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Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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[Paediatric and Adolescent ACL Injuries].

Amanda Magosch1,2, Christian Nührenbörger2,3, Felix Hoffmann2

  • 1Klinikum Osnabrück, Osnabrücker Zentrum für muskuloskelettale Chirurgie, GERMANY, Osnabrück.

Sportverletzung Sportschaden : Organ Der Gesellschaft Fur Orthopadisch-Traumatologische Sportmedizin
|October 22, 2025
PubMed
Summary
This summary is machine-generated.

Pediatric anterior cruciate ligament (ACL) injuries require specialized care due to open growth plates. Understanding unique anatomical and developmental changes is crucial for accurate diagnosis and effective treatment in children and adolescents.

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Area of Science:

  • Orthopedics
  • Pediatric Sports Medicine
  • Knee Surgery

Background:

  • Children with open growth plates differ significantly from adults.
  • Skeletally immature patients with anterior cruciate ligament (ACL) injuries require specialized management.
  • Understanding pediatric knee development is key for diagnosis and treatment.

Purpose of the Study:

  • To review current knowledge on pediatric and adolescent ACL injuries.
  • To highlight diagnostic and treatment challenges.
  • To focus on associated injuries in pediatric ACL tears.

Main Methods:

  • Literature review of pediatric and adolescent ACL injuries.
  • Analysis of anatomical, hormonal, and neuromuscular factors in maturation.
  • Discussion of surgical techniques adapted for open growth plates.

Main Results:

  • Management of pediatric ACL injuries necessitates consideration of open growth plates.
  • Surgical techniques must be modified for skeletally immature patients.
  • Adolescents with closed growth plates face high re-injury rates (up to 30%) with adult techniques.

Conclusions:

  • Paediatric ACL injuries demand a distinct approach from adult injuries.
  • Timely diagnosis and tailored treatment are vital for long-term knee health.
  • Careful monitoring and reassessment are essential for optimal outcomes in young athletes.