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Acl Injury In Children

WHAT YOU NEED TO KNOW:

An anterior cruciate ligament (ACL) injury is a partial or complete tear of the ACL. The ACL is a ligament in your knee that connects the tibia (shin bone) to the femur (thigh bone). Ligaments are strong tissues that connect bones. The ACL stops the tibia from sliding too far forward and keeps the knee stable.


DISCHARGE INSTRUCTIONS:

Return to the emergency department if:

  • Your child's toes are cold or numb.
  • Your child's knee becomes more weak or unstable.
  • Your child's pain has increased or returned, even after he or she takes pain medicine.
  • Your child's swelling has increased or returned.
  • Your child's symptoms are not getting better.

Contact your child's healthcare provider if:

  • Your child has a fever.
  • You have questions or concerns about your child's condition or care.

Medicines:

Your child may need any of the following:

  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Read the labels of all other medicines your child uses to see if they also contain acetaminophen, or ask your child's doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
  • Prescription pain medicine may be given if other pain medicines do not work. Do not wait until the pain is severe before you give your child this medicine. Ask your child's healthcare provider how to give this medicine safely.
  • Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

Support devices:

Your child may need a knee brace to limit movement and protect his or her knee. Your child may need to use crutches to help decrease pain as he or she moves around.

Physical therapy:

A physical therapist can teach your child exercises to help improve movement and decrease pain. Physical therapy can also help improve strength in the muscles that support your child's knee and improve knee function.

Manage your child's ACL injury:

  • Have your child rest the joint so that it can heal. Ask your child's healthcare provider when he or she can return to normal activities. Your child may not be able to play certain sports until the injury heals. Work with your healthcare providers and school officials to plan a safe return to competitive sports.
  • Apply ice to help decrease swelling and pain. Ice may also help prevent tissue damage. Use an ice pack, or put crushed ice in a plastic bag. Cover the ice pack with a towel before you place it on your child's injured ligament. Apply ice for 15 to 20 minutes every hour, or as directed.
  • Apply compression to help provide support and decrease swelling and movement so your child's joint can heal. Ask your child's healthcare provider if you should wrap an elastic bandage around the injured ligament.
  • Elevate your child's injured joint above the level of your child's heart as often as you can. This will help decrease or limit swelling. Elevate the injured area by resting it on pillows.
  • Have your child use support devices as directed. A knee brace may be used to limit movement and protect your child's knee. Your child may need to use crutches to help decrease pain as he or she moves around.
  • Take your child to physical therapy if directed. Physical therapy may be used to teach your child exercises to help improve movement and strength, and to decrease pain. The exercises can also help increase the range of motion in your child's knee.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your child's visits.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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