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Die z\u00fcgige und korrekte Diagnose und Behandlung dieser VKB-Verletzungen sind entscheidend f\u00fcr den Schutz der langfristigen Integrit\u00e4t des kindlichen Kniegelenks, wobei der Behandlungsverlauf regelm\u00e4\u00dfig neu bewertet werden muss, um die Therapie individuell auf jeden einzelnen Patienten abzustimmen. Im Falle einer operativen Versorgung muss die Operationstechnik an die offenen Wachstumsfugen angepasst werden. Bei Adoleszenten und Jugendlichen nach Fugenverschluss ist die Sachlage derart ver\u00e4ndert, dass im Falle einer operativen Versorgung die OP-Technik zwar identisch zu erwachsenen Patienten sein kann, bei dieser Alterskategorie aber mit einer extrem hohen Rate an Zweitverletzungen (bis zu 30 % ipsilaterale Re-Rupturen oder kontralaterale Erstrupturen) zu rechnen ist. Ziel des vorliegenden Beitrags ist es den aktuellen Kenntnisstand zu kindlichen und jugendlichen VKB-Verletzungen mit ihren Herausforderungen in der Diagnosestellung und der Behandlung darzustellen, wobei ein besonderes Augenmerk auch auf Begleitverletzungen gelegt wird.<\/jats:p>","DOI":"10.1055\/a-2537-6205","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T22:43:22Z","timestamp":1761173002000},"page":"71-81","source":"Crossref","is-referenced-by-count":0,"title":["VKB-Verletzungen im Kindes- und Jugendalter"],"prefix":"10.1055","volume":"40","author":[{"given":"Amanda","family":"Magosch","sequence":"additional","affiliation":[{"name":"Klinikum Osnabr\u00fcck, GERMANY","place":["Osnabr\u00fcck"],"department":["Osnabr\u00fccker Zentrum f\u00fcr muskuloskelettale Chirurgie"]},{"name":"CHL: Centre Hospitalier de Luxembourg, LUXEMBOURG","place":["Luxembourg"],"department":["Sports Clinic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"N\u00fchrenb\u00f6rger","sequence":"additional","affiliation":[{"name":"CHL: Centre Hospitalier de Luxembourg, LUXEMBOURG","place":["Luxembourg"],"department":["Sports Clinic"]},{"name":"Sports Medicine and Science (LIROMS), LUXEMBOURG","place":["Luxembourg"],"department":["Luxembourg Institute of Research in Orthopedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2132-3277","authenticated-orcid":false,"given":"Felix","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"CHL: Centre Hospitalier de Luxembourg, LUXEMBOURG","place":["Luxembourg"],"department":["Sports Clinic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9582-6870","authenticated-orcid":false,"given":"Caroline","family":"Mouton","sequence":"additional","affiliation":[{"name":"CHL: Centre Hospitalier de Luxembourg, LUXEMBOURG","place":["Luxembourg"],"department":["Sports Clinic"]},{"name":"Sports Medicine and Science (LIROMS), LUXEMBOURG","place":["Luxembourg"],"department":["Luxembourg Institute of Research in Orthopedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Seil","sequence":"additional","affiliation":[{"name":"CHL: Centre Hospitalier de Luxembourg, LUXEMBOURG","place":["Luxembourg"],"department":["Sports Clinic"]},{"name":"Sports Medicine and Science (LIROMS), LUXEMBOURG","place":["Luxembourg"],"department":["Luxembourg Institute of Research in Orthopedics"]},{"name":"Luxembourg Institute of Health (LIH), LUXEMBOURG","place":["Luxemburg"],"department":["Human Motion, Orthopaedics, Sports Medicine and Digital Methods (HOSD)"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14060599","article-title":"Trends in Pediatric and Adolescent Anterior Cruciate Ligament Injuries in Victoria, Australia 2005\u20132015","volume":"14","author":"L Shaw","year":"2017","journal-title":"Int J Environ Res Public Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1097\/BPO.0000000000000482","article-title":"Trends in Pediatric and Adolescent Anterior Cruciate Ligament Injury and Reconstruction","volume":"36","author":"BC Werner","year":"2016","journal-title":"J Pediatr Orthop"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1302\/0301-620X.102B2.BJJ-2019-0420.R2","article-title":"Paediatric and adolescent anterior cruciate ligament reconstruction surgery","volume":"102-B","author":"MC Nogaro","year":"2020","journal-title":"Bone Joint J"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"897","DOI":"10.2106\/JBJS.16.00758","article-title":"Return to Sport After Pediatric Anterior Cruciate Ligament Reconstruction and Its Effect on Subsequent Anterior Cruciate Ligament Injury","volume":"99","author":"TJ Dekker","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1567","DOI":"10.1177\/0363546514530088","article-title":"Incidence of Second ACL Injuries 2 Years After Primary ACL Reconstruction and Return to Sport","volume":"42","author":"MV Paterno","year":"2014","journal-title":"Am J Sports Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1136\/bjsports-2020-103408","article-title":"Does sex affect second ACL injury risk? 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