In October 2017, the International Olympic Committee (IOC) hosted an international expert group of physiotherapists and orthopaedic surgeons who specialise in treating and researching paediatric ACL injuries. The purpose of this consensus statement was 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. Representatives from the American Orthopaedic Society for Sports Medicine, European Paediatric Orthopaedic Society, European Society for Sports Traumatology, Knee Surgery & 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. This consensus statement addresses 6 fundamental clinical questions regarding the prevention, diagnosis, and management of paediatric ACL injuries. 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.
- orthopaedic sports medicine
- rehabilition / physical therapy
- Acl / Pcl
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Contributors CLA, GE, LE, HG and HM made substantial contributions to overall and detailed conception, planning, drafting and critically revising the manuscript. CLA, GE and HG wrote the first draft. AFA, FC, MC, MF, TJG, JAF, JK, MSK, RLaP, MM, BM, LM, NM, BR, JR, RS, RSi, HJS-G, TS and EW made substantial contributions to drafting and critically revising the manuscript. LE chaired the Lausanne consensus meeting. CLA co-ordinated and administered the Delphi surveys. CLA, LE and HM constructed the Delphi survey. The International Olympic Committee funded the consensus meeting, but did not influence the content of this consensus statement.
Funding This study was funded by the International Olympic Committee.
Competing interests MC is a paid consultant for Arthrex. LE is the Head of Scientific Activities in the Medical and Scientific Department of the International Olympic Committee, has received research funding from Biomet and Smith & Nephew, has received funds for an employee from Arthrex and Smith & Nephew and has received royalties or fees for consulting from Arthrex. TS works as Scientific Manager in the Medical and Scientific Department of the International Olympic Committee. BR receives royalties from Elsevier, salary from American Journal of Sports Medicine and Orthopaedic Journal of Sports Medicine and holds stock in Merck and Johnson & Johnson. RLaP receives royalties from Össur, Arthrex and Smith & Nephew. MSK is a paid consultant for Best Doctors, OrthoPediatrics, Össur and Smith & Nephew, receives royalties, financial or material support from OrthoPediatrics, Össur, Saunders/Mosby-Elsevier and Wolters Kluwer Health–Lippincott Williams & Wilkins, is a paid member of the Steadman Philippon Research Institute, Scientific Advisory Committee, and is an unpaid board or committee member of the American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Harvard Medical School, Harvard School of Public Health, Herodicus Society, Pediatric Orthopaedic Society of North America and Pediatric Research in Sports Medicine.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
Presented at This article has been co-published in the British Journal of Sports Medicine, Orthopaedic Journal of Sports Medicine, and Knee Surgery Sports Traumatology Arthroscopy.
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