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LOGINYoung Knees, Different Rules: Adolescent ACL Injuries.
Anterior cruciate ligament injuries in young athletes are on the rise, yet treatment guidelines remain limited. Nicky van Melick and Stijn Geraets share insights on surgical treatment and rehabilitation.
Manchester City’s Matty Henderson-Hall in action with Leeds United’s Sam Chambers Action Images via Reuters/Jason Cairnduff
Over the past two decades, the incidence of anterior cruciate ligament (ACL) injuries among adolescents has increased dramatically. Girls aged 13 to 15 years face the highest risk, with a staggering 143% rise in incidence between 2000 and 2015. Boys also saw the largest increase in incidence in the same age group, though lower at 59%(1,2). Similarly, the annual number of ACL reconstructions in adolescents has grown, with an average annual increase of 2.2% in boys and 2.9% in girls (see figure 1)(3). Unfortunately, ACL revision rates are highest among those under 16, with approximately one in four requiring revision surgery, compared to one in ten adults(4,5).
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