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2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries
journal contributionposted on 11.08.2021, 05:12 by Clare ArdernClare Ardern, Guri Ekås, Hege Grindem, Håvard Moksnes, Allen Anderson, Franck Chotel, Moises Cohen, Magnus Forssblad, Theodore J Ganley, Julian FellerJulian Feller, Jón Karlsson, Mininder S Kocher, Robert F LaPrade, Mike McNamee, Bert Mandelbaum, Lyle Micheli, Nicholas Mohtadi, Bruce Reider, Justin Roe, Romain Seil, Rainer Siebold, Holly J Silvers-Granelli, Torbjørn Soligard, Erik Witvrouw, Lars Engebretsen
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.
The International Olympic Committee funded the consensus meeting, but did not influence the content of this consensus statement.
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Pagination22p. (p. 989-1010)
Rights StatementThe Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.
Science & TechnologyLife Sciences & BiomedicineOrthopedicsSport SciencesSurgeryAnterior cruciate ligamentACLOrthopaedicsPaediatricChildKneeConsensusNONOPERATIVE TREATMENT ALGORITHMSKELETALLY IMMATURE CHILDRENKNEE-JOINTTRAINING-PROGRAMMENISCAL TEARSFUNCTIONAL OUTCOMESCARTILAGE INJURIESFOOTBALL PLAYERSHAMSTRING GRAFTRISK-FACTORSEpiphysesKnee JointHumansAthletic InjuriesDiagnostic ImagingPhysical ExaminationPediatricsSports MedicineBiomedical ResearchInformed ConsentDelphi TechniqueAdvisory CommitteesPhysical Therapy ModalitiesSecondary PreventionAnterior Cruciate Ligament ReconstructionClinical Decision-MakingReturn to SportAnterior Cruciate Ligament InjuriesPatient Reported Outcome Measures