Anterior cruciate ligament injuries in young athletes. Recommendations for treatment and rehabilitation

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Deutscher übersetzter Titel:Verletzungen des vorderen Kreuzbandes bei jungen Sportlern. Empfehlungen zu Behandlung und Rehabilitation
Autor:McCarroll, John R.; Shelbourne, K. Donald; Patel, Dipak V.
Erschienen in:Sports medicine
Veröffentlicht:20 (1995), 2, S. 117-127, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource Elektronische Ressource (online)
Sprache:Englisch
ISSN:0112-1642, 1179-2035
DOI:10.2165/00007256-199520020-00006
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Erfassungsnummer:PU199510103271
Quelle:BISp

Abstract des Autors

Complete midsubstance tears of the anterior cruciate ligament (ACL) in skeletally-immature adolescents are being diagnosed and reported with increasing frequency. Conservative treatment of such ACL tears in junior high schools resulted in subsequent meniscal tears, and very early osteoarthritis. Results of primary repair of the torn ACL and extra-articular reconstructive procedures have been disappointing. Intra-articular ACL reconstruction in young athletes approaching skeletal maturity using the autogenous patellar tendon graft gives excellent stability, and decreases the risk of meniscal tears. Athletes are able to return to competitive sports at their preinjury level. Here, the existing literature on the subject of midsubstance ACL tears in young athletes is reviewed, and guidelines for the management of ACL-deficient knee in this population are provided. Verf.-Referat