ACL Tears in Children: Conservative Management Chantal Janelle M.D., FRCSC Assistant Professor, Department of Surgery Montreal Children Hospital & Shriners Hospital for Children McGill University Montreal, QC Anterior cruciate ligament (ACL) tears in children are increasingly recognized. Shea et al reported an analysis of 8215 insurance claims filed on behalf of six million soccer players (5-18 y.o.). There was a significant increase in ACL injury at the age of 11-12 years1.