Understanding growth plates and ACL injuries in children

it might not seem obvious to bring your

older adolescent to see us at Children's

Hospital even though it seems that

they're done growing many young adults

they'll grow into their college years

they have an open growth plate and this

means that they still growing and so if

a procedure is done incorrectly the

injuries could happen to the growth

plate and could cause serious problems

when we're talking about growth plates

and other anatomical structures of the

NIEM what we're really talking about is

the femur and the tibia and in this area

is a cartilage ring or cartilage plates

and then duplicated here on the tibia

and this causes a longitudinal growth or

causes that aren't children to grow

taller most of the growth comes from

this area in the lower extremity

specifically the femur if you injure

this you can get angular deformities or

one limb can be shorter than the other

and so this is what's important about

knowing how to do these procedures from

a pediatric standpoint the ACL is in the

middle and this is what we're talking

about when we reconstruct an ACL you

can't repair an ACL ACLs need to be

reconstructed with the patient's own

tissue or donated tissue the meniscus is

the cartilage or the shock absorber in

the knee and about 60 to 70 percent of

kids that have an ACL injury also have a

meniscal tear and majority of these get

fixed which changes our rehab protocols

slightly by just allowing them not to

put weight on that extremity for about

six weeks