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Christina Morganti, MD
  Sports and Shoulder Surgery
Orthopaedics and Sports Medicine


     cmorganti@osmc.net
   Lost time from play
    in the short term
   Pain/discomfort
   Mental
    anguish/anxiety
   Disruption of usual
    “routine” including
    socialization
   Potential for long
    term consequences
The Problem

• 30 million children participate in organized sports
  (Source: Safe Kids USA)


• Participation in high school athletics is increasing, with more
  than 7.3 million high school students participating annually
  (Source: National Federation of State High School Associations)


• High school athletics account for more than 2 million injuries
  annually, (including 30,000 hospitalizations); Half of these are
  overuse injuries (Source: Centers for Disease Control)

• Young athletes are specializing in sports (and positions)
  at an earlier age.
The Lasting Problem – Part
                         2
70% of kids participating in sports drop out by the age of 13
because of
 • Adults
 • Coaches
 • Parents

These children lose the benefits of exercise, teamwork
              and healthy competition!
Sports Trauma and Overuse
               Prevention
 -Attention to Safety
 -Protective equipment
 -Technique changes
 -Rules changes
   Physiologic benefits to
    skeletal health, lean
    mass, neuromuscular
    coordination.
   Psychologic benefits to
    self esteem, general
    sense of well being.
   Social benefits from the
    culture of healthy living
    and camaraderie, “stay
    out of trouble”, plan for
    future.
   Kids are different
    physiologically, mentall
    y, socially from adults.
   Changing at a rapid
    rate
   “Formative years”
   Habits formed may last
    a lifetime.
   Injury may have long
    term consequences
 Physis= growth plate
 Apophysis
 Vulnerable
  points, “weak link”
 Injury can lead to
  deformity
 “Growth spurt” issue
 Shape of bones
   Times are different and still changing.
     Shear numbers of participants growing
     Intensity of competition increasing.
     Free-play time decreasing.
     Sedentary time increasing, “indoor distractions”.
   Different
    kinds of
    kids.
   Low, mediu
    m, and
    high.
   What is the
    general
    level of
    fitness?
   Training allows for the
    adaption of structures
                                        strength
    to accommodate the
    typical load applied to
    the structure.
     The load may be too
      high for the strength of
      the structure.
     The strength may be too    load
      low to tolerate the load
      applied.
   Overuse injuries constitute the majority of youth
    sports injuries.

   Overuse injuries can be avoided by adjustments
    in training regimen, based on individual needs of
    the athlete.

   Think about improving the general level of
    conditioning of the athlete and good training
    habits/technique as well as sports-specific skills.
   www.STOPSportsInjuries.org
   www.orthoinfo.org
   www.nata.org
   www.sportsmed.org
   www.SAFEKids.org
Introduction: Preventing Youth Sports Injuries

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Introduction: Preventing Youth Sports Injuries

  • 1. Christina Morganti, MD Sports and Shoulder Surgery Orthopaedics and Sports Medicine cmorganti@osmc.net
  • 2. Lost time from play in the short term  Pain/discomfort  Mental anguish/anxiety  Disruption of usual “routine” including socialization  Potential for long term consequences
  • 3. The Problem • 30 million children participate in organized sports (Source: Safe Kids USA) • Participation in high school athletics is increasing, with more than 7.3 million high school students participating annually (Source: National Federation of State High School Associations) • High school athletics account for more than 2 million injuries annually, (including 30,000 hospitalizations); Half of these are overuse injuries (Source: Centers for Disease Control) • Young athletes are specializing in sports (and positions) at an earlier age.
  • 4. The Lasting Problem – Part 2 70% of kids participating in sports drop out by the age of 13 because of • Adults • Coaches • Parents These children lose the benefits of exercise, teamwork and healthy competition!
  • 5. Sports Trauma and Overuse Prevention
  • 6.  -Attention to Safety  -Protective equipment  -Technique changes  -Rules changes
  • 7.
  • 8. Physiologic benefits to skeletal health, lean mass, neuromuscular coordination.  Psychologic benefits to self esteem, general sense of well being.  Social benefits from the culture of healthy living and camaraderie, “stay out of trouble”, plan for future.
  • 9. Kids are different physiologically, mentall y, socially from adults.  Changing at a rapid rate  “Formative years”  Habits formed may last a lifetime.  Injury may have long term consequences
  • 10.  Physis= growth plate  Apophysis  Vulnerable points, “weak link”  Injury can lead to deformity  “Growth spurt” issue  Shape of bones
  • 11.
  • 12. Times are different and still changing.  Shear numbers of participants growing  Intensity of competition increasing.  Free-play time decreasing.  Sedentary time increasing, “indoor distractions”.
  • 13.
  • 14. Different kinds of kids.  Low, mediu m, and high.  What is the general level of fitness?
  • 15. Training allows for the adaption of structures strength to accommodate the typical load applied to the structure.  The load may be too high for the strength of the structure.  The strength may be too load low to tolerate the load applied.
  • 16. Overuse injuries constitute the majority of youth sports injuries.  Overuse injuries can be avoided by adjustments in training regimen, based on individual needs of the athlete.  Think about improving the general level of conditioning of the athlete and good training habits/technique as well as sports-specific skills.
  • 17. www.STOPSportsInjuries.org  www.orthoinfo.org  www.nata.org  www.sportsmed.org  www.SAFEKids.org

Notas do Editor

  1. This slide greatly oversimplifies the process but conveys the idea that the child who throws year-round may progress more quickly but is at risk for injury and ending participation in baseball. Attempts to address some parents’ concerns that their budding Randy Johnson will fall behind if he doesn’t pitch constantly.
  2. Osgood schlatter’s bump, dancer’s turnout/hip, throwers ext rotation..