(Ivanhoe Newswire) -- Year-round sports and increased exposure are
leading to a dramatic rise in adolescent sport-related injuries. Awareness,
education, warning signs and early treatment can make a significant difference
and help keep young athletes in the game.
According to Thomas M. DeBerardino, M.D., an orthopedic surgeon and Associate
Professor of Orthopedics at the University of Connecticut Health Center,
adolescent sport-related injuries are on the rise, so much so that they have
become a "silent epidemic."
"More adolescents are participating in year-round sports without seasonal
breaks, or they are playing on multiple teams simultaneously," Dr. DeBerardino
was quoted as saying. "This increased exposure means there will continue to be
growing numbers of significant musculoskeletal injuries, both traumatic and
chronic overuse."
Awareness and prevention can help, and Dr. DeBerardino says it is important to
recognize that adolescents are just as susceptible to overuse and traumatic
joint and extremity injuries as adults. At the same time, teens are not
"miniature adults" and because their bodies are still growing, orthopedic
injuries are of special concern.
For example, if metal hardware needs to be surgically implanted in an area that
is still growing, it can stunt a child's growth. If an adolescent has shoulder
surgery, but the tension on the repair is too tight, it can lead to a lifetime
of chronic pain.
"Everyone wants to get to the top," said Dr. DeBerardino. "But we have to look
at this and say, are we pushing kids too hard? Even athletes at the college and
pro levels have mandated downtimes. We cannot wait for kids to reach the college
level to modify their training, because by that time it could be too late."
In a separate study, Dr. Theodore J. Ganley, M.D., Director of Sports Medicine,
The Children's Hospital of Philadelphia and Associate Professor of Orthopaedic
Surgery, the University of Pennsylvania School of Medicine, noted that more and
more young gymnasts, who often train year-round and perform repetitive
weight-bearing maneuvers, are sustaining osteochondritis dissecans (OCD)
injuries, a softening of the bone underneath the cartilage that can lead to
cartilage breaks and pain.
Excellent outcomes for OCD injuries are possible with arthroscopic treatment,
but early detection is key.
"While patients requiring surgery for OCD injuries can benefit from arthroscopic
surgery, understanding the warning signs can help prevent athletes from
presenting with more extensive lesions,” Dr. Ganley was quoted as saying.
Early warning signs include persistent pain during activity; painful swelling of
the elbow; locking or 'catching' of the elbow joint; or loss of motion.
"Early detection can allow for the option of non-operative treatments, such as
activity modification followed by physical therapy," said Dr. Ganley. "This can
promote complete healing and rehabilitation allowing the young gymnast to fully
return to his or her sport."
SOURCE: Presented at the Annual Meeting of the American Academy of Orthopedic
Surgeons (AAOS), March 10, 2010
