Partial Tears of the Anterior Cruciate Ligament in Children and Adolescents

Busch, Michael T.; Fernandez, Meagan D.; Aarons, Chad

doi:10.1016/j.csm.2011.08.002

Cited by 8 publications

(6 citation statements)

References 33 publications

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“…Intraoperatively, if only 1 bundle of the ACL is disrupted, some authors are reporting excellent results with reconstruction only of this injured bundle [10,50]. However, some authors claim that this technique leaves too much tissue within the notch, which can limit motion [51]. Others believe that the remaining bundle that is not injured can have stretched similar to the plastic deformation that can occur with a tibial eminence fracture, and thus the remaining bundle, while present, is not functioning normally [25].…”

Section: Partial Acl Tearmentioning

confidence: 99%

Pediatric ACL injuries: evaluation and management

Mall¹,

Paletta

2013

Curr Rev Musculoskelet Med

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The anterior cruciate ligament (ACL) is a stabilizing structure to both anterior translation of the tibia with respect to the femur as well as rotation of the knee joint. Children and adolescents are susceptible to these injuries, and there are some who believe the incidence of ACL injuries in this population is increasing due to year round single sport participation. Pediatric ACL injuries are typically seen in several forms: tibial avulsion fractures, partial ACL tears, and full thickness ligament tears. There were and still are some who feel that ACL injuries should be treated non-operatively in the pediatric and adolescent population; however, recent literature refutes this notion. Several factors must be considered during pediatric and adolescent ACL reconstruction, each of which will be examined in this manuscript, including: status of the physis, reconstruction technique, and graft source.

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Section: Partial Acl Tearmentioning

confidence: 99%

Pediatric ACL injuries: evaluation and management

Mall¹,

Paletta

2013

Curr Rev Musculoskelet Med

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“…MRI illustrates lower accuracy rates in the detection of partial ACL tears, ranging from 25 to 53% [35]. MR signs of partial ACL tearing include attenuation of the ACL, increased intraligamentous T2 signal with partial disruption of ligamentous fibers, and posterior ACL bowing on sagittal acquisitions [34][35][36] (Fig. 7.14).…”

Section: Acl Tearsmentioning

confidence: 99%

Knee

Bordalo-Rodrigues

White

2021

IDKD Springer Series

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“…It consists of an anteromedial bundle that is stronger and taut in flexion, and a posterolateral bundle that tightens in extension and internal rotation. 11,12 The chief function of the ACL is to prevent anterior translocation of the tibia relative to the femur. 10 ACL injuries were once thought to be a rare phenomenon in pediatric athletes.…”

Section: Anterior Cruciate Ligamentmentioning

confidence: 99%

“…Thin-slice coronal oblique images through the fibular head are used to improve the accuracy of identifying structures of the PLC 59 (►Figs. [11][12][13][14].…”

Section: Imagingmentioning

confidence: 99%

The Pediatric Knee: Diagnosis and Management of Ligament Injuries

Wegmann

Tschauner

Singer

et al. 2014

Semin Musculoskelet Radiol

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In the last few decades, sports injuries in pediatric and adolescent athletes have increased dramatically, with ∼ 38 million young athletes participating in organized sports annually in the United States. Starting at the age of 2 years, an increase of the incidence of knee injuries until adulthood with a peak at 6 and at 13 years of age has been observed. Due to a physiologic laxity of the ligaments, ligament injuries are uncommon in these patients, but they are getting more frequent. In the growing knee, open physis are the points of minor resistance. Therefore apophyseal injuries of the pediatric knee are more common. Diagnostics and treatment of ligament injuries of the pediatric and adolescent knees are challenging. This article presents an overview of ligament injuries in the pediatric and adolescent knee, their diagnostic work-up, and their treatment in the growing patient.

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Partial Tears of the Anterior Cruciate Ligament in Children and Adolescents

Cited by 8 publications

References 33 publications

Pediatric ACL injuries: evaluation and management

Pediatric ACL injuries: evaluation and management

Knee

The Pediatric Knee: Diagnosis and Management of Ligament Injuries

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