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https://www.readbyqxmd.com/read/27861213/what-s-new-in-pediatric-medial-epicondyle-fractures
#1
Jennifer J Beck, Richard E Bowen, Mauricio Silva
BACKGROUND: Medial epicondyle fractures are predominantly seen in adolescent, male patients. Historically, nonoperative intervention was the mainstay of treatment. With increasing upper extremity demands of young athletes and reports of valgus instability after nonoperative treatment, there has been an increased interest in operative indications. Controversy regarding proper imaging and measurement of displacement complicates decision-making algorithms. Review of recent literature is required for improved decision making...
November 17, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27836772/return-to-play-in-athletes-with-spinal-cord-concussion-a-systematic-literature-review
#2
REVIEW
Narihito Nagoshi, Lindsay Tetreault, Hiroaki Nakashima, Aria Nouri, Michael G Fehlings
STUDY DESIGN: Systematic review OBJECTIVE: To evaluate whether spinal cord concussion (SCC) patients can safely return to play sports and if there are factors that can predict SCC recurrence or development of a spinal cord injury (SCI). SUMMARY OF BACKGROUND DATA: Although SCC is a reversible neurologic disturbance of spinal cord function, its management and the implications for return to play controversial. METHODS: We conducted a systematic search of the literature using keywords Cervical Spine AND Sports AND Injuries in six databases...
November 8, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27836360/american-pediatric-surgical-association-journal-of-pediatric-surgery-lecture
#3
REVIEW
Michael W Collins, Melissa N Womble
Every year in the United States, 1.6 to 3.8 million concussions occur secondary to injuries sustained during sports and recreational activities. Major advances have been made in terms of identifying specific clinical profiles following concussion. Nevertheless, there are continued misunderstandings regarding this injury and variable clinical management strategies being employed that may result in protracted recovery periods for youth athletes. Therefore, it is essential that individualized treatment plans target the particular clinical profile(s) present following concussion...
October 25, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27834505/concussion-like-symptoms-in-child-and-youth-athletes-at-baseline-what-is-typical
#4
Anne Williams Hunt, Melissa Paniccia, Nick Reed, Michelle Keightley
CONTEXT:  After a concussion, guidelines emphasize that an athlete should be asymptomatic before starting a return-to-play protocol. However, many concussion symptoms are nonspecific and may be present in individuals without concussion. Limited evidence exists regarding the presence of "typical" or preinjury (baseline) symptoms in child and youth athletes. OBJECTIVE:  To describe the frequency of symptoms reported at baseline by child and youth athletes and identify how age, sex, history of concussion, and learning factors influence the presence of baseline symptoms...
November 11, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27824679/blood-pressure-and-left-ventricular-mass-index-in-healthy-adolescents
#5
Usama A Daimee, Marc B Lande, Wan Tang, Xin M Tu, Peter Veazie, John D Bisognano, Robert Block, John C Teeters
Primary hypertension among children and adolescents is increasing in prevalence and has been associated with the sequela of left ventricular hypertrophy (LVH), defined by increased left ventricular mass index (LVMI). The association between high blood pressure (BP) and LVMI in an otherwise healthy pediatric population is not well understood. We evaluated the relationship between measures of BP and LVMI in a group of healthy adolescents. We conducted a retrospective review of 55 high school athletes who participated in a community health screen, which included collecting BP readings and limited echocardiograms...
November 7, 2016: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/27817976/return-to-sport-activity-after-anterior-cruciate-ligament-reconstruction-in-skeletally-immature-athletes-with-manual-drilling-original-all-inside-reconstruction-at-8-years-follow-up
#6
Giacomo Placella, Matteo Bartoli, Marco Peruzzi, Andrea Speziali, Valerio Pace, Giuliano Cerulli
OBJECTIVE: Anterior cruciate ligament (ACL) tears are common injuries in adolescent athletes, especially in those who bear high stress on their knees due to shearing forces. The goal of the surgical procedures in skeletally immature patients is to restore joint stability avoiding the adverse effects on the growth process. The aim of this study was to verify the return of the skeletally immature professional athletes to sports in the long-term, following ACL reconstruction with the original all-inside technique and with manual drilling...
November 3, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27811517/unique-issues-in-the-rehabilitation-of-the-pediatric-and-adolescent-athlete-after-musculoskeletal-injury
#7
Mark V Paterno
Youth sports participation is on the rise, resulting in an increase in sports-related injuries in the pediatric and adolescent population. The presentation of injury, pathology, and disease in this younger population is often unique and may require customize and novel medical and rehabilitation interventions to optimize the outcome. The purpose of this review is to highlight unique considerations in the rehabilitation management of the pediatric and adolescent athlete. General guidelines for progression of this population through a criteria-based rehabilitation program with a focus on a systematic return to sport algorithm will be reviewed...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27811516/ankle-injuries-in-the-pediatric-athlete
#8
John B Erickson, Walter P Samora, Kevin E Klingele
Foot and ankle injuries are the second most common reason for young athletes to present to a primary care physician, and account for up to 30% of visits to sports medicine clinics in this population. Heightened performance expectations placed on today's young athletes have led to intense training and competition demands. With increasing rates of sport participation among children and adolescents, it is important for treating physicians to have an understanding of the evaluation and management of ankle injuries seen in the pediatric athlete...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27811515/anterior-cruciate-ligament-reconstruction-in-pediatric-and-adolescent-patients-using-quadriceps-tendon-autograft
#9
Jay Albright, Ariel Kiyomi Lepon, Stephanie Mayer
Many techniques for reconstruction of pediatric and adolescent anterior cruciate ligament (ACL) ruptures have been described, yet the best technique to reproduce normal kinematics of the knee while causing minimal growth disturbance is not definitively determined. We describe a technique which adapts the Allen Anderson technique for all-inside, all-epiphyseal, anatomic ACL reconstruction. However, this technique uses a novel quadriceps tendon-patellar bone-autograft to provide the best-possible patient outcomes...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27811514/overuse-injuries-in-the-pediatric-population
#10
Mark Wu, Ryan Fallon, Benton E Heyworth
Athletic overuse injuries are becoming an increasingly common entity in the active pediatric population. The prevalence of these injuries may be attributed to the combination of an underdeveloped musculoskeletal system, increased participation in competitive sport at a younger age, and increased duration and intensity of training. Many of these injuries may go unreported and/or undiagnosed, as they do not all result in time lost from sports, and are not always appreciated on imaging. Left unrecognized, untreated, or poorly managed, overuse injuries can have long-term health consequences for young athletes...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27811512/sports-injuries-in-pediatric-and-adolescent-athletes
#11
Paul Saluan
No abstract text is available yet for this article.
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27798791/anterolateral-ligament-of-the-knee-shows-variable-anatomy-in-pediatric-specimens
#12
Kevin G Shea, Matthew D Milewski, Peter C Cannamela, Theodore J Ganley, Peter D Fabricant, Elizabeth B Terhune, Alexandra C Styhl, Allen F Anderson, John D Polousky
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction failure rates are highest in youth athletes. The role of the anterolateral ligament in rotational knee stability is of increasing interest, and several centers are exploring combined ACL and anterolateral ligament reconstruction for these young patients. Literature on the anterolateral ligament of the knee is sparse in regard to the pediatric population. A single study on specimens younger than age 5 years demonstrated the presence of the anterolateral ligament in only one of eight specimens; therefore, much about the prevalence and anatomy of the anterolateral ligament in pediatric specimens remains unknown...
October 31, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27798398/positive-and-negative-themes-found-in-sport-related-films
#13
Hannah M Wakefield, Robert P Olympia, Tonya S King, Bryan H Wakefield, Chris J Weber
Sport participation is an important part of the development of children and adolescents in the United States. The objective of this study was to determine positive and negative themes found in a selected number of sport-related films. A total of 44 sport-related films were independently viewed and analyzed by four reviewers. The most common sports depicted were baseball (27%) and football (25%). The most common positive themes were positive interactions with the coach, positive interactions with family and friends, and positive interactions with teammates (2...
October 23, 2016: Clinical Pediatrics
https://www.readbyqxmd.com/read/27783573/a-normative-dataset-of-the-balance-error-scoring-system-in-children-aged-between-5-and-14
#14
Colby Hansen, Dan Cushman, Nicholas Anderson, Wei Chen, Christine Cheng, Shirley D Hon, Man Hung
OBJECTIVE: Pediatric head injuries occur commonly and are being reported in increasing numbers. Balance testing is a key component in the evaluation of suspected concussion, and the balance error scoring system (BESS) is likely the most well-known and widely used measure. To date, normative BESS scores for adults have been reported but not for children. DESIGN: Normative data for BESS scores and modified BESS scores were created in a cohort of healthy children. Potential variables were analyzed as predictors of BESS performance...
November 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27783572/the-reliability-and-validity-of-a-pediatric-back-outcome-measure
#15
James P MacDonald, Pierre A dʼHemecourt, Lyle J Micheli
OBJECTIVE: Young athletes not uncommonly complain of back pain. Many patient-reported outcome measures are used to evaluate back pain, but none have been designed specifically to assess young, athletic patients. The Micheli Functional Scale (MFS) was developed to measure impairment due to back pain in this population. This study examined the reliability, validity, and responsiveness of the MFS used in routine clinical assessments. DESIGN: Retrospective Cohort Study...
November 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27733960/awareness-of-the-cdc-heads-up-to-youth-sports-campaign-among-pediatric-sports-coaches-a-pilot-survey-study
#16
Thor S Stead, Vaibhav Rastogi, Vishnumurthy S Hedna, Latha Ganti
OBJECTIVES: This study sought to: 1) estimate the penetrance (in terms of youth coaches being aware of them) of the CDC "Heads Up!" guidelines, 2) determine whether these guidelines changed the coaches' practice, and 3) understand whether these guidelines resulted in a perceived decrease in the number of concussions. METHODS: This was a cross-sectional survey of pediatric sports coaches in the United States designed to assess the impact of the CDC "Heads Up!" GUIDELINES: "Heads Up!" Concussion in Youth Sports is a free, online course available to coaches, parents, and others helping to keep athletes safe from concussions...
August 29, 2016: Curēus
https://www.readbyqxmd.com/read/27726754/imaging-of-sports-related-injuries-of-the-lower-extremity-in-pediatric-patients
#17
M Cody O'Dell, Diego Jaramillo, Laura Bancroft, Laura Varich, Gregory Logsdon, Sabah Servaes
With increasing participation and intensity of training in youth sports in the United States, the incidence of sports-related injuries is increasing, and the types of injuries are shifting. In this article, the authors review sports injuries of the lower extremity, including both acute and overuse injuries, that are common in or specific to the pediatric population. Common traumatic injuries that occur in individuals of all ages (eg, tears of the acetabular labrum and anterior cruciate ligament) are not addressed, although these occur routinely in pediatric sports...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27726752/imaging-the-injured-pediatric-athlete-upper-extremity
#18
Jorge Delgado, Diego Jaramillo, Nancy A Chauvin
Increased physical activity in childhood has resulted in a large number of sports-related injuries. Although there is overlap between the sports-related injuries seen in pediatric and adult patients, important differences exist in the injury patterns of pediatric patients. These differences are related to the continuous changes in the developing skeleton and its relationship with adjacent soft tissues. The imbalance in strength between the growing bones and the nearby tendons and ligaments makes the bones prone to acute and chronic injuries...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27637662/shoulder-injuries-in-pediatric-athletes
#19
REVIEW
James E Moyer, Jennifer M Brey
Shoulder injuries in pediatric athletes are typically caused by acute or overuse injuries. The developing structures of the shoulder lead to injury patterns that are distinct from those of adult athletes. Overuse injuries often affect the physeal structures of the proximal humerus and can lead to pain and loss of sports participation. Shoulder instability is common in pediatric athletes, and recurrence is also a concern in this population. Fractures of the proximal humerus and clavicle are typically treated with conservative management, but there is a trend toward surgical intervention...
October 2016: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/27600715/osteochondritis-dissecans-lesions-in-family-members-does-a-positive-family-history-impact-phenotypic-potency
#20
Alex L Gornitzky, R Justin Mistovich, Brittany Atuahuene, Eileen P Storey, Theodore J Ganley
BACKGROUND: Although repetitive microtrauma and athletic overuse patterns are most commonly associated with osteochondritis dissecans (OCD), recent studies have identified a potential genetic predisposition for OCD. Several case series have documented family pedigrees that support autosomal-dominant inheritance, but the families in these studies were all selected as a result of unique histories that may not accurately represent OCD inheritance patterns at large. Because there has been little investigation beyond these case reports, we aimed to describe a broader, more representative pattern of OCD inheritance applicable to all affected patients...
September 6, 2016: Clinical Orthopaedics and related Research
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