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2018 年国际奥林匹克委员会关于小儿前交叉韧带（ACL）损伤的预防、诊断和治疗的共识声明。

2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries.

机构信息

Division of Physiotherapy, Linköping University, Linköping, Sweden.

School of Allied Health, La Trobe University, Melbourne, Australia.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2018 Apr;26(4):989-1010. doi: 10.1007/s00167-018-4865-y. Epub 2018 Feb 17.

DOI:10.1007/s00167-018-4865-y
PMID:29455243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5876259/
Abstract

In October 2017, the International Olympic Committee hosted an international expert group of physiotherapists and orthopaedic surgeons who specialise in treating and researching paediatric anterior cruciate ligament (ACL) injuries. Representatives from the 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 attended. Physiotherapists 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. 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. This consensus statement addresses six fundamental clinical questions regarding the prevention, diagnosis, and management of paediatric ACL injuries. The aim of this consensus statement is 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.

摘要

2017 年 10 月，国际奥林匹克委员会举办了一次国际专家组会议，参会者包括专门治疗和研究儿科前交叉韧带（ACL）损伤的物理治疗师和骨科医生。美国运动医学骨科协会、欧洲儿科骨科协会、欧洲运动创伤学、膝关节外科和关节镜学会、国际关节镜膝关节外科和骨科运动医学学会、北美小儿骨科协会和拉丁美洲关节镜、膝盖和运动医学协会的代表出席了会议。具有该领域临床和研究经验的物理治疗师和骨科医生，以及一位在运动损伤领域有丰富经验的伦理专家也参与了会议。在目前临床不确定性和有限科学知识的背景下，损伤管理具有挑战性。损伤管理决策还需要考虑与儿童共同决策的复杂性，以及损伤的潜在长期后果。本共识声明针对儿科 ACL 损伤的预防、诊断和管理提出了六个基本的临床问题。本共识声明的目的是提供全面、循证的总结，以支持临床医生，并帮助 ACL 损伤患儿及其父母/监护人做出尽可能最好的决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/8f919cab8ffb/167_2018_4865_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/b7d5c2651950/167_2018_4865_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/8c93a8e07ba1/167_2018_4865_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/258b967ac486/167_2018_4865_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/901525513076/167_2018_4865_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/063d7ea1e0dd/167_2018_4865_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/8d3abe5cb143/167_2018_4865_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/e5041e30fe0e/167_2018_4865_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/78a88e232ed9/167_2018_4865_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/99ac0f6d7084/167_2018_4865_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/8f919cab8ffb/167_2018_4865_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/b7d5c2651950/167_2018_4865_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/8c93a8e07ba1/167_2018_4865_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/258b967ac486/167_2018_4865_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/901525513076/167_2018_4865_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/063d7ea1e0dd/167_2018_4865_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/8d3abe5cb143/167_2018_4865_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/e5041e30fe0e/167_2018_4865_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/78a88e232ed9/167_2018_4865_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/99ac0f6d7084/167_2018_4865_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c90/5876259/8f919cab8ffb/167_2018_4865_Fig10_HTML.jpg

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本文引用的文献

[1]
Over 90 % of children and adolescents return to sport after anterior cruciate ligament reconstruction: a systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc. 2018-1-13

[2]
A Multinational Cluster Randomised Controlled Trial to Assess the Efficacy of '11+ Kids': A Warm-Up Programme to Prevent Injuries in Children's Football.

Sports Med. 2018-6

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Knee Surg Sports Traumatol Arthrosc. 2017-9-25

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Br J Sports Med. 2017-6-24

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J Bone Joint Surg Am. 2017-6-7

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Int J Environ Res Public Health. 2017-6-5

[10]
Incidence and Detection of Meniscal Ramp Lesions on Magnetic Resonance Imaging in Patients With Anterior Cruciate Ligament Reconstruction.

Am J Sports Med. 2017-8

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