• Knee Surg Sports Traumatol Arthrosc · Jan 1996

    Management of anterior cruciate ligament injuries in skeletally immature adolescents.

    • K D Shelbourne, D V Patel, and J R McCarroll.
    • Methodist Sports Medicine Center, Indianapolis, IN 46202, USA.
    • Knee Surg Sports Traumatol Arthrosc. 1996 Jan 1; 4 (2): 68-74.

    AbstractAnterior cruciate ligament (ACL) injuries in skeletally immature adolescents are being diagnosed and reported with increasing frequency. Nonoperative management of mid-substance ACL injuries in adolescent athletes frequently results in a high incidence of giving-way episodes, recurrent meniscal tears, and early onset of osteoarthritis. An intraarticular ACL reconstruction (using the central 10-mm patellar tendon graft) in young athletes approaching skeletal maturity provides predictable excellent knee stability, and the athletes are able to return to competitive sports with a decreased risk of recurrent meniscal and/or chondral injury. Guidelines for the management of ACL injuries in skeletally immature adolescents are presented.

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