Consensus Delphi study on guidelines for the assessment of anterior cruciate ligament injuries in children

作     者：Angélica Campón Chekroun Jorge Velázquez-Saornil Isabel Guillén Vicente Zacarías Sánchez Milá David Rodríguez-Sanz Carlos Romero-Morales Tomas Fernandez-Jaén JoséIgnacio Garrido González MiguelÁngel Sánchez-Garrido Pedro Guillén García 

作者机构：Campus San Jerónimo GuadalupeUniversidad Católica de MurciaMurcia 30107MurciaSpain Department of PhysiotherapyUniversidad Católica deÁvilaÁvila 05005ÁvilaSpain Department of Orthopaedic and Trauma SurgeryClínica CemtroMadrid 28035MadridSpain NursingPhysiotherapy and PodiatryUniversidad Complutense de MadridMadrid 28040MadridSpain Department of Physical TherapyUniversidad Europea de MadridMadrid 28023MadridSpain Department of Orthopaedic and Trauma SurgeryGabinete Médico GarridoSalamanca 37003SalamancaSpain 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2022年第13卷第9期

页      面：777-790页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Anterior cruciate ligament Diagnoses and examinations Sports injuries Knee Injury to minors 

摘      要：Background:Knee examination guidelines in minors are intended to aid decisionmaking in the management of knee *** question:A Delphi study was conducted with a formal consensus process using a validated methodology with sufficient scientific evidence.A group consensus meeting was held to develop recommendations and practical guidelines for use in the assessment of instability injuries in *** findings:there is a lack of evidence to analyse anterior cruciate ligament injuries in children and their subsequent surgical management if *** guidelines and clinical assessment of the patient based on a thorough examination of the knee are performed and a guide to anterior cruciate ligament exploration in children is *** application:In the absence of a strong evidence base,these established guidelines are intended to assist in that decision-making process to help the clinician decide on the most optimal treatment with the aim of benefiting the patient as much as *** this expert consensus,surgical treatment is advised when the patient has a subjective sensation of instability accompanied by a pivot shift test++,and may include an anterior drawer test+and a Lachman test+.If these conditions are not present,the conservative approach should be chosen,as the anatomical and functional development of children,together with a physiotherapy programme,may improve the evolution of the injury.