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thank you very much so this is just a quick update on pediatric ACL injuries uh investigation and current management so why do we care the incidence of pediatric ACL injuries is skyrocketing uh thereamp;#39;s more and more competitive sport particularly in girls and young women with the Advent of the wafl and the womenamp;#39;s big bash thereamp;#39;s a lot more girls being streamed into competitive sports teams and representative groups early on we know that women have a higher rate of ACL injuries than men for every hour they spend playing Sport and the rate of injuries in kids is going up by somewhere between seven and nine percent per year ACL injuries if you take everyone Pediatrics and adults cost Medicare 150 million dollars in 2015 and has gone up to about 200 recently so itamp;#39;s very costly to the community so we need to work out which ones of these need treatment and how weamp;#39;re going to treat them for Pediatric ACL injuries what weamp;#39;re really concerned a