SynthesisSports medicine - open2025
Management of Anterior Cruciate Ligament Injuries in Children and Adolescents: A Systematic Review.
Synthesis in Sports medicine - open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Clinical and MRI Restoration of ACL Continuity Following Functional Complete ACL Rupture in an Adolescent Athlete: A Case Report.Clinical case reports · 2026Article
- Five-year MRI follow-up of growth-related complications after ACL reconstruction in children and adolescents.Journal of children's orthopaedics · 2026Article
- Ultrasonographic Knee Abnormalities and Their Association with Pain in Young Male Handball and Basketball Athletes: A Cross-Sectional Study.Diagnostics (Basel, Switzerland) · 2026Article
- External validation of the BABY-Knee Algorithm for treatment decision-making in skeletally immature patients with anterior cruciate ligament injuries: A Dutch cohort study.Journal of experimental orthopaedics · 2026Article
- Single cell analysis of muscle contracture in cerebral palsy reveals profibrotic and antimyogenic stem cell populations with altered cell-cell interactions.American journal of physiology. Cell physiology · 2026Article
- MRI Evaluation of Graft Remodeling After Transphyseal Anterior Cruciate Ligament Reconstruction in Pediatric Patients: A 5-Year Follow-up.Orthopaedic journal of sports medicine · 2026Article
- Pediatric ACL Injuries: A Current Concepts Review.Journal of clinical medicine · 2026Review
- Over-the-Top Anterior Cruciate Ligament Reconstruction With Lateral Extra-articular Tenodesis in Pediatric Athletes Provides Excellent Functional Outcomes and Preserves Growth Plate Symmetry.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- Comparisons of the radiological and functional results of femoral tunnels created in Figure-4 and 110° flexion positions in arthroscopic anterior cruciate ligament reconstruction.Joint diseases and related surgery · 2026Article
- Effect of Slice Thickness Variations on Knee Cartilage Quantification Using Magnetic Resonance Image Compilation SequencCurrent medical imaging · 2026Article
- All-epiphyseal, all-inside ACL reconstruction yields high return-to-sport and minimal growth-related complications at mid- to long-term follow-up in skeletally immature patients.Journal of experimental orthopaedics · 2026Article
- Current concept on assessment and management of anterior cruciate ligament injury in skeletally immature athletes.Journal of experimental orthopaedics · 2025Review
- The deep lateral femoral notch sign (DLFNS) is associated with concomitant knee injuries in skeletally immature patients with anterior cruciate ligament injuries.Journal of experimental orthopaedics · 2025Article
- How Can We Optimize a Safe Return to Sport for Youth Athletes? Emerging Concepts and Perspectives - Multidisciplinary Approach.Open access journal of sports medicine · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundDue to rising sports participation, anterior cruciate ligament (ACL) tears are increasingly prevalent in children and adolescents. This systematic review aimed to evaluate and summarize the management strategies for ACL injuries in children and adolescents.
methodsA comprehensive search of PubMed, Embase, Web of Science, and Cochrane Library databases was conducted to identify studies reporting outcomes of ACL injuries in children and adolescents. Key outcomes were synthesized descriptively, including knee instability, secondary damage, growth disturbances, and return-to-sport (RTS) rates.
resultsA total of 7,507 publications were initially screened, with 105 studies involving 8294 children or adolescents satisfying the inclusion criteria. Conservative treatments were associated with elevated rates of knee instability (35.85-100%), secondary meniscal and cartilage damage, and long-term degenerative changes. Conversely, surgical interventions, including physeal-sparing and transphyseal techniques, demonstrated superior outcomes with lower instability rates (0-7.41%), fewer complications, and higher RTS rates (83.4-92.6%). Pooled RTS rates for conservative treatments were 44.0% (95%CI: 0.018-0.927), while physeal-sparing ACL reconstruction showed a pooled RTS rate of 92.6% (95%CI: 0.732-1.000) and transphyseal ACL reconstruction reported an RTS rate of 83.4% (95%CI: 0.722-0.924).
conclusionConservative management of ACL injuries in children and adolescents is linked to higher rates of knee instability, secondary meniscal and cartilage damage, and degenerative changes. In contrast, surgical interventions, such as physeal-sparing and transphyseal techniques, yield better outcomes in knee stability, complications reduction, and RTS rates. However, risks such as graft rupture, repeat surgeries, and potential growth disturbances emphasize the importance of tailoring surgical approaches to the patient's growth stage and anatomical characteristics.
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