Shoulder Instability Lecture Summary:
A traumatic shoulder dislocation is one of the most common shoulder related injuries in adolescents. While non-operative treatment with a sling followed by physical therapy is usually the initial treatment recommendation for the treatment of shoulder instability, adolescent athletes have a >90% risk of re-dislocation and only ~60% chance of making it through the rest of the season with this approach. If they dislocate their shoulder again, every dislocation increases the risk for long term arthritic damage and decreases the success rate of surgical intervention. Arthroscopic Bankart repair, using modern suture anchor techniques, can restore the normal anatomy, has a low recurrence rate, allows successful return to sports and greatly enhances long-term quality of life. Because of these advantages, early arthroscopic treatment is ultimately the most cost-effective treatment option for males <24 years old and females < 18 years old following an initial traumatic shoulder dislocation.
Knee Injury Lecture Summary:
Anterior cruciate ligament (ACL) and meniscus injuries are common in the pediatric and adolescent population with increasing incidence with participation in sport. Recognizing injury and expediting management are important when caring for these patients. Surgical techniques are respectful of the growing patient and rehabilitation is focused on injury prevention in this unique high risk patient population. As a medical community, our understanding of pediatric and adolescent ACL and meniscus injuries continues to advance and develop.
Overuse Injuries Lecture Summary:
Sport specialization has become increasingly common in young athletes, with many participating in a single sport year-round with inadequate time for rest and recovery. Overuse injuries may account for half of all sports injuries in middle and high school athletes. If left untreated these injuries can have significant long-term consequences. In some cases athletes should be screened for underlying conditions that can predispose to overuse injuries such as low bone density or nutritional deficiencies.
- Describe the impact of an initial non-operative treatment decision vs an initial operative treatment approach on the long-term quality of life for the adolescent with a first-time shoulder dislocation
- Identify clinical signs and symptoms associated with ACL and meniscus tears and be comfortable with performing and interpreting a physical examination of the knee
- Gain an appreciation of the core concepts of treatment and prevention of overuse injuries in youth sports
This seminar focuses on orthopaedics and was delivered at a virtual event titled, “Sports Medicine Update: Shoulder Instability, Hip/Knee Sports Injury and Overuse Injuries ,” on July 29, 2021.
Additional CHOP Resources:
- Sports Medicine and Performance Center
- Division of Orthopaedics
- Upcoming Healthcare Professionals Events
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