Transcript The Child Athlete - Fetterman Events

Examination, Diagnosis, Treatment, and Prevention of
Sports Injuries Unique to the child Athlete
Injuries unique to the Child Athlete
Macro trauma
Microtrauma
 Broken Radius
 Overuse Injuries
 Ligament Injuries
 Severs
 Avulsion Fractures
 Osgoods- Schlatters
 Salter-Harris Fractures
Increase in overuse injuries: Due to increase emphasis and participation in organized sports
Inappropriate Coaching
Lay people giving medical advise
Growth Spurts
Growth cartilage: Injuries has different effects and requires different
diagnosis and treatments
Psychological vulnerability
Susceptible to inappropriate coaching and training
Salter- Harris Fracture
Growth Cartilage Injury
May cause arrest of the growth process
Limb length discrepancy
History: Trauma or Overuse
History: Trauma or Overuse
Observation
Inspection
Rang of Motion
Provocative Tests: Kemps, Adams, Stork.
Determine if it’s the Anterior or Posterior Elements
a. Pars Interarticularis, Facet Joint, Pedicle, SI Joint.
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.
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
Apleys
Hip Extensors: Ely’s, Internal/external rotation.
Internal rotation in flexed position: Slipped Capital Epiphysis
Sitting: Look for swelling
Palpation medial, anterior talus, lateral ligaments( 85% )
ROM: Inversion, Eversion, Plantar Flexion, Dorsi Flexion
Tests: Drawers, Varus stress
Check for syndesmosis sprain
Kneeling: Achilles, calcanius,metatarsalgia
Check for Navicular, 2nd metatarsal fracture
Liz- Frank fracture
Interosseus sprain
Plantar fascitis
Examine in relation to spine:
Range of Motion standing
Provocative Tests: sitting, prone for stability.
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
Injury Prevention
 Early detection key to overuse injuries
 Growth spurts: Decrease training demands
 Exercise programs: Resistance Training most
important: Wayne Wescot