The Adolescent ACL Injury - The Same as an Adult?

Description

In this presentation, Nick Nicolaou discusses the growing incidence of ACL injuries in children and adolescents, particularly focusing on those aged 11 to 16 years. He highlights that pediatric ACL injuries differ significantly from those in adults, primarily due to the complexities surrounding diagnosis, treatment challenges, and concerns about growth disturbance in young patients. He presents data showing a sharp increase in ACL reconstruction surgeries over the past two decades, with adolescents experiencing the highest rates of these injuries. Nicolaou outlines key considerations for treating pediatric ACL injuries, including the importance of accurate diagnosis, potential for higher re-operation rates, and the need for tailored rehabilitation protocols. He stresses that spontaneous compliance and longer recovery time are common challenges in returning young athletes to sports, and he recommends a gradual, goal-based approach to rehabilitation. The presentation concludes with a call for attention to the unique needs of this patient population and invites further engagement in discussions on pediatric ACL treatments.

DOI: 10.1302/3114-210624

Specialties