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Br J Sports Med. 2018 Apr;52(7):422-438. doi: 10.1136/bjsports-2018-099060. Epub 2018 Feb 24.

2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries.

Author information

Division of Physiotherapy, Linköping University, Linköping, Sweden.
School of Allied Health, La Trobe University, Melbourne, Australia.
Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
Oslo Sports Trauma Research Centre (OSTRC), Norwegian School of Sport Sciences, Oslo, Norway.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Tennessee Orthopaed Alliance, Nashville, Tennessee, USA.
Department of Pediatric Orthopaedic Surgery, Hôpital Femme Mere Enfant, Lyon, France.
Orthopedic Department, Universidade Federal de São Paulo, São Paulo, Brazil.
Stockholm Sports Trauma Research Center, Karolinska Institute, Stockholm, Sweden.
Department of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, USA.
OrthoSport Victoria Research Unit, Epworth Healthcare, Melbourne, Australia.
College of Science, Health & Engineering, La Trobe University, Melbourne, Australia.
Department of Orthopaedics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Division of Sports Medicine, Boston Children's Hospital, Boston, USA.
Harvard Medical School, Boston, USA.
Steadman Philippon Research Institute, Vail, USA.
The Steadman Clinic, Vail, USA.
College of Engineering, Swansea University, Swansea, UK.
Santa Monica Orthopaedic and Sports Medicine Group, Los Angeles, USA.
The Micheli Center for Sports Injury Prevention, Waltham, USA.
University of Calgary Sports Medicine Centre, Calgary, Canada.
Department of Orthopaedics and Rehabilitation Medicine, University of Chicago, Chicago, USA.
North Sydney Orthopaedic & Sports Medicine Centre, Sydney, Australia.
Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg, Luxembourg.
Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg.
Institute for Anatomy and Cell Biology, Ruprecht-Karls-University, Heidelberg, Germany.
HKF International Center for Hip, Knee, Foot Surgery and Sports Traumatology, ATOS Klinik, Heidelberg, Germany.
FIFA Medical Center of Excellence, Velocity Physical Therapy, Los Angeles, USA.
Medical & Scientific Department, International Olympic Committee, Chateau de Vidy, Lausanne, Switzerland.
Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science, Ghent University, Ghent, Belgium.


In October 2017, the International Olympic Committee hosted an international expert group of physiotherapists and orthopaedic surgeons who specialise in treating and researching paediatric ACL injuries. Representatives from the American Orthopaedic Society for Sports Medicine, European Paediatric Orthopaedic Society, European Society for Sports Traumatology, Knee Surgery & Arthroscopy, International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine, Pediatric Orthopaedic Society of North America and Sociedad Latinoamericana de Artroscopia, Rodilla y Deporte attended. Physiotherapists and orthopaedic surgeons with clinical and research experience in the field, and an ethics expert with substantial experience in the area of sports injuries also participated. Injury management is challenging in the current landscape of clinical uncertainty and limited scientific knowledge. Injury management decisions also occur against the backdrop of the complexity of shared decision-making with children and the potential long-term ramifications of the injury. This consensus statement addresses six fundamental clinical questions regarding the prevention, diagnosis and management of paediatric ACL injuries. The aim of this consensus statement is to provide a comprehensive, evidence-informed summary to support the clinician, and help children with ACL injury and their parents/guardians make the best possible decisions.


consensus statement; knee Acl; orthopaedics; paediatrics; physiotherapy

[Indexed for MEDLINE]
Free PMC Article

Conflict of interest statement

Competing interests: MC is a paid consultant for Arthrex. LE is the Head of Scientific Activities in the Medical and Scientific Department of the International Olympic Committee, has received fees for speaking from Smith & Nephew, has received research funding from Biomet and Smith & Nephew, has received funds for an employee from Arthrex and Smith & Nephew, has received royalties or fees for consulting from Arthrex and is an Editor of BJSM. MSK is a paid consultant for Best Doctors, OrthoPediatrics, Össur and Smith & Nephew, receives royalties, financial or material support from OrthoPediatrics, Össur, Saunders/Mosby-Elsevier and Wolters Kluwer Health–Lippincott Williams & Wilkins, is a paid member of the Steadman Philippon Research Institute, Scientific Advisory Committee, and is an unpaid board or committee member of the American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Harvard Medical School, Harvard School of Public Health, Herodicus Society, Pediatric Orthopaedic Society of North America and Pediatric Research in Sports Medicine. RLaP receives royalties from Össur, Arthrex and Smith & Nephew. BR receives royalties from Elsevier, salary from American Journal of Sports Medicine and Orthopaedic Journal of Sports Medicine, and holds stock in Merck and Johnson and Johnson. RSe is an unpaid board member and President of the European Society of Sports Traumatology Knee Surgery and Arthroscopy (ESSKA). TS works as Scientific Manager in the Medical and Scientific Department of the International Olympic Committee.

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