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

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 ACL injuries. 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. 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. ; IOC ; Linkoping Univ, Div Physiotherapy, Linkoping, Sweden ; La Trobe Univ, Sch Allied Hlth, Melbourne, Vic 3086, Australia ; Oslo Univ Hosp, Div Orthopaed Surg, Oslo, Norway ; Norwegian Sch Sport Sci, OSTRC, Oslo, Norway ; Univ Oslo, Inst Clin Med, Oslo, Norway ; Norwegian Sch Sport Sci, Dept Sports Med, Oslo, Norway ; Tennessee Orthopaed Alliance, Nashville, TN USA ; Hop Femme Mere Enfant, Dept Pediat Orthopaed Surg, Lyon, France ; Univ Fed Sao Paulo, Orthoped Dept, Sao Paulo, Brazil ; Karolinska Inst, Stockholm Sports Trauma Res Ctr, Stockholm, Sweden ; Childrens Hosp Philadelphia, Dept Orthopaed, Philadelphia, PA 19104 USA ; Epworth Healthcare, OrthoSport Victoria Res Unit, Melbourne, Vic, Australia ; La Trobe Univ, Coll Sci Hlth & Engn, Melbourne, Vic, Australia ; Univ Gothenburg, Dept Orthopaed, Sahlgrenska Acad, Gothenburg, Sweden ; Boston Childrens Hosp, Div Sports Med, Boston, MA USA ; Harvard Med Sch, Boston, MA USA ; Steadman Philippon Res Inst, Vail, CO USA ; Steadman Clin, Vail, CO USA ; Swansea Univ, Coll Engn, Swansea, W Glam, Wales ; Santa Monica Orthopaed & Sports Med Grp, Los Angeles, CA USA ; Micheli Ctr Sports Injury Prevent, Waltham, MA USA ; Univ Calgary, Sports Med Ctr, Calgary, AB, Canada ; Univ Chicago, Dept Orthopaed & Rehabil Med, Chicago, IL 60637 USA ; North Sydney Orthopaed & Sports Med Ctr, Sydney, NSW, Australia ; Ctr Hosp Luxembourg, Dept Orthopaed Surg, Luxembourg, Luxembourg ; Luxembourg Inst Hlth, Sports Med Res Lab, Luxembourg, Luxembourg ; Ruprecht Karls Univ Heidelberg, Inst Anat & Cell Biol, Heidelberg, Germany ; ATOS Klin, HKF Int Ctr Hip Knee Foot Surg & Sports Traumat, Heidelberg, Germany ; FIFA Med Ctr Excellence Veloc Phys Therapy, Los Angeles, CA USA ; Int Olymp Comm, Med & Sci Dept, Lausanne, Switzerland ; Univ Calgary, Fac Kinesiol, Sport Injury Prevent Res Ctr, Calgary, AB, Canada ; Univ Ghent, Fac Med & Hlth Sci, Dept Rehabil Sci & Physiotherapy, Ghent, Belgium ; Univ Fed Sao Paulo, Orthoped Dept, Sao Paulo, Brazil ; Web of Science