Pediatric and adolescent patients with an ACL tear demonstrated greater valgus alignment than age- and sex-matched controls, with each 1° increase in HKA valgus alignment increasing the odds of an ACL tear by 14%.

The number of ACL injuries continues to grow among pediatric and adolescent patients secondary to increased year-round sports participation and higher competition levels. For children and adolescents, a variety of ACL reconstruction (ACLR) techniques exist, including options for both surgical technique and graft choice.

Humeral capitellar osteochondritis dissecans (OCD) is a relatively uncommon adolescent disorder that predominantly affects overhead and tumbling athletes. Management of capitellar OCD depends on skeletal maturity, lesion size, location, stability, and containment.

This study demonstrated that ECM-BMAC grafting is a viable treatment strategy for pediatric patients with unstable, contained capitellar OCD lesions. We observed favorable PROs ≥1 year postoperatively with an ~90% RTS rate at an average of 5.8 months, supporting the results of this technique that has demonstrated success in other

Isolated MPFL reconstruction, isolated MQTFL reconstruction, and combined MPFL/MQTFL reconstruction restored native knee kinematics, contact forces, and contact areas without overconstraint.

The implant-mediated guided growth performed in the setting of treating intra-articular knee pathology is feasible and should be considered for skeletally immature patients with coronal plane angular deformity undergoing surgery for concomitant knee pathology.

This technical note demonstrates the transosseous repair of isolated posterior medial meniscal root injuries in children and adolescents, including tear visualization on magnetic resonance imaging and during arthroscopy, operative technique, and postoperative management.

Understanding how rates of sport participation may naturally change during childhood is crucial to interpreting and reporting RTS rates for these patients. We believe that more studies are needed to quantify the many factors affecting natural attrition rates of sport participation in young athletes (by both age and sport) to

The ACL-RSI scale is valid to use with pediatric and adolescent patients. The 6-item scale may be a better choice because it has fewer redundancies and minimizes the risk of questionnaire fatigue.

The results of the current study indicate that concomitant ACL reconstruction and lower extremity coronal plane angular deformity correction is a safe approach to treat coronal plane angular deformity concomitantly with ACL reconstruction in young patients who present with an acute ACL tear.

This paper reviews pediatric anterior cruciate ligament reconstruction (ACLR) techniques, including combined extra- and intra-articular, all-epiphyseal, and transphyseal approaches, which are selected according to skeletal maturity to minimize the risk of growth plate injury.

The Hospital for Special Surgery ACL-expectations score is a patient-derived, tested and reliable preoperative expectations measure with excellent psychometrics for active adults undergoing ACLR. We suggest future clinical studies in ACLR to incorporate this tool as a preoperative measure of patient expectations.