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Anterior Cruciate Ligament Injury Prevention in the Young Athlete: Evidence-Based Application

Graziano, Jessica PT, DPT, CSCS; Green, Daniel W. MD, MS; Cordasco, Frank A. MD, MS

Strength & Conditioning Journal: June 2013 - Volume 35 - Issue 3 - p 89–97
doi: 10.1519/SSC.0b013e3182953525
Article

ABSTRACT SPORT PARTICIPATION AND EARLY SPECIALIZATION IS ON THE RISE, LEADING TO PEAK PERFORMANCE EXPECTATIONS AT A TIME OF MAJOR PHYSIOLOGICAL CHANGE. ANTERIOR CRUCIATE LIGAMENT INJURIES IN THE PEDIATRIC POPULATION WERE ONCE RARE, HOWEVER, ARE NOW SEEN WITH GREATER FREQUENCY. CHILDREN AS YOUNG AS 10 YEARS OF AGE DEMONSTRATE AT-RISK MOVEMENT PATTERNS ASSOCIATED WITH INJURY. BECAUSE LATE CHILDHOOD IS A CRITICAL PERIOD FOR REFINING MOVEMENT SKILLS, IT IS AN IDEAL TIME TO INTERVENE TO REDUCE INJURY RISKS. IDENTIFICATION OF RISK FACTORS, MASTERY OF FUNDAMENTAL SKILLS, AND STRENGTH TRAINING ARE VITAL FOR INJURY PREVENTION.

Hospital for Special Surgery, New York, New York

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

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Jessica Graziano is a physical therapist at the Hospital for Special Surgery, James M. Benson Sports Rehabilitation Center.

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Daniel W. Green is a pediatric orthopaedic surgeon and the director of Pediatric Orthopaedic Surgery Division's Sports Program at the Hospital for Special Surgery.

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Frank A. Cordasco is a member of the Sports Medicine and Shoulder Service at the Hospital for Special Surgery and an associate professor of Orthopaedic Surgery, Weill Cornell Medical School.

© 2013 by the National Strength & Conditioning Association