PDF(Pubmed)
Abstract：
As youth sports participation has increased in recent years, injuries to the anterior cruciate ligament (ACL) have become increasingly common in pediatric patients. Historically, ACL reconstruction was delayed in pediatric patients to avoid physeal damage with the potential for leg-length discrepancy or angular deformity. Current research shows that delaying reconstruction or choosing nonoperative management is associated with increased rates of meniscal and chondral injuries, persistent knee instability, and low rates of return to previous activity. Early ACL reconstruction using techniques to avoid physeal growth disturbance is now widely accepted among physicians. The purpose of this review was to describe the pediatric ACL in terms of the relevant anatomy and biomechanics, physical examination, and diagnostic imaging. In addition, the importance of skeletal age and possible physeal injury is discussed in the context of ACL reconstruction options by skeletal age and remaining growth potential.
摘要：
近年来，随着青少年体育参与的增加，前交叉韧带(ACL)损伤在儿科患者中越来越常见.历史上,在儿科患者中，ACL重建被延迟，以避免可能出现腿部长度差异或角度畸形的物理损伤。目前的研究表明，延迟重建或选择非手术治疗与半月板和软骨损伤的发生率增加有关。持续的膝盖不稳定，和以前活动的低回报率。现在，使用避免生理生长障碍的技术进行早期ACL重建已被医生广泛接受。这篇综述的目的是从相关的解剖学和生物力学方面描述儿科ACL，体检,和诊断成像。此外,在按骨骼年龄和剩余生长潜力进行ACL重建选择的背景下，讨论了骨骼年龄和可能的植物损伤的重要性。
