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The Child Athlete

The Child Athlete. Examination, Diagnosis, Treatment, and Prevention of Sports Injuries Unique to the child Athlete. Injuries unique to the Child Athlete. Macro trauma. Microtrauma. Broken Radius Ligament Injuries Avulsion Fractures. Overuse Injuries Severs Osgoods- Schlatters

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The Child Athlete

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  1. The Child Athlete Examination, Diagnosis, Treatment, and Prevention of Sports Injuries Unique to the child Athlete

  2. Injuries unique to the Child Athlete Macro trauma Microtrauma • Broken Radius • Ligament Injuries • Avulsion Fractures • Overuse Injuries • Severs • Osgoods- Schlatters • Salter-Harris Fractures

  3. Child Specific Injuries Increase in overuse injuries: Due to increase emphasis and participation in organized sports Inappropriate Coaching Lay people giving medical advise

  4. Uniqueness due to: Growth Spurts Growth cartilage: Injuries has different effects and requires different diagnosis and treatments Psychological vulnerability Susceptible to inappropriate coaching and training

  5. Growth Plate Injury Salter- Harris Fracture Growth Cartilage Injury May cause arrest of the growth process Limb length discrepancy

  6. Examination of Injured Athlete History: Trauma or Overuse

  7. Spine Injuries History: Trauma or Overuse Observation Inspection Rang of Motion

  8. Spine ( continued ) Provocative Tests: Kemps, Adams, Stork. Determine if it’s the Anterior or Posterior Elements a. Pars Interarticularis, Facet Joint, Pedicle, SI Joint.

  9. Knee examination Must begin at the Hip and end at the foot. Observation in standing posture: a. Frontal, Lateral, posterior Eval of posture, symetry and alignment Sitting Examination: Check patellar alignment, ACL integrity, Muscle imbalance. Joint line pain in heel to knee check.

  10. Knee ( continued ) Supine Exam: Lachmans, McMurrays, Varus/valgus Stress Look for ligamentous Injuries: If hemarthrosis strong indication of cruciate injury Cross Leg: Lateral Ligament, cartilage, popliteal tendon

  11. Knee ( prone ) Apleys Hip Extensors: Ely’s, Internal/external rotation. Internal rotation in flexed position: Slipped Capital Epiphysis

  12. Ankle Exam Sitting: Look for swelling Palpation medial, anterior talus, lateral ligaments( 85% ) ROM: Inversion, Eversion, Plantar Flexion, Dorsi Flexion Tests: Drawers, Varus stress

  13. Ankle Exam ( cont. ) Check for syndesmosis sprain Kneeling: Achilles, calcanius,metatarsalgia

  14. Foot Check for Navicular, 2nd metatarsal fracture Liz- Frank fracture Interosseus sprain Plantar fascitis

  15. Shoulder Examine in relation to spine: Range of Motion standing Provocative Tests: sitting, prone for stability.

  16. Reactive sympathetic Dystrophy • Clinical syndrome of excessive pain following surgery or injury • A. Most common in individual sports: Gymnastics, ice skating • B. Disorder of Autonomic Nervous System • C. Etiology unclear • D. Multiple Psychological complex

  17. Injury Prevention • Early detection key to overuse injuries • Growth spurts: Decrease training demands • Exercise programs: Resistance Training most important: Wayne Wescot

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