scholarly journals Tibial Spine Repair in the Pediatric Population: Outcomes and Subsequent Injury Rates

2021 ◽  
Author(s):  
Noah J. Quinlan ◽  
Taylor E. Hobson ◽  
Alexander J. Mortensen ◽  
Kelly M. Tomasevich ◽  
Temitope Adeyemi ◽  
...  
Keyword(s):  
Pediatric Population ◽  
Injury Rates ◽  
Tibial Spine ◽  
Subsequent Injury

scholarly journals Incidence of Injuries in High School Softball and Baseball Players

2011 ◽  
Vol 46 (6) ◽  
pp. 648-654 ◽  
Author(s):  
Ellen Shanley ◽  
Mitchell J. Rauh ◽  
Lori A. Michener ◽  
Todd S. Ellenbecker
Keyword(s):  
High School ◽  
South Carolina ◽  
High Schools ◽  
Upper Extremity ◽  
Injury Rate ◽  
Baseball Players ◽  
Injury Rates ◽  
School Sports ◽  
Initial Injury ◽  
Subsequent Injury

Context: Participation in high school sports has grown 16.1% over the last decade, but few studies have compared the overall injury risks in girls' softball and boys' baseball. Objective: To examine the incidence of injury in high school softball and baseball players. Design: Cohort study. Setting: Greenville, South Carolina, high schools. Patients or Other Participants: Softball and baseball players (n = 247) from 11 high schools. Main Outcome Measure(s): Injury rates, locations, types; initial or subsequent injury; practice or game setting; positions played; seasonal trends. Results: The overall incidence injury rate was 4.5/1000 athlete-exposures (AEs), with more injuries overall in softball players (5.6/1000 AEs) than in baseball players (4.0/1000 AEs). Baseball players had a higher initial injury rate (75.9/1000 AEs) than softball players (66.4/1000 AEs): rate ratio (RR) = 0.88, 95% confidence interval (CI) = 0.4, 1.7. The initial injury rate was higher than the subsequent injury rate for the overall sample (P < .0001) and for softball (P < .0001) and baseball (P < .001) players. For both sports, the injury rate during games (4.6/1000 AEs) was similar to that during practices (4.1/1000 AEs), RR = 1.22, 95% CI = 0.7, 2.2. Softball players were more likely to be injured in a game than were baseball players (RR = 1.92, 95% CI = 0.8, 4.3). Most injuries (77%) were mild (3.5/1000 AEs). The upper extremity accounted for the highest proportion of injuries (63.3%). The incidence of injury for pitchers was 37.3% and for position players was 15.3%. The rate of injury was highest during the first month of the season (7.96/1000 AEs). Conclusions: The incidence of injury was low for both softball and baseball. Most injuries were minor and affected the upper extremity. The injury rates were highest in the first month of the season, so prevention strategies should be focused on minimizing injuries and monitoring players early in the season.

scholarly journals Injury rate in the pediatric population of Saint Petersburg

2017 ◽  
Vol 5 (3) ◽  
pp. 43-48
Author(s):  
Karina S. Solovyova ◽  
Anna V. Zaletina
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Average Rate ◽  
Pediatric Population ◽  
Injury Rate ◽  
The Body ◽  
Injury Rates ◽  
Specialized Care ◽  
Icd 10

Introduction. The injury rate in children remains an urgent and unresolved problem in the field of medicine. In recent years, the average injury rate in 0- to 17-year-old children is 116–118 injuries per 1000 children of the corresponding population in Russia. Aim. The study aimed to analyze the injury rates in the children in St. Petersburg in 2016 and to compare them with the injury rates of previous years and those of children in Russia. Material and methods. Based on state statistics, the indices of injury rate in the children in St. Petersburg in 2016 were evaluated. The disability in children as a result of external actions and the activities of medical and preventive institutions for providing specialized care to children with injuries were also investigated. Results and discussion. A new form of reporting by Rosstat enabled the clarification of the data with respect to the nature of the injuries and the number of bone fractures in various locations of the body in accordance with the XIX class of the ICD-10, as well as with respect to the morbidity and mortality in children owing to external causes (class XX of the ICD) that include road-traffic accidents and physical abuse. Conclusions. The rate of injury in children aged 0–14 years decreased when compared with that suggested by the previous year’s data. Further, in adolescents aged 15–17 years, the rate of injury was significantly higher than the average rate in Russia. The disability in children as a result of external actions has decreased. However, the prevention of child injuries in St. Petersburg, especially in adolescents, remains an urgent medical and social problem.

scholarly journals ARE SEGOND FRACTURES OF THE TIBIA PATHOGNOMONIC FOR ACL TEARS IN THE PEDIATRIC AND ADOLESCENT POPULATION?

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0002
Author(s):  
Indranil Kushare ◽  
Ramesh Babu Ghanta ◽  
Kristen Kastan ◽  
Tracie Stone ◽  
Nicole A. Wunderlich ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Pediatric Population ◽  
Cruciate Ligament ◽  
Case Series ◽  
Spine Fractures ◽  
Associated Injuries ◽  
Segond Fracture ◽  
Tibial Spine ◽  
Tibial Eminence ◽  
Anterior Cruciate

Background: Segond fractures (avulsion fractures of the proximal lateral tibia) are considered to be pathognomonic for anterior cruciate ligament (ACL) tears in adult patients. Purpose: To describe the largest case series of pediatric Segond fractures and associated intra-articular injuries of the knee to determine if these fractures are pathognomonic for ACL tears in young patients. Methods: IRB-approved retrospective study of patients under 20 years who presented with Segond fracture to a tertiary children’s hospital between 2009-2019. Demographics, clinical data, imaging features, associated injuries, and treatment information were collected. Results: 55 patients (46 males, 9 females) with mean age 15.2 years (11.8-19.1) with Segond fractures of the proximal tibia on radiology imaging were identified (Fig.1.2). Diagnosis of associated injuries was established based on clinical examination, radiology report and findings during arthroscopy. Average Segond fracture size was 2.7 x 9.5mm as measured on standard knee radiographs. Magnetic resonance imaging (MRI) was obtained in 49/55(89%) patients. Associated injuries included anterior cruciate ligament (ACL) tears (39 patients, 70.9%), tibial eminence fractures (9, 16.4%), and all other injuries (7, 12.7%) (Table 1.1). Among Segond fractures found with ACL tears, 12 (30.8%) were contact injuries, 30 (76.9%) were sports injuries. In associated tibial spine fractures, 7 (78%) injuries were contact in nature and were sports related. When age was compared between the patient group with ACL tears (mean 15.7 years) to the ones with tibial spine fractures ( mean 13.9 years), there was a statistically significant difference(p=0.007). 12/55 (21.8%) had associated articular cartilaginous injuries, 3 of which required surgical intervention. 37/55 (67.3%) patients had meniscal injury. 3 (5.5%) patients suffered multi-ligament injuries. Overall, 87.2% of the patients required surgical management for associated intra-articular injuries of the knee. Conclusion: The Segond (tibial avulsion) fracture is associated with intra-articular injuries the pediatric population, most commonly ACL tears and meniscus tears. However, the largest case series in the pediatric population suggests that they are not pathognomonic for ACL tears as a notable proportion of patients, especially the ones who are younger in age, have tibial eminence fractures or no ACL tears. [Table: see text][Figure: see text]

scholarly journals COMPARING RATES OF TIBIAL SPINE FRACTURES TO ACL TEARS: A 7-YEAR TREND

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0017
Author(s):  
Julien T Aoyama ◽  
Scott M LaValva ◽  
Joshua T Bram ◽  
Thomas Reese ◽  
Theodore J Ganley
Keyword(s):  
Pediatric Population ◽  
Cruciate Ligament ◽  
Patient Characteristics ◽  
Graphical Analysis ◽  
Incidence Rates ◽  
Spine Fractures ◽  
Acl Injuries ◽  
Tibial Spine ◽  
Acl Tear ◽  
Icd 10

Background: Sometimes referred to as the “pediatric” ACL injury, tibial spine fractures, although less commonly seen, are believed to share the same injury mechanism as anterior cruciate ligament (ACL) tears. And while incidence rates of pediatric ACL tears have been known to be increasing in recent years, to our knowledge, trends in incidence rates of tibial spine fractures (TSFs) in the pediatric population have not yet been reported in the literature. With sport specialization in children becoming a more commonly discussed topic, our goal was to report on the incidence rates of TSFs over a 7-year span at a single-center, and to compare rates of injury in these two conditions by sport and other patient characteristics. Hypothesis/Purpose: TSF and ACL injuries are both on the rise but draw from different populations. Methods: Retrospective comparison study of all patients presenting between 1/1/2010 and 1/1/17 with a TSF or an ACL tear at a single pediatric hospital. Medical records were queried for TSFs and ACL tears using ICD-10 and ICD-9 codes. Incidence rates over time were compared against one another. Incidence rates were further stratified based on sex, race, age, BMI, and sport/mechanism of injury, and bivariate analyses were performed to find significant differences between groups. Results: 43 patients with a TSF and 947 patients with an ACL tear were identified. Graphical analysis showed an upward trend in the yearly incidence of both injuries, particularly in the last two years. TSF age ranged from 3 to 17 years with an average of 12.5 ± 2.8 years. ACL tear age ranged from 6 to 24 years with an average of 15.2 ± 2.3 years. Comparisons of sport, age, sex, and BMI were all found to have significant differences (p < .001 for all) between the two injuries. Race was not found to be significantly different between the two injuries. Conclusion: Our data supports the hypothesis that, similar to ACL tears, incidence rates of TSFs have been increasing in recent years. Injury during sport was found to be significantly different between the two injuries, with football being the most common sport for TSFs and soccer being the most common sport for ACL tears. ACL tears also draw from a slightly older age population (15.2 ± 2.3 years) than TSFs (12.5 ± 2.8 years), and TSFs are more commonly seen in males and those with lower BMI when compared to ACL tears.

scholarly journals REASONS PEDIATRIC ATHLETES CONTINUE TO PLAY AFTER CONCUSSION

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0016
Author(s):  
Aaron J. Zynda ◽  
Meagan J. Sabatino ◽  
Jane Chung ◽  
Munro Cullum ◽  
Shane M. Miller
Keyword(s):  
Pediatric Population ◽  
Educational Programs ◽  
Athletic Trainer ◽  
Inclusion Criteria ◽  
North Texas ◽  
The North ◽  
Prolonged Recovery ◽  
Impact Syndrome ◽  
Subsequent Injury

Introduction: As sport-related concussion incidence has increased in the pediatric population, the risks of continuing to play while injured have become apparent. These risks include subsequent injury, prolonged recovery, and Second Impact Syndrome. The purpose of this study was to determine why pediatric athletes continue to play following a concussion. Methods: Prospectively collected data of subjects enrolled in the North Texas Concussion Network Registry (ConTex) between December 2015 and April 2018 was reviewed. Subjects were included in this analysis if they were diagnosed with a sport-related concussion, less than 19 years old at time of injury, reported they continued to play, and provided a reason for continuing play. Results: 258 subjects met inclusion criteria. Mean age was 13.9 years (range: 7-18 years) and 130 (50.4%) subjects were female. 142 (55%) subjects reported they continued to play following their concussion. Of those subjects who continued to play, 45 (31.7%) reported they “felt okay at the time”, 41 (28.9%) reported they wanted to “play through the injury or tough it out”, 36 (25.4%) reported they “did not realize it was a concussion”, 17 (11.9%) reported they “felt pressured to play from their coach or teammates”, and 3 (2.1%) reported they “were allowed to continue to play by an athletic trainer”. No significant differences were noted in age, gender, or sport of the pediatric athletes amongst the reasons for continuing to play. Conclusions: More than half of pediatric athletes continued to play following their concussion. Pediatric athletes most frequently continued to play because they were not experiencing symptoms at the time of the injury, wanted to play through it, and did not think their injury was a concussion. Future educational programs should take these reasons into consideration to prevent pediatric athletes from continuing to play following a concussion.

scholarly journals Recurrent and Subsequent Injuries in Professional and Elite Sport: a Systematic Review

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Charlotte Leah Bitchell ◽  
Jo Varley-Campbell ◽  
Gemma Robinson ◽  
Victoria Stiles ◽  
Prabhat Mathema ◽  
...  
Keyword(s):  
Injury Risk ◽  
Data Extraction ◽  
Injury Surveillance ◽  
Elite Sport ◽  
Injury Rates ◽  
Online Databases ◽  
Consensus Statements ◽  
Number Percentage ◽  
Recurrent Injuries ◽  
Subsequent Injury

Abstract Background Injury surveillance in professional sport categorises injuries as either “new” or “recurrent”. In an attempt to make categorisation more specific, subsequent injury categorisation models have been developed, but it is not known how often these models are used. The aim was to assess how recurrent and subsequent injuries are reported within professional and elite sport. Methods Online databases were searched using a search strategy. Studies needed to prospectively report injury rates within professional or elite sports that have published consensus statements for injury surveillance. Results A total of 1322 titles and abstract were identified and screened. One hundred and ninety-nine studies were screened at full text resulting in 81 eligible studies. Thirty studies did not report recurrent injuries and were excluded from data extraction. Within the studies that reported recurrent injuries, 21 reported the number and percentage; 13 reported only the proportion within all injuries; three reported only the number; five reported the number, percentage and incidence; and two only reported the incidence. Seven studies used subsequent injury terminology, with three reporting subsequent injury following concussion, one using an amended subsequent injury model and three using specific subsequent injury categorisation models. The majority of subsequent injuries (ranging from 51 to 80%) were categorised as different and unrelated to the index injury. The proportion of recurrent injuries (exact same body area and nature related to index injury) ranged from 5 to 21%. Conclusions Reporting recurrent or subsequent injuries remains inconsistent, and few studies have utilised subsequent injury models. There is limited understanding of subsequent injury risk, which may affect the development of injury prevention strategies. Trial Registration CRD42019119264

Use of Vestibular Rehabilitation in the Pediatric Population

2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Pediatric Population ◽  
Dynamic Balance ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Gross Motor ◽  
Gaze Stabilization ◽  
Motor Delay ◽  
Rehabilitation Programs ◽  
Motor Practice ◽  
Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

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