Sports injuries in children and adolescents.

Micheli, Lyle J.; Klein, Jan

doi:10.1136/bjsm.25.1.6

Cited by 70 publications

(64 citation statements)

References 30 publications

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“…Unfortunately, in today's society, many youngsters are not as active as previous generations, leading to a phenomenon of cultural deconditioning. 88,89 There has been a general decline in physical activity, including free play, walking to school, and regular physical-education classes, with a concurrent increase in sedentary activities, including watching television, playing video games, and, in some cases, physical activity limited to sport participation. Athletes with poorer levels of general fitness or conditioning may not be able to tolerate the demands of training required for sport participation.…”

Section: Training and Conditioningmentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Prevention of Pediatric Overuse Injuries

McLeod

Decoster²,

Loud

et al. 2011

Journal of Athletic Training

191

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Objective: To provide certified athletic trainers, physicians, and other health care professionals with recommendations on best practices for the prevention of overuse sports injuries in pediatric athletes (aged 6-18 years).Background: Participation in sports by the pediatric population has grown tremendously over the years. Although the health benefits of participation in competitive and recreational athletic events are numerous, one adverse consequence is sport-related injury. Overuse or repetitive trauma injuries represent approximately 50% of all pediatric sport-related injuries. It is speculated that more than half of these injuries may be preventable with simple approaches.Recommendations: Recommendations are provided based on current evidence regarding pediatric injury surveillance, identification of risk factors for injury, preparticipation physical examinations, proper supervision and education (coaching and medical), sport alterations, training and conditioning programs, and delayed specialization.

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Section: Training and Conditioningmentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Prevention of Pediatric Overuse Injuries

McLeod

Decoster²,

Loud

et al. 2011

Journal of Athletic Training

191

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“…In Western societies sport injuries in the paediatric and adolescent population are a clinical entity that is being seen more frequently [1]. Acute sport injuries are often easily recognized as there is a sudden onset of symptoms following a traumatic event, such as a direct force applied to the bones or joints.…”

Section: Introductionmentioning

confidence: 99%

Sport injuries in the paediatric and adolescent patient: a growing problem

et al. 2009

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With an increasing number of paediatric and adolescent athletes presenting with injuries due to overuse, a greater demand is put on clinicians and radiologists to assess the specific type of injury. Repetitive forces applied to the immature skeleton cause a different type of injury than those seen in adults due to the differences in vulnerability of the musculoskeletal system, especially at the site of the growth cartilage. Intrinsic and extrinsic risk factors all play a role in the development of overuse injuries. MRI plays a key role in imaging overuse injuries due to its high potential for depicting cartilaginous and softtissue structures. Sport-specific biomechanics are described, since this knowledge is essential for adequate MRI assessment. An overview of several sport-related injuries is presented, based on anatomical location.

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“…89 For example, ACL surgery in a pediatric athlete is often performed via a physeal-sparing technique or a transphyseal technique. 86,[90][91][92] The physeal-sparing technique avoids injury to the growth plate, but it places the graft in a nonanatomic position. An accurate understanding of the athlete' s physical maturity by determining skeletal age and Tanner stage helps to identify which treatment is best for a specific patient.…”

Section: Treatmentmentioning

confidence: 99%

Anterior Cruciate Ligament Injuries: Diagnosis, Treatment, and Prevention

LaBella¹,

Hennrikus²,

et al. 2014

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The number of anterior cruciate ligament (ACL) injuries reported in athletes younger than 18 years has increased over the past 2 decades. Reasons for the increasing ACL injury rate include the growing number of children and adolescents participating in organized sports, intensive sports training at an earlier age, and greater rate of diagnosis because of increased awareness and greater use of advanced medical imaging. ACL injury rates are low in young children and increase sharply during puberty, especially for girls, who have higher rates of noncontact ACL injuries than boys do in similar sports. Intrinsic risk factors for ACL injury include higher BMI, subtalar joint overpronation, generalized ligamentous laxity, and decreased neuromuscular control of knee motion. ACL injuries often require surgery and/or many months of rehabilitation and substantial time lost from school and sports participation. Unfortunately, regardless of treatment, athletes with ACL injuries are up to 10 times more likely to develop degenerative arthritis of the knee. Safe and effective surgical techniques for children and adolescents continue to evolve. Neuromuscular training can reduce risk of ACL injury in adolescent girls. This report outlines the current state of knowledge on epidemiology, diagnosis, treatment, and prevention of ACL injuries in children and adolescents.

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Sports injuries in children and adolescents.

Cited by 70 publications

References 30 publications

National Athletic Trainers' Association Position Statement: Prevention of Pediatric Overuse Injuries

National Athletic Trainers' Association Position Statement: Prevention of Pediatric Overuse Injuries

Sport injuries in the paediatric and adolescent patient: a growing problem

Anterior Cruciate Ligament Injuries: Diagnosis, Treatment, and Prevention

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