introduction: preventing youth sports injuries

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Christina Morganti, MD Sports and Shoulder Surgery Orthopaedics and Sports Medicine [email protected]

Post on 08-Jul-2015



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Dr. Christina Morganti shares information on preventing youth sports injuries, including training tips, overuse injuries, the differences in youth anatomy and ways to keep your kids in the game.


Slide 1

Introduction Christina Morganti, MDSports and Shoulder SurgeryOrthopaedics and Sports Medicine

[email protected] is the significance of a sports injury in children?Lost time from play in the short termPain/discomfortMental anguish/anxietyDisruption of usual routine including socializationPotential for long term consequences

The Problem30 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 270% of kids participating in sports drop out by the age of 13 because ofAdultsCoachesParents

These children lose the benefits of exercise, teamwork and healthy competition!

Sports Trauma and Overuse Prevention Acute Injuries

-Attention to Safety-Protective equipment-Technique changes-Rules changes

Overuse injuries: training principles

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 doesnt pitch constantly.7Concept #1: Exercise is good.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.

Concept #2: Kids are different.

Kids are different physiologically, mentally, socially from adults.Changing at a rapid rateFormative yearsHabits formed may last a lifetime.Injury may have long term consequences

Skeletal Growth and Formation

Physis= growth plateApophysisVulnerable points, weak linkInjury can lead to deformityGrowth spurt issueShape of bonesOsgood schlatters bump, dancers turnout/hip, throwers ext rotation..10Growth arrest

Concept #3: Times are changing.Times are different and still changing.Shear numbers of participants growingIntensity of competition increasing.Free-play time decreasing.Sedentary time increasing, indoor distractions.Epiphany

Concept #4: Different kinds of kids.

Different kinds of kids.

Low, medium, and high.

What is the general level of fitness?

14Concept #5: what is training?Training allows for the adaption of structures 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 low to tolerate the load applied.

Concept #6: overuse injuries most common/ most preventableOveruse 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.


Enjoy the talks.