Shoulder Instability, Hip/Knee Sports Injury and Overuse Injuries

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.

Learning Objectives:

  1. 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
  2. Identify clinical signs and symptoms associated with ACL and meniscus tears and be comfortable with performing and interpreting a physical examination of the knee
  3. Gain an appreciation of the core concepts of treatment and prevention of overuse injuries in youth sports

Speakers:

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:

Content Disclaimer

The Terms of Use and Privacy Policy set forth on the website of The Children’s Hospital of Philadelphia apply to any and all uses of and access to this site and the content found here.

The work presented in the presentations, videos, and other content on this site (“Presentations”) includes publicly available medical evidence, a consensus of medical practitioners, and/or opinions of individual practitioners that may differ from consensus opinions. These Presentations are intended only to provide general information and need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, the availability of various resources at the health care institution where the patient is located, and other factors. The Presentations are not intended to constitute medical advice or treatment, nor should they be relied upon as such. The Presentations are not intended to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia, its physicians and the individual patients in question. The information contained in these Presentations are general in nature, and do not and are not intended to refer to specific patients.

CHOP, The Children’s Hospital of Philadelphia Foundation and its or their affiliates, the authors, presenters, practitioners, editors, and others associated with the creation of the Presentations (“CHOP”) are not responsible for errors or omissions in the Presentations; for any outcomes a patient might experience where a clinician reviewed one or more such Presentations in connection with providing care for that patient; and/or for any and all third party content on the site or in the Presentations. CHOP makes no warranty, expressed or implied, with respect to the currency, completeness, applicability or accuracy of the Presentations. Application of the information in or to a particular situation remains the professional responsibility of the practitioner who is directly treating the patient.

To the extent that the Presentations include information regarding drug dosing, in view of ongoing research, changes in government regulations and the constant flow of information relating to drug therapy and drug reactions, the viewer should not rely on the Presentation content, but rather is urged to check the package insert for each drug for indications, dosage, warnings and precautions.

Some drugs and medical devices presented in the Presentations have United States Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the practitioner to ascertain the FDA status of each drug or device planned for use in their clinical practice.

You shall indemnify, defend and hold harmless CHOP, The Children’s Hospital of Philadelphia Foundation, and its/their current and former employees, officers, and agents, trustees, and their respective successors, heirs and assigns (“Indemnitees”) against any claims, liability, damage, loss or expenses (including attorneys’ fees and expenses of litigation) in connection with any claims, suits, actions, demands or judgments arising directly or indirectly out of your reference to or use of the Presentations.

The Presentations are protected by copyright laws and in some cases patent laws, and all rights are reserved under such laws. No part of the Presentations may be reproduced in any form by any means, or utilized in any other way, absent prior written permission from the copyright owner.

 

By starting this module, you agree to our Content Disclaimer and Terms of Service.

Not Enrolled

Course Includes

  • 4 Lessons
  • Course Certificate