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Pediatric sports medicine

Joel S Brenner
Sports specialization is becoming the norm in youth sports for a variety of reasons. When sports specialization occurs too early, detrimental effects may occur, both physically and psychologically. If the timing is correct and sports specialization is performed under the correct conditions, the athlete may be successful in reaching specific goals. Young athletes who train intensively, whether specialized or not, can also be at risk of adverse effects on the mind and body. The purpose of this clinical report is to assist pediatricians in counseling their young athlete patients and their parents regarding sports specialization and intensive training...
September 2016: Pediatrics
Bradley L Young, Lasun O Oladeji, Kyle Cichos, Brent Ponce
BACKGROUND: Increasing numbers of training physicians are using the Internet to gather information about graduate medical education programs. The content and accessibility of web sites that provide this information have been demonstrated to influence applicants' decisions. Assessments of orthopedic fellowship web sites including sports medicine, pediatrics, hand and spine have found varying degrees of accessibility and material. The purpose of this study was to evaluate the accessibility and content of the American Shoulder and Elbow Surgeons (ASES) fellowship web sites (SEFWs)...
2016: Iowa Orthopaedic Journal
G L Landry
In brief: A pediatrician in a sports medicine clinic can contribute significantly to the care of athletes. The author explains his role in the University of Wisconsin Hospital Sports Medicine and Fitness Center, where he treats traumatic and overuse injuries of preadolescent, teenaged, and young adult patients. He also provides symposiums for coaches, allied health personnel, and lay persons and is the medical consultant for fitness evaluations. Pediatric sports medicine physicians can be especially useful with diabetic or epileptic athletes, athletes with eating disorders, and athletes with cold- or exercise-induced asthma...
January 1985: Physician and Sportsmedicine
W G Clancy
In brief: The University of Wisconsin in Madison has been a forerunner in the field of sports medicine. The initial goals of the program (education, research, and the establishment of a sports medicine clinic) have been reached. For example, residents in pediatrics, family practice, internal medicine, and physical medicine can now elect a rotation in sports medicine. Research activities have resulted in improved treatment and rehabilitation methods that have become the standard for sports and nonsports injuries alike...
January 1985: Physician and Sportsmedicine
P G Dyment, B Goldberg
In brief: Primary care physicians often need to advise pediatric patients and their parents on medical issues in children's sports, but for many areas of sports medicine, data are inconclusive, recent, or nonexistent. For instance, infant exercise programs seem to be increasing in popularity with parents, but the passive exercises have little or no effect on an infant's development. And on another front, some schools still do not allow high school girls to try out for sports like football and wrestling, yet this position has been challenged in court by a few girls...
July 1989: Physician and Sportsmedicine
Michele LaBotz, Bernard A Griesemer
Performance-enhancing substances (PESs) are used commonly by children and adolescents in attempts to improve athletic performance. More recent data reveal that these same substances often are used for appearance-related reasons as well. PESs include both legal over-the-counter dietary supplements and illicit pharmacologic agents. This report reviews the current epidemiology of PES use in the pediatric population, as well as information on those PESs in most common use. Concerns regarding use of legal PESs include high rates of product contamination, correlation with future use of anabolic androgenic steroids, and adverse effects on the focus and experience of youth sports participation...
July 2016: Pediatrics
Kristina L Dunn, Kenneth C Lam, Tamara C Valovich McLeod
UNLABELLED: Reference: Ramski DE, Kanj WW, Franklin CC, Baldwin KD, Ganley TJ. Anterior cruciate ligament tears in children and adolescents: a meta-analysis of nonoperative versus operative treatment. Am J Sports Med. 2014;42(11):2769-2776. Clinical Questions: In pediatric patients, does early operative treatment of an anterior cruciate ligament (ACL) injury result in decreased knee instability compared with delayed or nonoperative treatment? DATA SOURCES: This review focused on the PubMed/MEDLINE and EMBASE databases...
May 2016: Journal of Athletic Training
Miri Gelbart, Tomer Ziv-Baran, Craig A Williams, Yoni Yarom, Gal Dubnov-Raz
OBJECTIVE: To identify a method to predict the maximal heart rate (MHR) in children and adolescents, as available prediction equations developed for adults have a low accuracy in children. We hypothesized that MHR may be influenced by resting heart rate, anthropometric factors, or fitness level. DESIGN: Cross-sectional study. SETTING: Sports medicine center in primary care. PARTICIPANTS: Data from 627 treadmill maximal exercise tests performed by 433 pediatric athletes (age 13...
May 11, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Laura A Drubach
Skeletal imaging of children with fluorine-18 ((18)F) NaF harnesses the superior imaging characteristics of positron emission tomography (PET) and the improved biodistribution of the fluoride tracer compared with standard nuclear techniques, resulting in excellent quality images. Bone malignancy in children is less common than in adults, and the evaluation of benign skeletal disorders represents a larger fraction of indications in the pediatric versus adult population. (18)F NaF PET imaging has been successfully applied to various benign disorders, particularly trauma and sports medicine applications...
July 2012: PET Clinics
Andrea Stracciolini, Yi-Meng Yen, Pierre A d'Hemecourt, Cara L Lewis, Dai Sugimoto
UNLABELLED: To compare sports-related hip injuries on the basis of sex and age in a cohort of young athletes. A 5% random probability sample of all new patients' charts over a 10-year time period was selected for investigation. The most common hip injury diagnoses, sport at time of injury, mechanism (acute/traumatic vs. overuse), and types (bony vs. soft tissue) were compared by sex and age (preadolescent vs. adolescent). Descriptive and χ-analyses were carried out. The interaction of sex and age with respect to hip injury over time was examined by two-way (sex, age) analysis of variance...
July 2016: Journal of Pediatric Orthopedics. Part B
Kevin Hummel, Andrew Gregory, Neerav Desai, Alex Diamond
Rhabdomyolysis is a syndrome characterized by muscle pain, weakness and myoglobinuria and ranges in severity from asymptomatic to life threatening with acute kidney failure. While a common condition in adult populations, it is understudied in pediatrics and the majority of adolescent cases are likely exercise-induced, caused by strenuous exercise in athletes. Recently, in our pediatric sports medicine practice, we have seen numerous cases of late adolescent high school athletes who present with severe muscle pain and were found to have elevated creatine kinase levels...
2016: Physician and Sportsmedicine
Sabrina Santiago
Concussion is a common diagnosis in adolescents, particularly in those who play sports. Physical and cognitive rest is the mainstay of treatment. However, the guidelines for returning to full cognitive effort are more nebulous. This article examines the existing evidence on return-to-learn guidelines, and offers some ideas of school accommodations that can be made for students who have experienced a concussion. This article also reviews the situations in which it is recommended to seek guidance from a concussion specialist or sports medicine physician...
March 2016: Pediatric Annals
J Gordon Millichap
Investigators from the Division of Emergency Medicine, Sports Medicine, and Department of Pediatrics, Children's Hospital of Philadelphia, PA, and Sports Medicine, Somerset, NJ, performed a retrospective cohort study of 247 patients ages 5-18 years with concussion referred from July 2010 to Dec 2011; 81% of patients showed a vestibular abnormality on initial clinical examination.
May 2015: Pediatric neurology briefs
Kathleen E Bachynski
At least 11 U.S. high-school athletes died playing football during the fall 2015 season. Their deaths attracted widespread media attention and provided fodder for ongoing debates over the safety of youth tackle football. In October 2015, the American Academy of Pediatrics (AAP) issued its first..
February 4, 2016: New England Journal of Medicine
Glenn Engelman, Chris Koutures, Aaron Provance
OBJECTIVE: Pediatric sports medicine is an evolving pediatric subspecialty. No workforce data currently exists describing the current state of pediatric sports medicine. The goal of this survey is to contribute information to the practicing pediatric sports medicine specialist, employers and other stakeholders regarding the current state of pediatric sports medicine. METHODS: The Workforce Survey was conducted by the American Academy of Pediatrics (AAP) Division of Workforce and Medical Education Policy (WMEP) and included a 44-item standard questionnaire online addressing training, clinical practice and demographic characteristics as well as the 24-item AAP Council on Sports Medicine and Fitness (COSMF) questionnaire...
2016: Physician and Sportsmedicine
Adam L Hartman, Cynthia Di Laura Devore, Sarah C Doerrer
Children and adolescents with epilepsy may experience prolonged seizures in school-associated settings (eg, during transportation, in the classroom, or during sports activities). Prolonged seizures may evolve into status epilepticus. Administering a seizure rescue medication can abort the seizure and may obviate the need for emergency medical services and subsequent care in an emergency department. In turn, this may save patients from the morbidity of more invasive interventions and the cost of escalated care...
January 2016: Pediatrics
Aaron J Provance, Glenn H Engelman, E Bailey Terhune, Rachel A Coel
Concussions make up nearly 10% of all high school athletic injuries. Recent changes in concussion management guidelines and legislation aim to make concussion care more standardized and safe but simultaneously pose a challenge for the primary care and sports medicine physician. Pediatric and adolescent concussions may cause anxiety for the treating physician due to concerns over return-to-play decisions, academic issues, and the potential for second impact syndrome. Determining when to refer a patient to an emergency department acutely, to an outpatient concussion clinic, or to other subspecialists may be a difficult decision for the primary care physician...
January 2016: Orthopedics
Andreas Petropoulos, Doris Ehringer-Schetitska, Peter Fritsch, Eero Jokinen, Robert Dalla Pozza, Renate Oberhoffer
OBJECTIVE: The burden of cardiac disease in childhood is unknown. It will be a sum of 1% of living births in the general population, suffering from Congenital Heart Disease (CHD) + approximately 2.5% of the general population suffering from bicuspid aortic valve diseases + an unknown higher prevalence of acquired diseases. Cardiomyopathies, arrhythmias - sudden cardiac death (SCD), rheumatic heard disease, hypertension and accelerating atherosclerosis are among the most frequent. Adding on, genetic syndromes including cardiac defects, endocarditis and myocarditis we can address a large pediatric population worldwide, suffering from heart disease...
September 2015: Hellenic Journal of Nuclear Medicine
Elizabeth Joy, Karin Van Baak, Katherine L Dec, Barbara Semakula, Ashlea D Cardin, Jay Lemery, George C Wortley, Michael Yaron, Christopher Madden
Children, older adults, disabled and special needs athletes, and female athletes who participate in outdoor and wilderness sports and activities each face unique risks. For children and adolescents traveling to high altitude, the preparticipation physical evaluation should focus on risk assessment, prevention strategies, early recognition of altitude-related symptoms, management plans, and appropriate follow-up. As the risk and prevalence of chronic disease increases with age, both older patients and providers need to be aware of disease and medication-specific risks relative to wilderness sport and activity participation...
December 2015: Wilderness & Environmental Medicine
Suzy Frisch
No abstract text is available yet for this article.
October 2015: Minnesota Medicine
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