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June 19, 2026Orthopaedic Journal of Sports MedicineOpen Access

Age and Sex-Based Differences in Confidence, Emotion and Risk Appraisal after ACL Reconstruction in Pediatric and Adolescent Athletes

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Authors

MMMatthew MilewskiEGEmma GossmanSFSubrina Farah

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Overview

Prospective analysis reveals age and sex differences in psychological readiness post ACL reconstruction in young athletes, indicating targeted interventions may enhance recovery.

Key Points

  • The study examines psychological factors influencing readiness to return to sports post-ACL reconstruction, focusing on age and sex differences.
  • Analyzed prospective data from 248 young athletes (ages 10-30) after ACL reconstruction.
  • Evaluated Confidence in Performance, Emotions, and Risk Appraisal using ACL-RSI subscales at 6 months post-surgery.
  • Applied the Kruskal-Wallis test for age group differences and the Wilcoxon Rank-Sum test for sex-based comparisons.
  • Males reported significantly higher Confidence in Performance (p=0.008) and Emotion scores (p=0.018) than females.
  • No significant difference in Risk Appraisal scores between sexes (p=0.208).
  • The pediatric cohort (10-14 years) showed better scores across all three ACL-RSI domains compared to older groups.

Cite This Study

Milewski et al. (2026) studied this question.

synapsesocial.com/papers/6a34df2365a5b0777af2e499https://doi.org/10.1177/2325967126s00139
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Paper 57: Age and Sex Differences in Psychological Readiness and Stress at 24-Months Following Primary ACL Reconstruction2025
  2. 2Postoperative Anterior Cruciate Ligament–Return to Sport after Injury Scores Predict Reinjury in Adolescent Athletes2026 · 1 citations
  3. 3Can Psychological Readiness Predict Functional Readiness after ACL Reconstruction in Young Athletes?2026
  4. 4Sex-differences in psychological readiness for return-to-sport following anterior cruciate ligament reconstruction2024 · 5 citations
  5. 5Assessing the Impact of Psychological Readiness on Performance and Symmetry in Functional Testing After ACL Reconstruction in Pediatric and Adolescent Patients2024 · 11 citations