Journal of clinical medicine · 2026 · 敘述性回顧（依標題推測）
Pediatric ACL Injuries: A Current Concepts Review.
膝 · 前十字韌帶損傷
中文閱讀摘要
兒童ACL損傷管理複雜，雖ACLR仍為金標準，但面臨生長干擾等挑戰，且因證據不足，最佳手術策略尚未達成共識。
AI 依來源摘要整理，未經人工逐篇核對。閱讀結論前，請回溯研究族群、方法與限制。
原始摘要
Background/objectives
Anterior cruciate ligament (ACL) tears in children and adolescents are occurring at the intersection of skeletal growth and often early sports specialization, requiring a specialized approach, as pediatric ACL injury is not merely a scaled-down version of adult injury.
Methods
This review synthesizes the current understanding of diagnostic protocols, evolution of knee morphology and neuromechanical risk factors characteristic of the pediatric population. It further examines the spectrum of specific management strategies including conservative approaches, primary repair and various reconstruction techniques, alongside rehabilitation, prevention and follow-up procedures.
Results
In the diagnostic phase, pediatric-specific clinical and imaging findings must be carefully interpreted. Certain anatomical and neuromuscular characteristics seem to be linked to injury. Management remains complex, requiring a delicate balance between restoring stability and sparing bone growth. While conservative treatment may be attempted in specific cases, it must be promptly redirected toward surgical intervention if persistent instability occurs. Consensus on optimal surgical strategies remain impeded by the lack of robust evidence. Anterior cruciate ligament reconstruction (ACLR) still faces challenges such as growth disturbances, high graft failure, contralateral rupture rates and the biological process of graft remodeling. However, ACLR currently remains the gold standard compared to ACL repair. Tailored rehabilitation and robust prevention programs are needed.
Conclusions
The management of ACL rupture in the pediatric population remains complex and constrained by important evidence gaps. Continued refinement of management strategies and future prospective, multicenter pediatric studies are needed.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.3390/jcm15114253
- PMID／PMCID
- 42279114 / PMC13258186
- 作者
- de Pesters C, Piscaer T, Ivansyah MD, Meuffels D, van den Berg L, Accadbled F
- 首次發表日期
- 2026-05-31Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 15 ／ 11 ／ 4253
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
de Pesters C, Piscaer T, Ivansyah MD, Meuffels D, van den Berg L, Accadbled F. Pediatric ACL Injuries: A Current Concepts Review. Journal of clinical medicine. 2026;15(11):4253. PMID: 42279114. PMCID: PMC13258186. doi:10.3390/jcm15114253
本站供教育與研究參考。單篇摘要、文體標籤與期刊影響係數不等於證據品質或個別病人的診療建議。