; TASE: KTOV), an innovative biopharmaceutical ... 23 rd at 8:30am Eastern Time to discuss the recent acquisition of ...
Breaking Medicine Technology: