Sports Injuries In Adolescents Research Articles

Imaging of sports injuries in adolescents.

Musculoskeletal injuries in adolescents tend to occur in particular locations and have distinct characteristics, as they affect an immature skeleton. Increased engagement in sports, extended training and competition periods, and early specialization in specific sports, among other factors, have contributed significantly to the rise in musculoskeletal sports injuries in adolescents. Furthermore, females show a particularly pronounced increase in sports participation, where anatomical and hormonal factors play crucial roles in the development and increased frequency of sports-related injuries. Consequently, there is a growing demand for diagnostic imaging techniques. Musculoskeletal and pediatric radiologists require a comprehensive understanding of intrinsic and extrinsic risk factors and the successive stages of skeletal development that can influence the specific characteristics of sports injuries in adolescents. These aspects are crucial for the diagnostic, prognostic, and therapeutic management of these injuries and for mitigating chronic conditions that could compromise future sports participation. This review analyzes the primary musculoskeletal injuries in adolescent athletes and highlights the pivotal role of different imaging methods in their diagnosis and management.

Magnetic Resonance Imaging Patterns of Common Injuries in Pediatric and Adolescent Athletes

Injuries in pediatric and adolescent athletes continue to rise in the United States, with increases in year-round sports participation, earlier sport specialization, and inadequate access to neuromuscular training programs. In this setting, the use of magnetic resonance imaging (MRI) provides a critical diagnostic tool. This review article describes the utility of MRI in diagnosing common pediatric and adolescent sports injuries and presents imaging findings associated with these pathologies.

IMPACTOS DO TREINAMENTO DE RESISTÊNCIA SOB A APTIDÃO FÍSICA E PREVENÇÃO DE LESÕES EM CRIANÇAS E ADOLESCENTES

ABSTRACT Introduction: An adequate physical intervention program can improve the physical level of adolescents, promoting their interest in sports learning and socialization, factors that indirectly contribute to academic performance. Despite having a positive impact on athlete performance, cardiopulmonary resistance training has received few studies related to its benefits in children and adolescents. Objective: Explore the effect of resistance training on the physical fitness of children and adolescents and the prevention of their sports injuries. Methods: The statistical method was used in a situational analysis of injuries in different sports of 455 young people. In a second moment, 20 volunteers divided into groups by sex were submitted to resistance training exercises involving aerobic (30 minutes) and anaerobic (15 minutes) activity, under 45 minutes daily, three times a week, for ten weeks. Pertinent data were collected before, during, and after the intervention. They were submitted for analysis and consideration and performed statistical treatment on the data. Results: The frequency of sports injuries in adolescents was high, especially the mild injuries related to the characteristics of adolescents. Under the same intensity of resistance training, there was an improvement in running performance. There was a significant improvement in lung capacity, with relatively small differences between males and females. Conclusion: Resistance training can effectively improve the fitness level of children and adolescents, and its promotion is strongly recommended. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

Epidemiology of Surgical Treatment of Adolescent Sports Injuries in the United States: Analysis of the MarketScan Commercial Claims and Encounters Database

PurposeTo determine whether there is increasing surgical management of adolescent sports injuries and whether the average age of surgical patients is decreasing.MethodsThe Truven Health MarketScan Database was searched from 2008 to 2014 for patients 10 to 19 years of age using the International Classification of Disease, 9th Revision codes and Current Procedure Terminology, 4th Edition, codes for operative treatment for the following conditions: anterior cruciate ligament (ACL) injuries, knee collateral ligament (KCL) injuries, meniscal injuries, Osgood–Schlatter syndrome, and elbow ulnar collateral ligament injuries. Patients identified were characterized by sex, age, year of injury, and type of residence (urban vs rural) based on metropolitan statistical areas.ResultsA total of 516,892 patients sustained 1 of the identified injuries, and 133,541 (25.8%) patients underwent a related surgery. KCL and meniscal injuries demonstrated a consistent increase in the rate of surgical intervention (P < .0001). Average age of surgical intervention did not increase or decrease overall for any diagnosis. Female adolescents were more likely to undergo surgery for KCL injuries (adjusted odds ratio [aOR] 1.7, 95% confidence interval [CI] 1.58-1.79, P < .0001), Osgood–Schlatter syndrome (aOR 1.8, 95% CI 1.38-2.39, P < .0001), and ACL injuries (aOR 1.5, 95% CI 1.45-1.52, P < .0001), whereas male adolescents were more likely to undergo surgery for meniscal injuries (aOR 1.3, 95% CI 1.24-1.30, P < .0001) and ulnar collateral ligament injuries (aOR 1.1, 95% CI 1.06-1.23, P < .0005). Patients in rural areas were more likely to undergo surgical intervention for ACL and meniscal injuries (P < .0001) and KCL injuries (P = .02).ConclusionsWe found that surgical treatment of 5 common sports injuries remains stable, with only KCL injuries and meniscal injuries showing an increase in surgical incidence. Average age of surgical intervention did not change significantly over the 7-year time span for any diagnosis.Level of EvidenceLevel IV, Cross Sectional Study.

Lack of Sleep and Sports Injuries in Adolescents: A Systematic Review and Meta-analysis.

Although sleep has been identified as an important modifiable risk factor for injury, the effect of decreased sleep on sports injuries in adolescents is poorly studied. The objective of this study was to quantitatively and qualitatively review published literature to examine if a lack of sleep is associated with sports injuries in adolescents and to delineate the effects of chronic versus acute lack of sleep. PubMed (includes MEDLINE) and EMBASE databases were systematically searched using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were included if they reported statistics regarding the relationship between sleep and sports injury in adolescents aged 19 years or younger published between January 1, 1997 and December 21, 2017. From these included studies, the following information was extracted: bibliographic and demographic information, reported outcomes related to injury and sleep, and definitions of injury and decreased sleep. A random effects model was then created to quantify the odds of injury with decreased sleep in adolescents. Of 907 identified articles, 7 met inclusion criteria. Five studies reported that adolescents who chronically slept poorly were at a significantly increased likelihood of experiencing a sports or musculoskeletal injury. Two studies reported on acute sleep behaviors. One reported a significant positive association between acutely poor sleep and injury, whereas the other study reported no significant association. In our random effects model, adolescents who chronically slept poorly were more likely to be injured than those who slept well (OR, 1.58; 95% CI, 1.05-2.37; P=0.03). Chronic lack of sleep in adolescents is associated with greater risk of sports and musculoskeletal injuries. Current evidence cannot yet definitively determine the effect of acute lack of sleep on injury rates. Level IV-systematic review of level II studies and one level IV study.

CHRONIC LACK OF SLEEP IS ASSOCIATED WITH INCREASED SPORTS INJURY IN ADOLESCENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background:Although sleep has been identified as an important modifiable risk factor for sports injury, the effect of decreased sleep on sports injuries in adolescents is poorly studied.Purpose:To ...

EFFECTIVELY TRAINING PHYSICAL EDUCATION TEACHERS TO IMPLEMENT INJURY PREVENTIVE STRATEGIES INTO THEIR PE LESSONS

BackgroundPhysical education teachers (PETs) can be effectively trained to implement injury preventive strategies into their own lives.1 However, to decrease negative effects of sports injuries in adolescents, injury prevention within...

Sports injuries among adolescents: Incidence, causes and consequences

The purpose of this study was to evaluate the 1-year incidence, location, type, mechanism and severity of sports injuries for adolescents in Germany. Data were from the 'German Health Interview and Examination Survey for Children and Adolescents', a nationwide study of n = 17 641 children and adolescents. Analyses were based on a weighted total sample size of n(w) = 7451 adolescents between 11 and 17 years of age, 51% of them boys. A total of 577 adolescents (8%) reported having experienced a sports injury during the past year. Collisions and falls were reported as being the most important causes. The most frequent diagnoses were contusions, dislocations, strains and sprains (60%), followed by fractures (26%). Most injuries (88%) were treated on an outpatient basis with only 12% resulting in hospitalisation. Gender-specific analyses showed that 9% of the boys and 7% of the girls suffered from a sports injury during the past year. After adjusting for the level of physical activity, these gender differences disappeared (OR(girls) 0.94; 95% confidence intervals: 0.74-1.18). Excluding injuries incurred from falls while horse riding, there were no gender differences in the mechanism of injury. Among boys, 30% of all injuries were fractures, among girls 20% (P < 0.05). Apart from fractures, no further differences between the sexes in the range of diagnoses were identified. Although these results suggest that the risk of sports injuries does not differ significantly based on adolescents' gender, the incidence rate of adolescent sports injuries within Germany is relatively high.

Prevalência de lesões musculoesqueléticas em atletas adolescentes

Introdução: As lesões esportivas em adolescentes variam em decorrência de fatores tais como tipo de esporte praticado, tempo despendido e nível de exigência. Objetivo: Verificar a prevalência de lesões musculoesqueléticas em atletas adolescentes. Métodos: Coleta de dados de prontuários (contendo idade, data de nascimento, estatura, massa corporal, modalidade esportiva, gênero, localização anatômica, classificação e origem da lesão) dos atletas atendidos no serviço de Fisioterapia do IME-UCS, que apresentaram lesões musculoesqueléticas de julho de 2005 a junho de 2009. Resultados: O gênero masculino apresentou maior número de lesões (67,6%). A maioria das lesões foi de origem traumática (69%). O voleibol apresentou maior número de lesões (28,0%). A lesão mais frequente foi entorse (24,8%) e o joelho teve maior prevalência de lesões (25,3%). Conclusão: É de grande importância a realização de estudos sobre prevalência de lesões musculoesqueléticas, pois possibilita aos profissionais que trabalham com esporte planejar seus treinamentos, podendo evitar possíveis lesões.

Identifying Previous Sports Injury Among High School Athletes

The number of adolescents participating in high school athletics has doubled over the past 30 years, surpassing 7 million participants in 2007–2008.1 With increased participation has come heightened focus on the increasing number of adolescent sports injuries. Previous injury has been identified as a risk factor for sustaining a subsequent sports injury.2–4 We anticipate that many adolescents participating in high school sports have previously sustained a sports-related injury that needs identification prior to future sports participation. Our objectives were to identify previous sports injury among competitive high school athletes entering a new sports season.

発育期のスポーツ障害に対するAKA-博田法の有用性 : その他の整形外科保存療法との比較

発育期のスポーツ障害に対するAKA-博田法の有用性 : その他の整形外科保存療法との比較

110 Relationship between training intensity, stage of puberty and adolescent sports injuries

110 Relationship between training intensity, stage of puberty and adolescent sports injuries

CONSIDERATIONS FOR THE ORTHOPEDIC NURSE IN DIAGNOSIS AND TREATMENT OF ADOLESCENT SPORTS INJURIES

Injured adolescent athletes are challenging clients for the primary practitioner. Their unique physiological and psychological attributes dictate changes in traditional orthopedic practice and call for a holistic patient focus to address their varied needs. Understanding of common athletic injuries will effectively guide the practitioner's clinical evaluation and assist in recognizing those patients requiring more complex orthopedic diagnosis and care.

And for my Next Trick …

orthopaedic viewpoint’, Sports Medicine, 9, 4, 229-243. McAuley, E, Hudash, G , Shields, K, Albright, J, Requa, R and Wallace, R (1987). ‘Injury in women’s gymnastics: State of the art’, American Journal of Sports Medicine, 15, 6, 558-565. Micheli, L (1985). ‘Back injuries in gymnasts’, Clinics in Sports Medicine, 4, 2, 85-93. Micheli, L (1986). ‘Paediatric and adolescent sports injuries: Recent trends’, Exercise and Sports Sciences Reviews, 14, 359 373. Pettrone, F and Ricciardelli, E (1987). ’Gymnastic injuries; The Virginia experience’, American Journal of Sports Medicine, 15, 2, 59-62. Rowley, S (1986). ’The effect of intensive training on Young athletes, a review of the literature’, Report 09065 77705, The Sports Council, London. Stanitski, C (1989). ‘Common injuries in pre-adolescent and adolescent athletes: Recommendations for prevention’, Sports Medicine, 7, 32-41. Sward, L, Erikson, B and Peterson, L (1990). ‘Anthropometric characteristics, passive hip flexion and spinal mobility in relation to back pain in athletes’, Spine, 15, 5, 376-382. Vines, G (1988). ‘Is sport good for children?’ New Scientist, 1622,

Sports injuries in adolescents' ball games: soccer, handball and basketball.

In a prospective study of 302 adolescent players in three ball games (soccer, handball and basketball), 119 incurred injuries. The injury incidence (number of injuries per 1000 playing hours) was 5.6 in soccer, 4.1 in handball and 3.0 in basketball. Ankle sprains accounted for 25 per cent of the injuries, finger sprains 32 per cent, strains in the thigh and leg 10 per cent, and tendinitis/apophysitis 12 per cent. The most serious injuries were four fractures, one anterior cruciate ligament rupture, and two meniscus lesions. The most serious injuries, with the longest rehabilitation period, occurred in soccer. In soccer, many injuries occurred during tackling and contact with an opposing player, while the injuries in handball and basketball were often caused by ball contact and running.

12 Pediatric and Adolescent Sports Injuries

12 Pediatric and Adolescent Sports Injuries

Sports Injuries in Adolescents: Emergency Care

Competitive activities prepare young people to develop a process of self-appraisal that will last them throughout life. Learning to win and to lose gracefully can be important in developing self-respect and concern for others. Sports and games provide exercise for growing adolescents as well as a way for them to enjoy the stimulation of conflict in a socially acceptable manner(1). In the young, however, the epiphyses are not yet closed, extremities are poorly protected by stabilizing musculature, coordination is insufficiently developed, and skills are imperfectly established(2). Young people between 8 and 15 usually lack coordination skills; if maximum effort is expended prior to maximum development, injuries, both physical and mental, often occur. The very nature of sports activity is such that injury cannot be eliminated. Adolescents with sports injuries generally are taken to hospital emergency rooms for immediate care. Here, the saving of life and prevention of complications take precedence over everything else. Concerns of the family and of the patient himself, important as these are, are secondary. This does not mean they are ignored, but they must wait. Every emergency room should have personnel who have the time, concern,