Conservative treatment of ACL tear

Henry Ellis, Lorenzo Vite, Philip Wilson

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The increase in incidence and identification of skeletally immature anterior cruciate ligament (ACL) injuries has stimulated new interest in treatment options. While nonoperative management of pediatric ACL injury has been historically associated with ongoing instability, lower rates of return to sport, and subsequent cartilage injury, it may be a viable option for some athletes when proper rehabilitation is employed. In the absence of other injuries, a formal and supervised physical therapy program and a functional brace may be considered for all young patients with ACL injury prior to consideration of a surgical procedure. A four-phase physical therapy program utilizing a timeline and functional milestones is recommended. Variable outcomes of nonsurgical treatment have been reported, but select athletes with proper nonoperative management may be able to function at a high level without instability or increased risk of further injury.

Original languageEnglish (US)
Title of host publicationThe Pediatric Anterior Cruciate Ligament
Subtitle of host publicationEvaluation and Management Strategies
PublisherSpringer International Publishing
Pages69-82
Number of pages14
ISBN (Electronic)9783319647715
ISBN (Print)9783319647708
DOIs
StatePublished - Jan 1 2017

Keywords

  • Functional brace
  • Nonoperative treatment
  • Pediatric ACL injury
  • Physical therapy
  • Rehabilitation

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Ellis, H., Vite, L., & Wilson, P. (2017). Conservative treatment of ACL tear. In The Pediatric Anterior Cruciate Ligament: Evaluation and Management Strategies (pp. 69-82). Springer International Publishing. https://doi.org/10.1007/978-3-319-64771-5_8