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problem. For some children, sport is more than just some fun and they train very hard and long to a high standard. This is particularly true of swimming, gymnastics and dancing. Children are still growing and the epiphyses of their bones have not yet fused. This makes them very vulnerable to overuse injury [ ] . Injuries of the apophyses may also occur, particularly avulsion [ ] . Weight training before puberty should be with the utmost caution, if at all. Beware of the coach who is pushing the child (...) Sports Injuries - Basic Principles Sports Injuries. Read about Sport Injuries. Sports medicine | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Sports Injuries - Basic Principles Authored by , Reviewed by | Last edited 16 Mar 2017 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based
= worst pain imaginable] Exclusion Criteria: history knee surgery history patellar dislocation clinical evidence of meniscal lesion, ligamentous instability, traction apophysitis around the patellofemoral complex, patellar tendon pathology, chondral damage, osteoarthrosis, spinal referred pain Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided (...) to Publications: Layout table for additonal information Responsible Party: Virginia Commonwealth University ClinicalTrials.gov Identifier: Other Study ID Numbers: PT_PMR_3700 First Posted: July 6, 2007 Results First Posted: May 18, 2011 Last Update Posted: October 23, 2017 Last Verified: September 2017 Keywords provided by Virginia Commonwealth University: Botulinum toxin type A Patellofemoral pain syndrome Knee Injuries Exercise Therapy Additional relevant MeSH terms: Layout table for MeSH terms
technique, emphasizing no dural retraction with placement of structural allograft and RhBMP2 anteriorly under the cortical apophyseal ring, followed by middle column cancellous autograft placed under compression with posterior pedicle spinal instrumentation.A total of 100 consecutive patients studied with an average of 30 months of follow-up. A total of 48 had prior surgery at the index level; 16 had the procedure done at an adjacent level to a previous fusion; 32 at L5-S1 with 42 at L4-L5 and 26 at L3 (...) pain with no dural tears, neural injury, or neuropathic pain. There was significant improvement (P < 0.05) in segmental sagittal lordosis from 2 degrees to 9 degrees, anterior disc height from 6 to 14 mm, and posterior disc height from 4 to 8 mm. There was no subsidence, misplaced screws, or instrumentation failure. Solid fusion was obtained in 99 of 100 patients.The C-TLIF allows for creation and maintenance of sagittal lordosis while avoiding subsidence and neurologic problems with a 99% fusion
Pediatric athlete hip disorders. Injuries of the hip and pelvis in pediatric athletes are receiving increased attention. The majority of injuries are soft tissue injuries or apophysealinjuries that heal with nonoperative supportive treatment. Unique injury patterns can be seen in patients who have underlying pediatric hip disorders such as slipped capital femoral epiphysis, and Legg-Perthes disease. With the advent of hip arthroscopy and the development of more advanced imaging of the hip (...) through MR arthrography, internal derangements of the hip such as labral tears, loose bodies, and chondral injuries are being diagnosed and treated with increased frequency. This article reviews the more common injuries of the hip and pelvis in pediatric athletes.
Multiple osteochondroses and avulsion fracture of anterior superior iliac spine in a soccer player. Apophysitis describes a chronic traction injury at the insertion site of a tendon. There is a gradual onset of pain with no clear history of injury. Without adequate preventive methods, an avulsion fracture may result. The case is here reported of an apophyseal avulsion fracture of the anterior superior iliac spine in an adolescent caused by playing football before the end of treatment (...) for apophysitis. An open reduction and internal fixation was performed followed by a rehabilitation programme. No complications occurred, and the patient had returned to his previous level of sporting activity after six weeks.
Sports-related acute and chronic avulsion injuries in children and adolescents with special emphasis on tennis. Acute and chronic sports-related muscle and tendon injuries are not infrequent in youngsters. In particular, the physis is prone to trauma as it constitutes the weakest part of the immature skeleton. The type of sports activity determines the location of the lesion. Most commonly, apophyses of the hip and pelvis are subject to avulsion. The purpose of this paper is to give a short (...) overview of the pathogenesis, location, prevalence and imaging characteristics of acute and chronic avulsion injuries in the immature skeleton, with special emphasis on tennis-related injuries. Tennis-related injuries particularly involve apophyses of the ischial tuberosity, the anterior inferior or superior iliac spine and the iliac crest.
Sports injuries in adolescents' ball games: soccer, handball and basketball. In a prospective study of 302 adolescent players in three ball games (soccer, handball and basketball), 119 incurred injuries. The injury incidence (number of injuries per 1000 playing hours) was 5.6 in soccer, 4.1 in handball and 3.0 in basketball. Ankle sprains accounted for 25 per cent of the injuries, finger sprains 32 per cent, strains in the thigh and leg 10 per cent, and tendinitis/apophysitis 12 per cent (...) . The most serious injuries were four fractures, one anterior cruciate ligament rupture, and two meniscus lesions. The most serious injuries, with the longest rehabilitation period, occurred in soccer. In soccer, many injuries occurred during tackling and contact with an opposing player, while the injuries in handball and basketball were often caused by ball contact and running.
Apophysealinjuries of the proximal tibial tubercle Avulsion fractures of the tibial apophysis are rare. Seven cases were treated between 1993 and 1998 in our department. The treatment was conservative in 1 case, in the other 6 open reduction and internal fixation was used. The results after an average of 23 months were good. There were no growth disturbances.