Epidemiological study of pediatric ACL injuries
1 Department of Orthopaedic Traumatology Wing 4 CHU Ibn Rochd Casablanca Morocco.
2 Orthopaedics Department HAGUENAU hospital HNA group, France.
Research Article
World Journal of Advanced Research and Reviews, 2023, 20(03), 157–166
Article DOI: 10.30574/wjarr.2023.20.3.2425
Publication history:
Received on 17 October 2023; revised on 26 November 2023; accepted on 28 November 2023
Abstract:
ACL rupture in children is a serious injury that exposes the knee to meniscal damage and then, in the medium term, to osteoarthritis. The incidence of this type of injury has been rising steadily since the 1990s with the everincreasing practice of "pivotal" sports such as football, basketball, handball, rugby and gymnastics. The aim was to study the characteristics of the population of subjects affected and to identify risk factors for meniscus and cartilage damage. This was a retrospective, descriptive and analytical epidemiological study of 80 children who had consulted an orthopaedic clinic for an ACL rupture. At the orthopaedic consultation centre at Haguenau Hospital, from March 2014 to November 2022, with an average age of 13.8 years. Diagnosis was based on questioning, clinical examination and MRI as paraclinical examinations. The 15 parameters analysed were as follows: age at the time of the initial trauma, sex, corrected body mass index (BMI), side, type of sport practised, sporting level, Tegner score, circumstances of the causal trauma, time to consultation, time to MRI, attempt at functional treatment, time to surgery, associated meniscal lesions. The age at the time of surgery, and at the end the operative report. There is still a debate on the optimal treatment of ACL ruptures. Most surgeons who specialise in this area support early surgery, with the aim of preventing secondary damage and returning to the previous level of physical activity as quickly as possible. Of the 80 cases, 88.75% were treated surgically and 11.25% functionally, with a median corrected BMI of 19.7. 41.25% of cases had associated meniscal lesions. The 3 most frequently practised sports were handball, rugby and football. We also found a close relationship between meniscal injury and corrected BMI. Our results are in line with the literature, which is in favour of early repair of the anterior cruciate ligament in adolescent athletes, especially those with a BMI.
Keywords:
ACL; Menisque; BMI; Sport.
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