ACL Injuries in Skeletally Immature Patients

Description

This presentation discusses the rising incidence of ACL (anterior cruciate ligament) injuries among younger, skeletally immature individuals, particularly in sports settings such as rugby. The speaker emphasizes the importance of sports for the physical, mental, and social well-being of teenagers, and how ACL injuries can significantly impact their ability to participate in these activities.



Careful consideration must be given to treatment options, especially concerning the risks of surgery in growing patients. The discussion addresses potential complications like abnormal growth or growth arrest resulting from surgical interventions.



For a 14-year-old rugby player with a grade 2 pivot shift, the speaker explains the importance of discussing treatment modalities, including ACL reconstruction, which is generally deemed appropriate. Attention is given to surgical techniques aimed at minimizing physical damage, such as using a vertical tibial tunnel to reduce the size of the injury and ensure better healing outcomes. Overall, the speaker lays out essential considerations when treating ACL injuries in younger athletes.

DOI: 10.1302/3114-251259

Specialties