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Pediatric sports injuries: the silent epidemic
Date:3/10/2010

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."

Young gymnasts can have excellent outcomes after upper extremity arthroscopic treatment

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 moderated an instructional course at the AAOS annual meeting titled "Pediatric Sports Medicine Operative Challenges and Solutions: A Case Based Approach." Dr. Ganley 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.

Despite this increase in OCD injuries, excellent outcomes are possible after arthroscopic treatment, says the study, 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, said Dr. Ganley at The Children's Hospital of Philadelphia Medicine, who led the study.

  • 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," says Dr. Ganley. "This can promote complete healing and rehabilitation allowing the young gymnast to fully return to his or her sport."


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Contact: Lauren L. Pearson
pearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

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