The Pediatric Anterior Cruciate Ligament

1. Front Matter

   Pages i-xx

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2. Pediatric and Adolescent ACL Injury and Sports Medicine: The Early Years

   • Carl L. Stanitski

   Pages 1-6

3. History of Ligament Injuries in Children

   • Shital N. Parikh

   Pages 7-11

4. Developmental Anatomy of the ACL and Knee

   • Connor G. Richmond, Peter C. Cannamela, Theodore J. Ganley, John D. Polousky, Allen F. Anderson, Kevin G. Shea

   Pages 13-24

5. The Epidemiology of Pediatric ACL Injuries

   • Krishn Khanna, Nirav K. Pandya

   Pages 25-32

6. Assessment of Skeletal Maturity

   • Gregory J. Pinkowsky, Zachary Winthrop, Wiliam L. Hennrikus

   Pages 33-39

7. Clinical Evaluation of ACL Tear

   • Julien T. Aoyama, Jermonte Lowe, Anthony C. Capraro, Lawrence Wells

   Pages 41-47

8. Radiologic Evaluation of ACL Tear and ACL Reconstruction

   • Andrew H. Schapiro, Andrew M. Zbojniewicz

   Pages 49-68

9. Conservative Treatment of ACL Tear

   • Henry Ellis, Lorenzo Vite, Philip Wilson

   Pages 69-82

10. Partial ACL Injuries in Pediatric and Adolescent Athletes

    • Michael P. McClincy, Benton E. Heyworth

    Pages 83-95

11. Surgical Considerations and Treatment Algorithm for ACL Tear

    • Marios G. Lykissas, Ioannis Gkiatas, Georgios Kontakis

    Pages 97-102

12. Risk Factors and Practical Considerations During ACL Reconstruction

    • Sean Keyes, Shital N. Parikh

    Pages 103-119

13. ACL Reconstruction Without Bone Tunnels

    • Peter D. Fabricant, Mininder S. Kocher

    Pages 121-127

14. ACL Reconstruction Using Epiphyseal Tunnels

    • Allen F. Anderson, Christian N. Anderson

    Pages 129-136

15. Review of Different Surgical Techniques for All-Epiphyseal Anterior Cruciate Ligament Reconstruction

    • Lionel E. Lazaro, Junho Ahn, Frank A. Cordasco, Daniel W. Green

    Pages 137-145

16. Femoral Physeal Sparing/Transphyseal Tibial (Hybrid) Technique for ACL Reconstruction in Skeletally Immature Athletes

    • Matthew D. Milewski, Carl W. Nissen

    Pages 147-155

17. Transphyseal ACL Reconstruction in Skeletally Immature Patients

    • Crystal A. Perkins, S. Clifton Willimon, Michael T. Busch

    Pages 157-168

18. Treatment of Concomitant Pathology During ACL Reconstruction

    • Taylor Jackson, Theodore J. Ganley

    Pages 169-181

19. Rehabilitation and Return to Sports After Anterior Cruciate Ligament Reconstruction in the Young Athlete

    • Mark V. Paterno, Alyson Filipa

    Pages 183-198

20. Complications of ACLR, Including Revision ACLR

    • Eric J. Wall

    Pages 199-209

This unique book fills the void in the existing literature related to the diagnosis and evaluation of pediatric ACL injuries and presents both current and emerging surgical techniques for pediatric ACL reconstruction. Once considered rare, these injuries are on the rise as children are increasingly active and engaged in high-impact sports. Historically, these injuries have been treated with benign neglect, but there is increasing evidence that non-operative treatment approaches can lead to recurrent instability, further injury to the meniscus or cartilage, and eventually joint degeneration.

Opening with discussion of epidemiology, developmental anatomy, and assessment and radiography, this one-stop resource then presents conservative and surgical management strategies and algorithms, including ACL reconstruction without bone tunnels, use of epiphyseal tunnels, trans-physeal tunnels, or hybrid techniques. Special attention is given to the young female athlete, complications, prevention strategies, rehabilitation and return to play considerations.

Bringing together the latest clinical evidence with the preferred techniques of experts in the field, The Pediatric Anterior Cruciate Ligament is a comprehensive and detailed analysis of the inherent problems in treating ACL injuries in the pediatric patient, useful for pediatric orthopedic surgeons, orthopedic sports medicine surgeons, primary care sports medicine physicians and other professionals working with the young athlete.

• ACL avulsion
• ACL reconstruction
• ACL tear
• Anterior cruciate ligament
• Autograft
• Bone tunnel
• Epiphyseal tunnel
• Growth disturbances
• Hybrid technique
• Pediatric ACL
• Pediatric knee
• Revision ACL repair
• Skeletally immature ACL
• Tibial spine avulsion fracture
• Trans-physeal tunnel

“The target audience is obviously orthopedic surgeons (sports or pediatric) who will care for this population of patients. Naturally students, residents, and fellows will also benefit … . Ultimately, this is a valuable addition to the literature and a unique reference that targets all aspects of the singularly focused topic of ACL injuries in the skeletally immature. It is a worthy addition to the orthopedic library and will be especially valued by clinicians who care for pediatric athletes.” (Mark R. Hutchinson, Doody's Book Reviews, February, 2018)

• Cincinnati Children’s Hospital, Cincinnati, USA

  Shital N. Parikh

Shital N. Parikh, MD, FACS, Co-Director, Orthopedic Sports Center, Division of Orthopedic Surgery, Cincinnati Children’s Hospital Medical Center, Professor of Orthopedic Surgery, University of Cincinnati School of Medicine, Cincinnati, OH, USA

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