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The Pediatric Anterior Cruciate Ligament pp 69–82Cite as

Conservative Treatment of ACL Tear

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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.

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  1. Sports Medicine Center, Texas Scottish Rite Hospital, 2222 Welborn, Dallas, TX, 75219, USA

    Henry Ellis M.D., Lorenzo Vite P.T. & Philip Wilson M.D.

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  2. Lorenzo Vite P.T.
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  1. Cincinnati Children’s Hospital, Cincinnati, Ohio, USA

    Shital N. Parikh

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Ellis, H., Vite, L., Wilson, P. (2018). Conservative Treatment of ACL Tear. In: Parikh, S. (eds) The Pediatric Anterior Cruciate Ligament. Springer, Cham. https://doi.org/10.1007/978-3-319-64771-5_8

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