Epidemiology of Sports Injury in Pediatric Athletes

Gottschalk, Andrew W.; Andrish, Jack T.

doi:10.1097/jsa.0b013e31820b95fc

Cited by 60 publications

(39 citation statements)

References 38 publications

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“…Musculoskeletal injuries commonly occur secondarily to athletic participation, 23 yet the skin was most frequently affected in our study. A reason for this may have been the sport-camp program's policy to document all participantpersonnel contacts, even for minor injuries and illnesses.…”

Section: Discussionmentioning

confidence: 83%

Injury and Illness Epidemiology at a Summer Sport-Camp Program, 2008 Through 2011

Oller

Buckley

Sebastianelli

et al. 2015

Journal of Athletic Training

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Context: University-sponsored summer sport camps often employ athletic trainers; however, there is a dearth of epidemiologic studies describing the injury and illness experience of sport-camp participants to guide clinicians.Objective: To describe the injury and illness experience of youth participants at a university-sponsored summer sport-camp program during a 4-year period.Design: Descriptive epidemiology study. Setting: A National Collegiate Athletic Association Division I university that sponsored 76 to 81 camps for 28 sports each summer.Patients or Other Participants: A total of 44 499 camp participants enrolled during the 4 years. Male and female participants ranged in age from 10 to 17 years and in athletic skill from novice to elite.Main Outcome Measure(s): Data from handwritten injury and illness log books, maintained by sports health care personnel, were accessed retrospectively, entered into an electronic spreadsheet, and coded. Data were applied to the National Athletic Injury/Illness Reporting System. ParticipantÀpersonnel contacts, defined as any instance when a participant sought health care services from personnel, were calculated per 100 participants. Injury and illness rates were calculated per 10 000 exposures, measured in participant-days. The distribution of injury and illness conditions and affected body regions were calculated.Results: There were 11 735 contacts, for an overall rate of 26 per 100 participants, and 4949 injuries and illnesses, for a rate of 1 per 10 000 participant-days. Participants at single-sex camps were less likely to sustain injuries and illnesses than participants at coeducational camps (rate ratio [RR] ¼ 0.49; 95% confidence interval ¼ 0.45, 0. 35; P , .001, and RR ¼ 0.47; 95% confidence interval ¼ 0.43, 0.51; P , .001, respectively). The lower extremity was injured most frequently (27.9%). Most injury and illness conditions were dermatologic (37.1%).Conclusions: The contact and injury and illness differences observed among sports and between sexes demonstrated potential differences in the sports health care needs of camp participants. These data can be used to make evidence-based clinical decisions, such as determining injury-prevention strategies and sports health care staffing needs.Key Words: injury and illness surveillance, sports health care, youth sports Key PointsInjury and illness surveillance at university-sponsored summer sport-camp programs is needed. Sports health care coverage is essential at university-sponsored summer sport-camp programs. The findings from this study may be used to help establish best-practice standards as a means to guide sports health care services and personnel operating in this distinctive environment.

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Section: Discussionmentioning

confidence: 83%

Injury and Illness Epidemiology at a Summer Sport-Camp Program, 2008 Through 2011

Oller

Buckley

Sebastianelli

et al. 2015

Journal of Athletic Training

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“…An estimate of 30–45 million people between the ages of 6 and 18 play organised athletics,1 and about 7.6 million people partake in high-school sports 2. Over the last 30 years, participation in youth sports has increased 3.…”

Section: Introductionmentioning

confidence: 99%

Trends in paediatric sports-related injuries presenting to US emergency departments, 2001–2013

Bayt

Bell

2015

Inj Prev

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This descriptive epidemiology study describes trends in paediatric sports-related injuries resulting from 21 selected sports presenting to US emergency departments (EDs) over a 13-year period. The study was a retrospective study using data from the US Consumer Product Safety Commission's National Electronic Injury Surveillance System (NEISS) for years 2001-2013. Inclusion criteria included people in the NEISS for injuries related to one of the 21 selected sports and between the ages of 5 and 18 years. Frequencies and linear regressions were calculated using provided sample weights. The results indicated there was a statistically significant increase of 10 010 nationally estimated selected sports-related injuries per year. Football, basketball, soccer and baseball resulted in 74.7% of the total national estimate for sports-related injuries presenting to US EDs for 2001-2013 for children aged 5-18 years. The results indicate that the number of paediatric sports-related injuries treated in US EDs has increased annually from 2001 to 2013.

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“…1,13-16,18,37 Physeal injuries are overuse injuries exclusive to pediatric populations that are most often sustained during athletic practice or competition. 9,10,12-14,16-18,20,24,30,34-36,41,45,48,53,58,66,81-83,88 While specific mechanisms of injury are heterogeneous and differ by sport, the physis, as the weakest part of the bone, is a site highly prone to injury in youth athletes. 12,13,15,27 …”

mentioning

confidence: 99%

“…13-18,24,25,30-34,36,37,40,42,44,48,58,61,62,73 Rapid physical changes combined with repetitive sport-related tasks such as running and overhead throwing are frequently associated with the development of physeal injuries in youth athletes. 13,15,20 The gradual nature of this injury progression provides clinicians with multiple opportunities for effective intervention.…”

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confidence: 99%

Overuse Physeal Injuries in Youth Athletes

et al. 2017

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Context:Despite rising awareness of the risks associated with sports participation, overuse injuries continue to increase in youth athlete populations. Physeal injuries are one type of overuse injury exclusive to pediatric populations that are often sustained during athletic practice or competition. Overuse physeal injuries are, in theory, preventable; however, little consensus has been reached surrounding the risk factors, prevention, and treatment strategies.Objective:This systematic review summarizes the best available evidence concerning overuse physeal injuries in youth and adolescent athletes. It can be used to develop prevention and treatment programs specific to this population.Data Sources:PubMed and Academic Search Complete (EBSCOhost) were explored using the keyword physeal injuries from January 1950 through May 2015 to identify 24 studies.Study Selection:Original research studies of athletic populations with mechanisms of injury related to sport were chosen.Study Design:Systematic review.Level of Evidence:Level 3.Data Extraction:Data were extracted as available from 24 eligible studies. Study quality was rated using the Oxford Centre for Evidence-based Medicine (OCEBM) guidelines.Results:Risk factors for injury include periods of accelerated growth, chronological age, body size, training volume, and previous injury. Injury prevention strategies currently emphasize participation limitations and sport-specific training programs in skeletally immature athletes. The most effective treatment after an overuse physeal injury was an extended period of active rest and joint immobilization when necessary.Conclusion:Overuse physeal injuries are multifactorial in nature. Muscular imbalances after accelerated growth periods predispose young athletes to overuse injuries. Modifiable risk factors such as flexibility, strength, and training volume should be regularly monitored to prevent these injuries.

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Epidemiology of Sports Injury in Pediatric Athletes

Cited by 60 publications

References 38 publications

Injury and Illness Epidemiology at a Summer Sport-Camp Program, 2008 Through 2011

Injury and Illness Epidemiology at a Summer Sport-Camp Program, 2008 Through 2011

Trends in paediatric sports-related injuries presenting to US emergency departments, 2001–2013

Overuse Physeal Injuries in Youth Athletes

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