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Disruption of the anterior cruciate ligament in a 4-year-old child
R A Schaefer1, R E Eilert, S D Gillogly
1Orthopedic Service, Fitzsimons Army Medical Center, Aurora, Colorado.
Insights
Anterior cruciate ligament (ACL) injuries are uncommon in young children. This case study offers an 11-year follow-up, providing rare insights into the long-term outcomes of pediatric ACL tears in a very young patient.
Area of Science:
- Orthopedics
- Pediatric Sports Medicine
- Skeletal Biology
Background:
- Anterior cruciate ligament (ACL) injuries are infrequent in skeletally immature patients.
- The natural history and long-term outcomes of ACL injuries in young children remain largely unknown.
- Limited data exists on pediatric ACL tears, especially in pre-pubertal or very young children.
Observation:
- This report details the longest documented follow-up period (11 years) for an anterior cruciate ligament (ACL) injury in a child under five years old.
- The case involves a pediatric patient with a confirmed ACL injury.
- The study focuses on the long-term clinical course and outcomes following the injury.
Findings:
- The 11-year follow-up provides unprecedented longitudinal data on ACL injury in a pre-school-aged child.
- This case contributes valuable information to the sparse literature on pediatric ACL injuries.
- The findings may help elucidate the long-term consequences and recovery patterns in this specific demographic.
Implications:
- Understanding the natural history of pediatric ACL injuries is crucial for appropriate management and treatment strategies.
- This case highlights the need for further research into the long-term effects of ACL tears in very young athletes.
- The data can inform clinical decision-making and patient counseling for families dealing with pediatric knee injuries.
Abstract:
Anterior cruciate ligament (ACL) injuries in children are rare. Thus, the natural history of ACL injuries in skeletally immature patients is unknown. This case represents the longest follow-up (11 years) reported in the literature of an ACL injury in a child of less than 5 years old.