The treatment options are:
The patient who can modify his sports activities and avoid pivotal sports will do well with a partial anterior cruciate ligament injury. This is the only parameter that the individual has control over, and that point should be emphasized when counseling athletes.
The use of a brace with activity modification can be successful. Sometimes the patient will still have giving way sensation, but this may be due to a meniscal injury. The best outcome for the young patient is to have a meniscal repair.
If there is a positive pivot shift test, and the athlete wants to be active in pivotal sports, they should consider anterior cruciate ligament reconstruction.
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