Anterior cruciate ligament (ACL) injuries are common among adolescents due to their high participation in outdoor activities. Knee ligament tears are almost always accompanied by other injuries. We demonstrated a variety of injuries seen in the paediatric teenage population. Routine radiography misses a variety of knee problems, such as meniscal rips and bone marrow oedema. In the creation of this spectrum, magnetic resonance imaging (MRI) is crucial.
Methods: Five male patients, ages 13 to 18 (average age 15), with diverse types of knee damage underwent knee MRI scans and were examined for a range of ACL rupture and associated symptoms. A specific injury could involve the ACL, the menisco-femoral link, or the medial collateral ligaments. Because of their undeveloped skeletons, children are also prone to bony avulsion fractures. The study plays an important part in management, according to the description of the individual injury. Patients with a history of knee injury or disease were not allowed to participate in the trial.
The bulk of the patients belonged to the paediatric teen age group (average age 15 years). The left knee was damaged 60% of the time, while the right knee was hurt 40% of the time. Meniscal tears were found in 20% of instances, but were seen in 40% of those who had a bone injury. The only way to detect these was through an MRI study, as the plain skiagram was normal. The posterior cruciate ligament (PCL) was implicated in 40% of the cases.
Conclusion: ACL tears and concomitant injuries in children and adolescents have a different spectrum and should not be diagnosed or treated the same way they are in adults. Because of the prevalence of epiphyseal nonunion in this age group, MRI evaluation is essential in the diagnosis of such severe injuries.
Author (S) Details
Shashi Sharma
Department of Pediatrics, SGT Medical College, Gurgaon (Haryana), India.
Bharat Bhushan Sharma
Department of Radio-Diagnosis, SGT Medical College, Hospital & Research Institute, Gurugram, India.
Naresh Chander Arora
Department of Orthopedics, SGT Medical College, Hospital & Research Institute, Gurugram, India.
Manav Sethi
Department of Radio-Diagnosis, Civil Hospital, Sector 6, Panchkula (Haryana), India.
Neeru Kapur
Department of Radio-Diagnosis, SGT Medical College, Hospital & Research Institute, Gurugram, India.
Monu Sarin
Department of Radio-Diagnosis, SGT Medical College, Hospital & Research Institute, Gurugram, India.
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