Featured Research

from universities, journals, and other organizations

Delay in surgery can cause irreparable meniscus tears in children with ACL injuries

Date:
March 12, 2012
Source:
Children's Hospital of Philadelphia
Summary:
For children aged 14 and under, delaying reconstructive surgery for anterior cruciate ligament (ACL) injuries may raise their risk of further injury. If surgery occurs later than 12 weeks after the injury, the injury may even be irreparable.

For children aged 14 and under, delaying reconstructive surgery for anterior cruciate ligament (ACL) injuries may raise their risk of further injury, according to a new study by pediatric orthopaedic surgeons. If surgery occurs later than 12 weeks after the injury, the injury may even be irreparable.

"Treating ACL injuries in these children is controversial, because they are still growing and the surgery has a small risk of causing a growth disturbance," said study leader J. Todd Lawrence, M.D., Ph.D., an orthopaedic surgeon at The Children's Hospital of Philadelphia. "However, we found that the risk of additional injury outweighs the risk of growth disturbance in most children."

Lawrence's study appeared in a recent issue of The American Journal of Sports Medicine.

ACL injuries have increased among children and young adults in recent years, possibly because of increased participation in high-level sports such as football, skiing, lacrosse, hockey and soccer, all of which place a high demand on the knees, where the ACL is located.

This retrospective chart analysis looked at 70 patients 14 years of age and under with ACL injuries at The Children's Hospital of Philadelphia between 1995 and 2005. The average age at injury was about 13 years with an average age at surgery of about 13.5 years. Twenty-nine of the patients underwent reconstructive surgery more than 12 weeks from the time of injury. In patients who were reconstructed more than 12 weeks after their injury, the rate of serious irreversible injuries, such as medial meniscus tears that could not be repaired and full thickness cartilage injuries was up to 4-fold higher. The medial meniscus plays an important role in protecting against arthritis in the knee.

"We've developed surgical techniques to avoid the growth plates in the knee but looking forward for each patient we still think about onset of arthritis within the next 20 years in the affected knee of young children with a complete tear of their ACL. More research is needed to continue to give us information that is crucial for making informed decisions on care for children and young adults with ACL injuries, but seeing these irreparable injuries that we know can lead to arthritis down the road had helped tip the balance in favor of early surgery for most children with an ACL tear," added Ted Ganley, M.D., the senior author on the study.

Dr. Lawrence's co-authors were Nina Argawal, B.A., and Theodore J. Ganley, M.D., all of the Division of Orthopaedic Surgery at The Children's Hospital of Philadelphia.


Story Source:

The above story is based on materials provided by Children's Hospital of Philadelphia. Note: Materials may be edited for content and length.


Journal Reference:

  1. J. T. R. Lawrence, N. Argawal, T. J. Ganley. Degeneration of the Knee Joint in Skeletally Immature Patients With a Diagnosis of an Anterior Cruciate Ligament Tear: Is There Harm in Delay of Treatment? The American Journal of Sports Medicine, 2011; 39 (12): 2582 DOI: 10.1177/0363546511420818

Cite This Page:

Children's Hospital of Philadelphia. "Delay in surgery can cause irreparable meniscus tears in children with ACL injuries." ScienceDaily. ScienceDaily, 12 March 2012. <www.sciencedaily.com/releases/2012/03/120312135107.htm>.
Children's Hospital of Philadelphia. (2012, March 12). Delay in surgery can cause irreparable meniscus tears in children with ACL injuries. ScienceDaily. Retrieved September 17, 2014 from www.sciencedaily.com/releases/2012/03/120312135107.htm
Children's Hospital of Philadelphia. "Delay in surgery can cause irreparable meniscus tears in children with ACL injuries." ScienceDaily. www.sciencedaily.com/releases/2012/03/120312135107.htm (accessed September 17, 2014).

Share This



More Health & Medicine News

Wednesday, September 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Obama Orders Military Response to Ebola

Obama Orders Military Response to Ebola

AP (Sep. 16, 2014) Calling the Ebola outbreak in West Africa a potential threat to global security, President Barack Obama is ordering 3,000 U.S. military personnel to the stricken region amid worries that the outbreak is spiraling out of control. (Sept. 16) Video provided by AP
Powered by NewsLook.com
UN: 20,000 Could Be Infected With Ebola by Year End

UN: 20,000 Could Be Infected With Ebola by Year End

AFP (Sep. 16, 2014) Nearly $1.0 billion dollars is needed to fight the Ebola outbreak raging in west Africa, the United Nations say, warning that 20,000 could be infected by year end. Duration: 00:40 Video provided by AFP
Powered by NewsLook.com
Obama: Ebola Outbreak Threat to Global Security

Obama: Ebola Outbreak Threat to Global Security

AP (Sep. 16, 2014) President Obama is ordering U.S. military personnel to West Africa to deal with the Ebola outbreak, which is he calls a potential threat to global security. (Sept. 16) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

      Technology News



      Save/Print:
      Share:

      Free Subscriptions


      Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

      Get Social & Mobile


      Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

      Have Feedback?


      Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
      Mobile: iPhone Android Web
      Follow: Facebook Twitter Google+
      Subscribe: RSS Feeds Email Newsletters
      Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins