scholarly journals Peri-epiphyseal and Overuse Injuries in Adolescent Athletes

2009 ◽  
Vol 1 (3) ◽  
pp. 201-211 ◽  
Author(s):  
Todd J. Frush ◽  
Thomas N. Lindenfeld
Keyword(s):  
Clinical Outcome ◽  
Medical Practice ◽  
Musculoskeletal System ◽  
Early Recognition ◽  
Return To Play ◽  
Overuse Injuries ◽  
Adolescent Athletes ◽  
Delayed Treatment ◽  
Stress Injuries ◽  
Epiphyseal Injuries

Context: Overuse injuries of the musculoskeletal system in immature athletes are commonly seen in medical practice. Evidence Acquisition: An analysis of published clinical, outcome, and biomechanical studies of adolescent epiphyseal and overuse injuries was performed through 2008 to increase recognition and provide treatment recommendations. Results: Adolescent athletes can sustain physeal and bony stress injuries. Recovery and return to play occur more swiftly if such injuries are diagnosed early and immobilized until the patient is pain-free, typically about 4 weeks for apophyseal and epiphyseal overuse injuries. Certain epiphyseal injuries have prolonged symptoms with delayed treatment, including those involving the bones in the hand, elbow, and foot. If such injuries are missed, prolonged healing and significant restrictions in athletic pursuits may occur. Conclusion: Some of these injuries are common to all weightbearing sports and are therefore widely recognized. Several are common in gymnastics but are rarely seen in other athletes. Early recognition and treatment of these conditions lead to quicker recovery and so may prevent season-ending, even career-ending, events from occurring.

Pediatric Sports-Related Injuries

2018 ◽  
Vol 58 (2) ◽  
pp. 199-212
Author(s):  
Thomas Brown ◽  
Mark Moran
Keyword(s):  
Health Care ◽  
Growth Plate ◽  
Health Care Providers ◽  
Musculoskeletal System ◽  
Rapid Growth ◽  
Overuse Injuries ◽  
Care Providers ◽  
Young Athletes

At any time there are millions of athletes ages 6 to 18 years participating in sports-related activities and the number is increasing. Unfortunately, the number of overuse injuries is also on the rise. This increase is most likely associated with single-sport specialization before the onset of puberty. As physicians and health care providers, we must educate these young athletes, their parents, and coaches to ensure safety. Short breaks are recommended and everyone involved should understand the athlete should not train more than 5 days per week and must take off 2 to 4 months per year consecutively depending on the specific sport and position on the team. To understand the complexity of these overuse injuries, it is important to have knowledge of the unique characteristics of the immature musculoskeletal system, periods of rapid growth, and the function of the growth plate, which is often involved in these injuries.

scholarly journals Association of Early Nasopharyngeal Immune Markers With COVID-19 Clinical Outcome: Predictive Value of CCL2/MCP-1

2020 ◽  
Vol 7 (10) ◽  
Author(s):  
Beatriz Sierra ◽  
Ana B Pérez ◽  
Eglis Aguirre ◽  
Claudia Bracho ◽  
Odalys Valdés ◽  
...  
Keyword(s):  
Immune Response ◽  
Clinical Outcome ◽  
Predictive Value ◽  
Early Recognition ◽  
Effective Intervention ◽  
Nasopharyngeal Swab ◽  
Immune Markers ◽  
Potential Value ◽  
Early Expression ◽  
Inflammatory Immune Response

Abstract Early recognition of severe forms of coronavirus disease 2019 (COVID-19) is essential for an opportune and effective intervention, reducing life-risking complications. An altered inflammatory immune response seems to be associated with COVID-19’s pathogenesis and progression to severity. Here we demonstrate the utility of early nasopharyngeal swab samples for detection of the early expression of immune markers and the potential value of CCL2/MCP-1 in predicting disease outcome.

scholarly journals Return to Play in Adolescent Athletes With Symptomatic Spondylolysis Without Listhesis: A Meta-Analysis

2017 ◽  
Vol 8 (2) ◽  
pp. 190-197 ◽  
Author(s):  
Samuel C. Overley ◽  
Steven J. McAnany ◽  
Steve Andelman ◽  
Jun Kim ◽  
Robert K. Merrill ◽  
...  
Keyword(s):  
Event Rate ◽  
Meta Analysis ◽  
Relevant Literature ◽  
Nonoperative Treatment ◽  
Return To Play ◽  
Q Value ◽  
Adolescent Athletes ◽  
Cochrane Reviews ◽  
Pars Interarticularis ◽  
Q Statistic

Study Design: Meta-analysis. Objectives: To assess return to play (RTP) rates in adolescent athletes with lumbar spondylolysis without spondylolisthesis treated conservatively or operatively. Methods: A review of Medline, EMBASE, and Cochrane Reviews was performed. The pooled results were performed by calculating the effect size based on the logit event rate. Studies were weighted by the inverse of the variance. Confidence intervals were reported at 95%. Heterogeneity was assessed using the Q statistic and I2 value. Results: The initial literature search resulted in 724 articles, of which 29 were deemed relevant on abstract review. Overall, 11 studies provided data for 376 patients with a pars interarticularis defect. Return to athletic competition, based on logit event rate, was found to be statistically favored after both nonoperative and operative treatment (92.2% vs 90.3%). There was no heterogeneity noted among the studies reporting nonoperative treatment ( Q value of 4.99 and I2 value of 0). There was mild heterogeneity within the operative studies ( Q value of 3.54 and I2 value of 15.18). Conclusions: Adolescent athletes RTP 92.2% of the time with nonoperative management, compared with 90.3% when treated operatively, though both treatment groups strongly favor RTP. As this is the first study to pool results of all relevant literature, it provides strong evidence to guide decision making and help manage expectations in this unique patient population.

Overuse injuries of the musculoskeletal system

1994 ◽  
Vol 18 (2) ◽  
pp. 129-129
Author(s):  
Reginald R. Cooper
Keyword(s):  
Musculoskeletal System ◽  
Overuse Injuries
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