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https://www.readbyqxmd.com/read/28291142/lower-extremity-avulsion-fractures-in-the-pediatric-and-adolescent-athlete
#1
Jonathan Schiller, Steven DeFroda, Travis Blood
Lower extremity avulsion fractures are uncommon in the pediatric population and can be misdiagnosed without proper imaging and/or clinical suspicion for these injuries. The most common locations of avulsion injuries are the ischial tuberosity, anterior superior iliac spine, and anterior inferior iliac spine. Less often, avulsion fractures occur in the tibial tubercle, calcaneus, and greater and lesser trochanters. When treated properly with rest and altered weight bearing, most of these injuries heal without complication...
April 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28287685/care-of-shoulder-pain-in-the-overhead-athlete
#2
Joseph Chorley, Richard E Eccles, Armand Scurfield
Shoulder complaints are common in the overhead athlete. Understanding the biomechanics of throwing and swimming requires understanding the importance of maintaining the glenohumeral relationship of the shoulder. Capsular laxity, humeral retrotorsion, glenoid retroversion, glenohumeral internal rotation deficit, and scapular dyskinesis can all contribute to shoulder dysfunction and pain. Injuries are more likely during peak height velocity, especially when coupled with overuse, previous injuries not adequately treated, or change in the demands on the shoulder such as a new technique, bigger field, or longer race...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287684/the-value-of-sleep-on-athletic-performance-injury-and-recovery-in-the-young-athlete
#3
Elizabeth A Copenhaver, Alex B Diamond
Adequate sleep can easily become compromised as student-athletes try to balance the multiple demands on their time. People with sleep deficiency are at increased risk for acute illnesses, traumatic sports injuries, and development of chronic diseases. Training sessions or competitions during extremely early or late hours can interfere with circadian and homeostatic rhythms. Adjusting the training schedule to improve sleep duration has a significantly positive impact on several aspects of athletic performance...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287683/injury-prevention-in-youth-sports
#4
Andrea Stracciolini, Dai Sugimoto, David R Howell
Children and adolescents are now participating in competitive sports at younger ages and with increasing intensity. As a result, increasing numbers of young athletes are presenting to pediatricians for care of sports-related injuries and advice about prevention. Understanding and identifying modifiable risk factors for injury in the young athletic population is a critical first step in injury prevention. Risk factors vary by sport, age, and sex. This article reviews the most common risk factors for injury and the evidence to support proposed strategies for prevention...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287681/the-preparticipation-physical-evaluation
#5
Patrick J Lehman, Rebecca L Carl
With rising rates of sports participation among children and adolescents, pediatricians are increasingly being called upon to perform preparticipation physical evaluations (PPEs) for young athletes. The purpose of this review article is to discuss the general structure of a comprehensive PPE and how the PPE differs from a typical health maintenance visit. The PPE focuses attention on screening for cardiac conditions that predispose athletes to sudden cardiac death with exercise. This review also addresses the debate over whether electrocardiogram screening should be a routine required part of the PPE...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28271812/elite-youth-sports-from-best-pediatric-science-practice-to-sports-practice-2016
#6
Craig A Williams
In my 2015 editorial, I selected two research publications with a focus on an applied sports sciences perspective. This year I have chosen to focus on two publications from a methodological viewpoint, highlighting the importance of laboratory procedures and extraction of data through a systematic review respectively. The first publication by Leites and colleagues (J Appl Physiol) addresses questions in relation to thermoregulation and carbohydrate metabolism in young people. This topic is difficult to conduct due to additional ethical and safety concerns due to exercising in the heat...
February 2017: Pediatric Exercise Science
https://www.readbyqxmd.com/read/28271802/growth-maturation-and-exercise-during-youth-2016
#7
Jaak Jürimäe
For The Year that Was-2016, I have selected three papers in the area of growth, maturation, and exercise during youth. The year of 2016 was a successful year and it was not an easy task to highlight the most significant publications in this specific area of pediatric exercise science. The first paper has been chosen because it provides, for the first time, the growth and maturational status of elite junior tennis players belonging to the top eight players in the National rankings in various ages and compares against population norms...
February 2017: Pediatric Exercise Science
https://www.readbyqxmd.com/read/28259272/current-evidence-regarding-diagnostic-imaging-methods-for-pediatric-lumbar-spondylolysis-a-report-from-the-scoliosis-research-society-evidence-based-medicine-committee
#8
Charles G T Ledonio, Douglas C Burton, Charles H Crawford, Robert Shay Bess, Jacob M Buchowski, Serena S Hu, Baron S H Lonner, David W Polly, Justin S Smith, James O Sanders
BACKGROUND: Spondylolysis is common among the pediatric population, yet no formal systematic literature review regarding diagnostic imaging has been performed. The Scoliosis Research Society (SRS) requested an assessment of the current state of peer reviewed evidence regarding pediatric spondylolysis. METHODS: Literature was searched professionally and citations retrieved. Abstracts were reviewed and analyzed by the SRS Evidence-Based Medicine Committee. Level I studies were considered to provide Good Evidence for the clinical question...
March 2017: Spine Deformity
https://www.readbyqxmd.com/read/28258593/hypertrophic-cardiomyopathy-in-youth-athletes-successful-screening-with-point-of-care-ultrasound-by-medical-students
#9
John C Fox, Shadi Lahham, Graciela Maldonado, Suzi Klaus, Bassil Aish, Lauren V Sylwanowicz, Justin Yanuck, Sean P Wilson, Mason Shieh, Craig L Anderson, Carter English, Ryan Mayer, Uthara R Mohan
OBJECTIVES: Hypertrophic cardiomyopathy (HCM) is a life-threatening genetic cardiovascular disease that often goes undetected in young athletes. Neither history nor physical examination are reliable to identify those at risk. The objective of this study is to determine whether minimally trained medical student volunteers can use ultrasound to screen for HCM. METHODS: This was a prospective enrollment of young athletes performed at 12 area high schools and three area colleges, between May 2012 and August 2013...
March 4, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28224063/the-8-strand-hamstring-autograft-in-anterior-cruciate-ligament-reconstruction
#10
Kunbo Park, Christopher M Brusalis, Theodore J Ganley
Growing participation in youth athletics has resulted in increased numbers of anterior cruciate ligament (ACL) injuries in skeletally immature patients. Use of autogenous graft material has been associated with improved graft survival. However, pediatric patients sometimes possess hamstring tendons that produce smaller-diameter grafts than those prepared with adult autogenous materials. Smaller-diameter grafts may predispose younger patients to graft failure. We describe a technique that increases the diameter of the ACL construct through the use of an 8-strand autologous hamstring tendon graft...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28220574/selective-use-of-the-electrocardiogram-in-pediatric-preparticipation-athletic-examinations-among-pediatric-primary-care-providers
#11
Bradley C Clark, Joshua M Hayman, Charles I Berul, Kristin M Burns, Jonathan R Kaltman
OBJECTIVES: Recent literature examining insurance administrative data suggests that a selective approach, with concurrent history and physical exam (H&P), for obtaining an electrocardiogram (ECG) as a part of a preparticipation examination (PPE) for pediatric athletes is commonly used in the primary care setting demonstrating a high rate of disease detection. We sought to understand practice patterns of providers with regard to usage of ECG as a part of PPE. METHODS: Utilizing an online survey, we queried primary care providers regarding their practice patterns, rationale, and concerns regarding use of ECGs as a part of the PPE...
February 21, 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28193509/pilot-study-analyzing-automated-ecg-screening-of-hypertrophic-cardiomyopathy
#12
Matthew Campbell, Xuefu Zhou, Chia Han, Hedayat Abrishami, Gregory Webster, Christina Y Miyake, Christopher T Sower, Jeffery B Anderson, Timothy K Knilans, Richard J Czosek
BACKGROUND: Hypertrophic cardiomyopathy (HCM) is one of the leading causes of sudden cardiac death in athletes. However, preparticipation ECG screening has often been criticized for failing to meet cost-effectiveness thresholds, in part because of high false-positive rates and the cost of ECG screening itself. OBJECTIVE: The purpose of this study was to assess the testing characteristics of an automated ECG algorithm designed to screen for HCM in a multi-institutional pediatric cohort...
February 11, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28170363/fixation-of-chondral-only-shear-fractures-of-the-knee-in-pediatric-and-adolescent-athletes
#13
Peter D Fabricant, Yi-Meng Yen, Dennis E Kramer, Mininder S Kocher, Lyle J Micheli, Benton E Heyworth
No abstract text is available yet for this article.
March 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28165873/overuse-physeal-injuries-in-youth-athletes
#14
Amanda Arnold, Charles A Thigpen, Paul F Beattie, Michael J Kissenberth, Ellen Shanley
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...
March 2017: Sports Health
https://www.readbyqxmd.com/read/28148461/measuring-quality-of-life-in-pediatric-paradoxical-vocal-fold-motion-using-the-sf-36v2
#15
Kershena S Liao, Paul E Kwak, Hazel Hewitt, Sarah Hollas, Julina Ongkasuwan
OBJECTIVES: Paradoxical vocal fold motion (PVFM) consists of intermittent adduction of the vocal folds during inspiration, resulting in stridor and worsened by anxiety and stress. The purpose of this study was to assess the impact of PVFM on quality of life in our pediatric patient population. STUDY DESIGN: This is a prospective, descriptive survey study. METHODS: Thirty-nine consecutive patients (ages 12-17 years) presenting with a PVFM diagnosis for respiratory retraining sessions with speech-language pathology were recruited...
January 30, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28146405/the-youth-throwing-score
#16
Christopher S Ahmad, Ajay S Padaki, Manish S Noticewala, Eric C Makhni, Charles A Popkin
BACKGROUND: Epidemic levels of shoulder and elbow injuries have been reported recently in youth and adolescent baseball players. Despite the concerning frequency of these injuries, no instrument has been validated to assess upper extremity injury in this patient population. Purpose/Hypothesis: The purpose of this study was to validate an upper extremity assessment tool specifically designed for young baseball players. We hypothesized that this tool will be both reliable and valid. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28139319/paradoxical-vocal-fold-motion-pvfm-in-pediatric-otolaryngology
#17
Blake Smith, Claudio Milstein, Bryan Rolfes, Samantha Anne
INTRODUCTION: Paradoxical vocal fold motion (PVFM) is a condition in which the vocal cords exhibit inappropriate inspiratory adduction, and it has been poorly studied in the pediatric population. METHODS: Pediatric patients diagnosed with PVCM by a pediatric otolaryngologist and doctor of speech pathology from 2008 to 2012 were reviewed. Patients in whom another cause for their respiratory disturbance was eventually identified were excluded. Patient demographics, characteristics, treatment, and outcomes were reviewed...
January 24, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28121977/bilateral-upper-extremity-hyperesthesia-and-absence-of-neck-tenderness-in-four-adolescent-athletes-with-cervical-spine-injuries
#18
Jay Douglas Fisher, Elizabeth Lewis Thorpe
Cervical spine injury in the pediatric athlete is an uncommon but potentially devastating condition that can require a heightened index of suspicion to correctly diagnose. Although some cervical spine injuries present overtly with paraplegia due to cord transection, others can present more subtly with symptoms suggestive of bilateral peripheral neuropathy. Patients with traumatic brachial neuropraxia or "stinger" physiology can present similarly, but symptoms are exclusively unilateral. We present 4 patients with bilateral upper extremity hyperesthesias and absence of tenderness over the cervical vertebral landmarks who were subsequently diagnosed with cervical spine injuries...
January 24, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28109486/a-population-based-analysis-of-the-implementation-of-pediatric-facemasks-in-girls-youth-lacrosse
#19
Andrew Walls, David Kasle, Nicole Aaronson, Earl Harley, Erik Waldman
OBJECTIVE: To determine the incidence, relative risk reduction, odds ratio and absolute risk reduction of head and ear injuries associated with the implementation of pediatric facial eye guards in lacrosse events. STUDY DESIGN: Cross Sectional Review of a National Database. STUDY LOCATION: National Emergency Injury Survelliance System. METHODS: Our group retrospectively reviewed a nationwide sampling estimate of 809 patients who presented to emergency rooms with head and ear injuries during lacrosse events...
February 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28079916/adolescent-shin-pain
#20
Jeremy Korsh, Douglas Matijakovich, Charles Gatt
Shin pain is a common complaint in adolescent athletes. The term "shin splints" has historically been applied to these patients. Shin splints, more often than not, refers to a stress reaction of the tibia from overuse. Overuse injuries occur when repetitive microtrauma to the bone exceeds the biologic healing potential. Diagnosis is based on typical history and physical examination findings. Plain radiographs and advanced imaging are rarely necessary but can provide valuable prognostic information. Treatment consists of adequate rest and exercise modification...
January 1, 2017: Pediatric Annals
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