2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries

被引：75

作者：

Ardern, Clare L. ^{[1
,2
]}

Ekas, Guri ^{[3
,4
,5
]}

Grindem, Hege ^{[6
]}

Moksnes, Havard ^{[4
]}

Anderson, Allen

Chotel, Franck ^{[7
]}

Cohen, Moises ^{[8
]}

Forssblad, Magnus ^{[9
]}

Ganley, Theodore J. ^{[10
]}

Feller, Julian A. ^{[11
,12
]}

Karlsson, Jon ^{[13
]}

Kocher, Mininder S. ^{[14
,15
]}

LaPrade, Robert F. ^{[16
,17
]}

McNamee, Mike ^{[18
]}

Mandelbaum, Bert ^{[19
]}

Micheli, Lyle ^{[14
,15
,20
]}

Mohtadi, Nicholas ^{[21
]}

Reider, Bruce ^{[22
]}

Roe, Justin ^{[23
]}

Seil, Romain ^{[24
,25
]}

Siebold, Rainer ^{[26
,27
]}

Silvers-Granelli, Holly J. ^{[28
]}

Soligard, Torbjorn ^{[29
,30
]}

Witvrouw, Erik ^{[31
]}

Engebretsen, Lars ^{[3
,4
,5
,29
]}

机构：

[1] Linkoping Univ, Div Physiotherapy, Linkoping, Sweden

[2] La Trobe Univ, Sch Allied Hlth, Melbourne, Vic, Australia

[3] Oslo Univ Hosp, Div Orthopaed Surg, Oslo, Norway

[4] Norwegian Sch Sport Sci, Oslo Sports Trauma Res Ctr OSTRC, Oslo, Norway

[5] Univ Oslo, Inst Clin Med, Oslo, Norway

[6] Norwegian Sch Sport Sci, Dept Sports Med, Oslo, Norway

[7] Hop Femme Mere Enfant, Dept Pediat Orthopaed Surg, Lyon, France

[8] Univ Fed Sao Paulo, Dept Orthoped, Sao Paulo, Brazil

[9] Karolinska Inst, Stockholm Sports Trauma Res Ctr, Stockholm, Sweden

[10] Childrens Hosp Philadelphia, Dept Orthopaed, Philadelphia, PA 19104 USA

[11] Epworth Healthcare, OrthoSport Victoria Res Unit, Melbourne, Vic, Australia

[12] La Trobe Univ, Coll Sci Hlth & Engn, Melbourne, Vic, Australia

[13] Univ Gothenburg, Sahlgrenska Acad, Dept Orthopaed, Gothenburg, Sweden

[14] Boston Childrens Hosp, Div Sports Med, Boston, MA USA

[15] Harvard Med Sch, Boston, MA USA

[16] Steadman Philippon Res Inst, Vail, CO USA

[17] Steadman Clin, Vail, CO USA

[18] Swansea Univ, Coll Engn, Swansea, W Glam, Wales

[19] Santa Monica Orthopaed & Sports Med Grp, Los Angeles, CA USA

[20] Micheli Ctr Sports Injury Prevent, Waltham, MA USA

[21] Univ Calgary, Ctr Sports Med, Calgary, AB, Canada

[22] Univ Chicago, Dept Orthopaed & Rehabil Med, Chicago, IL 60637 USA

[23] North Sydney Orthopaed & Sports Med Ctr, Sydney, NSW, Australia

[24] Ctr Hosp Luxembourg, Dept Orthopaed Surg, Luxembourg, Luxembourg

[25] Luxembourg Inst Hlth, Sports Med Res Lab, Luxembourg, Luxembourg

[26] Ruprecht Karls Univ Heidelberg, Inst Anat & Cell Biol, Heidelberg, Germany

[27] HKF Int Ctr Hip Knee Foot Surg & Sportstraumatol, ATOS Klin, Heidelberg, Germany

[28] FIFA Med Ctr Excellence, Veloc Phys Therapy, Los Angeles, CA USA

[29] Int Olymp Comm, Med & Sci Dept, Lausanne, Switzerland

[30] Univ Calgary, Fac Kinesiol, Sports Injury Prevent Ctr, Calgary, AB, Canada

[31] Univ Ghent, Fac Med & Healthsci, Dept Rehabil Sci & Physiotherapy, Ghent, Belgium

来源：

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY | 2018年 / 26卷 / 04期

关键词：

Anterior cruciate ligament; ACL; Orthopaedics; Paediatric; Child; Knee; Consensus; NONOPERATIVE TREATMENT ALGORITHM; SKELETALLY IMMATURE CHILDREN; KNEE-JOINT; TRAINING-PROGRAM; MENISCAL TEARS; FUNCTIONAL OUTCOMES; CARTILAGE INJURIES; FOOTBALL PLAYERS; HAMSTRING GRAFT; RISK-FACTORS;

D O I：

10.1007/s00167-018-4865-y

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

In October 2017, the International Olympic Committee hosted an international expert group of physiotherapists and orthopaedic surgeons who specialise in treating and researching paediatric anterior cruciate ligament (ACL) injuries. Representatives from the American Orthopaedic Society for Sports Medicine, European Paediatric Orthopaedic Society, European Society for Sports Traumatology, Knee Surgery and Arthroscopy, International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine, Pediatric Orthopaedic Society of North America, and Sociedad Latinoamericana de Artroscopia, Rodilla y Deporte attended. Physiotherapists and orthopaedic surgeons with clinical and research experience in the field, and an ethics expert with substantial experience in the area of sports injuries also participated. Injury management is challenging in the current landscape of clinical uncertainty and limited scientific knowledge. Injury management decisions also occur against the backdrop of the complexity of shared decision-making with children and the potential long-term ramifications of the injury. This consensus statement addresses six fundamental clinical questions regarding the prevention, diagnosis, and management of paediatric ACL injuries. The aim of this consensus statement is to provide a comprehensive, evidence-informed summary to support the clinician, and help children with ACL injury and their parents/guardians make the best possible decisions.

引用

页码：989 / 1010

页数：22

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