Description
The video discusses the growing incidence of ACL injuries, especially among pediatric patients, highlighting changes in perceptions and statistical increases over the past two decades. Fazal Ali explains that previously considered rare, ACL injuries now account for approximately 5% of all cases, attributed to various factors such as increased competitive sports participation and gender disparities in injury rates. He emphasizes the importance of early detection and reporting of ACL injuries, supported by improved diagnosis and radiology expertise.
With studies showing a significant rise in pediatric ACL reconstruction rates and complication risks related to surgical interventions, the presentation explores conservative treatments, where around 6% of patients may develop meniscal tears, subsequently leading to a risk of osteoarthritis.
Ali outlines available surgical options—transphyseal, physeal sparing, and partial transphyseal techniques—along with their implications for the growth plate's health. He emphasizes that while the incidence of complications exists, growth plate damage is rare and generally not clinically significant. The discussion concludes with important considerations for surgical strategies based on individual patient assessments of age, activity levels, and associated injuries, concluding with a reminder of upcoming conferences focused on ACL advancements in pediatric care.