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Title: "I never made it to the pros…" Return to sport and becoming an elite athlete after pediatric and adolescent anterior cruciate ligament injury-current evidence and future directions.
Epworth Authors: Feller, Julian
Other Authors: Senorski, Eric Hamrin
Seil, Romain
Svantesson, Eleonor
Webster, Kate
Engebretsen, Lars
Spindler, Kurt
Siebold, Rainer
Karlsson, Jón
Samuelsson, Kristian
Keywords: Anterior Cruciate Ligament
ACL Injuries
Reconstructive Surgery
Musculoskeletal Injury
Pediatric Anterior Cruciate Ligament Monitoring Initiative
Risk Factors
Pediatric Patients
Return to Sport
Adolescent Patients
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Nov-2017
Publisher: Springer
Citation: Knee Surg Sports Traumatol Arthrosc. 2017 Nov
Abstract: The management of anterior cruciate ligament (ACL) injuries in the skeletally immature and adolescent patient remains an area of controversy in sports medicine. This study, therefore, summarizes and discusses the current evidence related to treating pediatric and adolescent patients who sustain an ACL injury. The current literature identifies a trend towards ACL reconstruction as the preferred treatment option for ACL injuries in the young, largely justified by the risk of further structural damage to the knee joint. Worryingly, a second ACL injury is all too common in the younger population, where almost one in every three to four young patients who sustain an ACL injury and return to high-risk pivoting sport will go on to sustain another ACL injury. The clinical experience of these patients emphasizes the rarity of an athlete who makes it to elite level after a pediatric or adolescent ACL injury, with or without reconstruction. If these patients are unable to make it to an elite level of sport, treatment should possibly be modified to take account of the risks associated with returning to pivoting and strenuous sport. The surveillance of young athletes may be beneficial when it comes to reducing injuries. Further research is crucial to better understand specific risk factors in the young and to establish independent structures to allow for unbiased decision-making for a safe return to sport after ACL injury. Level of evidence V.
DOI: 10.1007/s00167-017-4811-4
PubMed URL:
ISSN: 0942-2056
Journal Title: Knee Surgery, Sports Traumatology, Arthroscopy
Type: Journal Article
Affiliated Organisations: Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Sports Medicine Research Laboratory, Luxembourg Institute of Health, Strassen, Luxembourg
Department of Orthopaedics, Institute of Clinical Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
School of Allied Health, La Trobe University, Melbourne, VIC, Australia
Oslo University Hospital and University of Oslo, Oslo, Norway
OSTRC, The Norwegian School of Sports Sciences, Oslo, Norway
Cleveland Clinic Sports Health Center, Garfield Heights, OH, USA
Institute for Anatomy and Cell Biology, Ruprecht-Karls-University, Heidelberg, Germany
HKF, International Center for Hip, Knee, Foot Surgery and Sportstraumatology, ATOS Klinik, Heidelberg, Germany
Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, Gothenburg, Sweden
Type of Clinical Study or Trial: Literature Review
Appears in Collections:Musculoskeletal

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