Gausden Elizabeth B, Calcei Jacob G, Fabricant Peter D, Green Daniel W
Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA.
Curr Opin Pediatr. 2015 Feb;27(1):82-91. doi: 10.1097/MOP.0000000000000174.
To review the most recent literature on the epidemiology, diagnosis, treatment, and outcomes of pediatric anterior cruciate ligament injury.
There is an increasing prevalence of anterior cruciate ligament injuries in pediatric and adolescent athletes, and nonoperative management of these injuries results in worse outcomes than surgical reconstruction. Prevention exercise protocols are cost-effective in preventing this injury in adolescent athletes. A number of techniques are currently in practice that address anterior cruciate ligament injuries in the skeletally immature, but there is no consensus on the optimal technique.
The reported clinical outcomes from anterior cruciate ligament reconstruction in young patients are favorable.
回顾有关小儿前交叉韧带损伤的流行病学、诊断、治疗及预后的最新文献。
小儿及青少年运动员前交叉韧带损伤的患病率呈上升趋势，这些损伤的非手术治疗效果比手术重建更差。预防运动方案在预防青少年运动员这种损伤方面具有成本效益。目前有多种技术用于处理骨骼未成熟患者的前交叉韧带损伤，但对于最佳技术尚无共识。
年轻患者前交叉韧带重建的临床报告结果良好。
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