ACL Tears in School-Aged Children and Adolescents Over 20 Years
Anterior cruciate ligament (ACL) tears are thought to occur with increasing frequency in young patients. No study has shown increased incidence over time. We hypothesized the incidence of ACL tears in young patients has increased over the past 20 years. This descriptive epidemiology study is a retro...
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| Veröffentlicht in: | Pediatrics (Evanston) 2017-03, Vol.139 (3), p.1 |
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| creator | Beck, Nicholas A Lawrence, J Todd R Nordin, James D DeFor, Terese A Tompkins, Marc |
| description | Anterior cruciate ligament (ACL) tears are thought to occur with increasing frequency in young patients. No study has shown increased incidence over time. We hypothesized the incidence of ACL tears in young patients has increased over the past 20 years.
This descriptive epidemiology study is a retrospective review of insurance billing data of all patients aged 6 to 18 years with
, Fourth Revision codes for ACL tear and reconstruction or International Classification of Diseases, Ninth Revision, Clinical Modification codes from 1994 to 2013. Injuries were normalized to persons per year enrolled in the insurance database based on age and sex. Analysis was performed based on sex and age (6-14, 15-16, and 17-18 years).
The rate of ACL tears per 100 000 person-years averaged 121 ± 19 (range 92-151). All trends increased significantly except for the male 6- to 14-year-old and 17- to 18-year-old age groups. Overall there was an annual increase of 2.3%. Females had significantly higher incidence except in the 17- to 18-year-olds. Females peaked at age 16 years and males at age 17 years, with rates of 392 ACL tears and 422 ACL tears per 100 000 person-years, respectively.
The incidence of ACL tears in pediatric patients increased over the last 20 years. Females were at higher risk except in the 17- to 18-year -old group. Peak incidence is noted during high school years. These data help target the most at-risk patients for ACL prevention programs. |
| doi_str_mv | 10.1542/peds.2016-1877 |
| format | Article |
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This descriptive epidemiology study is a retrospective review of insurance billing data of all patients aged 6 to 18 years with
, Fourth Revision codes for ACL tear and reconstruction or International Classification of Diseases, Ninth Revision, Clinical Modification codes from 1994 to 2013. Injuries were normalized to persons per year enrolled in the insurance database based on age and sex. Analysis was performed based on sex and age (6-14, 15-16, and 17-18 years).
The rate of ACL tears per 100 000 person-years averaged 121 ± 19 (range 92-151). All trends increased significantly except for the male 6- to 14-year-old and 17- to 18-year-old age groups. Overall there was an annual increase of 2.3%. Females had significantly higher incidence except in the 17- to 18-year-olds. Females peaked at age 16 years and males at age 17 years, with rates of 392 ACL tears and 422 ACL tears per 100 000 person-years, respectively.
The incidence of ACL tears in pediatric patients increased over the last 20 years. Females were at higher risk except in the 17- to 18-year -old group. Peak incidence is noted during high school years. These data help target the most at-risk patients for ACL prevention programs.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2016-1877</identifier><identifier>PMID: 28228501</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Adolescent ; Age Distribution ; Anterior cruciate ligament ; Anterior Cruciate Ligament Injuries - epidemiology ; Child ; Children & youth ; Control ; Diagnosis ; Epidemiology ; Female ; Health aspects ; Humans ; Incidence ; Joint and ligament injuries ; Ligaments ; Male ; Pediatrics ; Prevention programs ; Retrospective Studies ; Sex Distribution ; Teenagers ; United States - epidemiology ; Youth</subject><ispartof>Pediatrics (Evanston), 2017-03, Vol.139 (3), p.1</ispartof><rights>Copyright © 2017 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Mar 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-51aa1df13b9e21be080429d5d6355a30dec7dba993648affdeb357e4b2ac96c33</citedby><cites>FETCH-LOGICAL-c467t-51aa1df13b9e21be080429d5d6355a30dec7dba993648affdeb357e4b2ac96c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28228501$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beck, Nicholas A</creatorcontrib><creatorcontrib>Lawrence, J Todd R</creatorcontrib><creatorcontrib>Nordin, James D</creatorcontrib><creatorcontrib>DeFor, Terese A</creatorcontrib><creatorcontrib>Tompkins, Marc</creatorcontrib><title>ACL Tears in School-Aged Children and Adolescents Over 20 Years</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Anterior cruciate ligament (ACL) tears are thought to occur with increasing frequency in young patients. No study has shown increased incidence over time. We hypothesized the incidence of ACL tears in young patients has increased over the past 20 years.
This descriptive epidemiology study is a retrospective review of insurance billing data of all patients aged 6 to 18 years with
, Fourth Revision codes for ACL tear and reconstruction or International Classification of Diseases, Ninth Revision, Clinical Modification codes from 1994 to 2013. Injuries were normalized to persons per year enrolled in the insurance database based on age and sex. Analysis was performed based on sex and age (6-14, 15-16, and 17-18 years).
The rate of ACL tears per 100 000 person-years averaged 121 ± 19 (range 92-151). All trends increased significantly except for the male 6- to 14-year-old and 17- to 18-year-old age groups. Overall there was an annual increase of 2.3%. Females had significantly higher incidence except in the 17- to 18-year-olds. Females peaked at age 16 years and males at age 17 years, with rates of 392 ACL tears and 422 ACL tears per 100 000 person-years, respectively.
The incidence of ACL tears in pediatric patients increased over the last 20 years. Females were at higher risk except in the 17- to 18-year -old group. Peak incidence is noted during high school years. These data help target the most at-risk patients for ACL prevention programs.</description><subject>Adolescent</subject><subject>Age Distribution</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Injuries - epidemiology</subject><subject>Child</subject><subject>Children & youth</subject><subject>Control</subject><subject>Diagnosis</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Joint and ligament injuries</subject><subject>Ligaments</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Prevention programs</subject><subject>Retrospective Studies</subject><subject>Sex Distribution</subject><subject>Teenagers</subject><subject>United States - epidemiology</subject><subject>Youth</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkTlv3DAQhQkjgb0-2pQBgTRptBleOqpAEOIDWGCLOEUqgiJHaxlccUNqjeTfh8I6KVxN872ZN-8R8oHBminJvxzQpTUHVhasrqozsmLQ1IXklXpHVgCCFRJAXZDLlJ4BQKqKn5MLXnNeK2Ar8rXtNvQRTUx0nOh3-xSCL9odOto9jd5FnKiZHG1d8JgsTnOi2xeMlAP9uaiuyfvB-IQ3r_OK_Lj99tjdF5vt3UPXbgory2ouFDOGuYGJvkHOeoQaJG-ccqVQyghwaCvXm6YRpazNMDjshapQ9tzYprRCXJHPp72HGH4dMc16P2Y_3psJwzHp_D1TSsiyzOinN-hzOMYpu1soJcp8QmaqOFE741GPkw3TjL9nG7zHHepsvtvqVjZNzhDksnV94m0MKUUc9CGOexP_aAZ6qUIvVeiliuVMlQUfX20c-z26__i_7MVfALiA_g</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Beck, Nicholas A</creator><creator>Lawrence, J Todd R</creator><creator>Nordin, James D</creator><creator>DeFor, Terese A</creator><creator>Tompkins, Marc</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>ACL Tears in School-Aged Children and Adolescents Over 20 Years</title><author>Beck, Nicholas A ; Lawrence, J Todd R ; Nordin, James D ; DeFor, Terese A ; Tompkins, Marc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-51aa1df13b9e21be080429d5d6355a30dec7dba993648affdeb357e4b2ac96c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Age Distribution</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Injuries - epidemiology</topic><topic>Child</topic><topic>Children & youth</topic><topic>Control</topic><topic>Diagnosis</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Joint and ligament injuries</topic><topic>Ligaments</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Prevention programs</topic><topic>Retrospective Studies</topic><topic>Sex Distribution</topic><topic>Teenagers</topic><topic>United States - epidemiology</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beck, Nicholas A</creatorcontrib><creatorcontrib>Lawrence, J Todd R</creatorcontrib><creatorcontrib>Nordin, James D</creatorcontrib><creatorcontrib>DeFor, Terese A</creatorcontrib><creatorcontrib>Tompkins, Marc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beck, Nicholas A</au><au>Lawrence, J Todd R</au><au>Nordin, James D</au><au>DeFor, Terese A</au><au>Tompkins, Marc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ACL Tears in School-Aged Children and Adolescents Over 20 Years</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2017-03</date><risdate>2017</risdate><volume>139</volume><issue>3</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Anterior cruciate ligament (ACL) tears are thought to occur with increasing frequency in young patients. No study has shown increased incidence over time. We hypothesized the incidence of ACL tears in young patients has increased over the past 20 years.
This descriptive epidemiology study is a retrospective review of insurance billing data of all patients aged 6 to 18 years with
, Fourth Revision codes for ACL tear and reconstruction or International Classification of Diseases, Ninth Revision, Clinical Modification codes from 1994 to 2013. Injuries were normalized to persons per year enrolled in the insurance database based on age and sex. Analysis was performed based on sex and age (6-14, 15-16, and 17-18 years).
The rate of ACL tears per 100 000 person-years averaged 121 ± 19 (range 92-151). All trends increased significantly except for the male 6- to 14-year-old and 17- to 18-year-old age groups. Overall there was an annual increase of 2.3%. Females had significantly higher incidence except in the 17- to 18-year-olds. Females peaked at age 16 years and males at age 17 years, with rates of 392 ACL tears and 422 ACL tears per 100 000 person-years, respectively.
The incidence of ACL tears in pediatric patients increased over the last 20 years. Females were at higher risk except in the 17- to 18-year -old group. Peak incidence is noted during high school years. These data help target the most at-risk patients for ACL prevention programs.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>28228501</pmid><doi>10.1542/peds.2016-1877</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Age Distribution Anterior cruciate ligament Anterior Cruciate Ligament Injuries - epidemiology Child Children & youth Control Diagnosis Epidemiology Female Health aspects Humans Incidence Joint and ligament injuries Ligaments Male Pediatrics Prevention programs Retrospective Studies Sex Distribution Teenagers United States - epidemiology Youth |
| title | ACL Tears in School-Aged Children and Adolescents Over 20 Years |
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