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2018 International Olympic Committee Consensus Statement on Prevention, Diagnosis, and Management of Pediatric
Insights
This consensus statement provides evidence-based guidance for pediatric anterior cruciate ligament (ACL) injuries, aiding clinicians and families in making informed treatment decisions for children with ACL tears.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Care
Background:
- Pediatric anterior cruciate ligament (ACL) injuries present unique management challenges.
- Limited scientific knowledge and clinical uncertainty complicate treatment decisions for young athletes.
Purpose of the Study:
- To develop a comprehensive, evidence-informed summary for pediatric ACL injury.
- To support clinicians and families in making optimal decisions for children with ACL injuries.
Main Methods:
- Convened an international expert group of physical therapists and orthopaedic surgeons.
- Focused on prevention, diagnosis, and management of pediatric ACL injuries.
- Addressed 6 fundamental clinical questions through a consensus process.
Main Results:
- The consensus statement offers guidance on pediatric ACL injury management.
- It highlights the complexity of shared decision-making with children and long-term implications.
- Key areas covered include prevention, diagnosis, and treatment strategies.
Conclusions:
- Evidence-informed guidance is crucial for managing pediatric ACL injuries.
- Shared decision-making is essential when considering treatment options for children.
- Addressing pediatric ACL injuries requires a multidisciplinary approach and consideration of long-term outcomes.
Abstract:
In October 2017, the International Olympic Committee hosted an international expert group of physical therapists and orthopaedic surgeons who specialize in treating and researching pediatric anterior cruciate ligament (ACL) injuries. The purpose of this meeting was 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. Representatives from the following societies attended: 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. Physical therapists 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. This consensus statement addresses 6 fundamental clinical questions regarding the prevention, diagnosis, and management of pediatric ACL injuries. 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.
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