Clinical Pediatric Emergency Medicine
Volume 8, Issue 1 , Pages 31-42 , March 2007

Common Acute Sports-Related Lower Extremity Injuries in Children and Adolescents

  • Cynthia R. LaBella, MD

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence: Cynthia LaBella, MD, Institute for Sports Medicine, Children's Memorial Hospital, Chicago, IL 60614.

References 

  1. Jackson DW, Faegin JA. Quadriceps contusions in young athletes. J Bone Joint Surg. 1973;55A:95–105
  2. Ryan JB, Wheeler JH, Hopkinson WJ, et al. Quadriceps contusions: West Point update. Am J Sports Med. 1991;2:167–182
  3. Jarvinen M, Lehto M, Sorvari T, et al. Effect of some anti-inflammatory agents on the healing of ruptured muscle: an experimental study in rats. J Sports Traumatol. 1992;14:19–28
  4. Mishra DK, Friden J, Schmitz MC, et al. Anti-inflammatory medication after muscle injury: a treatment resulting in short-term improvement but subsequent loss of muscle function. J Bone Joint Surg. 1995;77A:1510–1519
  5. Sherry MA, Best TM. A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. J Orthop Sports Phys Ther. 2004;34:116–125
  6. Heiser TM, Weber J, Sullivan G, et al. Prophylaxis and management of hamstring muscle injuries intercollegiate football players. Am J Sports Med. 1984;12:368–370
  7. Garrick JG. The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med. 1977;5:241–242
  8. Fallat L, Grimm DJ, Saracco JA. Sprained ankle syndrome: prevalence and analysis of 639 acute injuries. J Foot Ankle Surg. 1998;37:280–285
  9. Casillas MM. Ligamentous injuries of the foot and ankle in adult athletes. In:  DeLee JC,  Drez D,  Miller MD editor. DeLee and Drez's orthopedic sports medicine: principles and practice. 2nd ed.. Philadelphia, PA: WB Saunders; 2003;p. 2323–2376
  10. van Dijk CN, Mol BW, Lim LS, et al. Diagnosis of ligament rupture of the ankle joint. Physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion trauma. Acta Orthop Scand. 1996;67:566–570
  11. Steill IG, Greenberg GH, McKnight RD, et al. Decision rules for use of radiography in acute ankle injuries: refinement and prospective validation. JAMA. 1993;269:1127–1132
  12. Clark KD, Tanner S. Evaluation of the Ottawa ankle rules in children. Pediatr Emerg Care. 2003;19:73–78
  13. Dahners LE, Gilbert JA, Lester GE, et al. The effect of a nonsteroidal antiinflammatory drug on the healing of ligaments. Am J Sports Med. 1988;16:641–646
  14. Hanson CA, Weinhold PS, Afshari HM, et al. The effect of analgesic agents on the healing rat medial collateral ligament. Am J Sports Med. 2005;33:674–679
  15. Dupont M, Beliveau P, Theriault G. The efficacy of anti-inflammatory medication in the treatment of the acutely sprained ankle. Am J Sports Med. 1987;15:41–45
  16. Woo SLY, Inoue M, McGurk-Burleson E, et al. Treatment of the medial collateral ligament injury, II: structure and function of canine knees in response to differing treatment regimens. Am J Sports Med. 1987;15:22–29
  17. Woo SLY, Gomez MA, Sites TJ, et al. The biomechanical and morphological changes in the medial collateral ligament of the rabbit after immobilization and remobilization. J Bone Joint Surg Am. 1987;69:1200–1211
  18. Ardevol J, Bolibar I, Belda V, et al. Treatment of complete rupture of the lateral ligaments of the ankle: a randomized clinical trial comparing cast immobilization with functional treatment. Knee Surg Sports Traumatol Arthrosc. 2002;10:371–377
  19. Jackson DW, Ashley RL, Powell JW. Ankle sprains in young athletes. Relation of severity and disability. Clin Orthop. 1974;101:201–215
  20. Linde F, Hvass I, Jurgensen U, et al. Early mobilizing treatment in lateral ankle sprains. Course and risk factors for chronic painful or function-limiting ankle. Scand J Rehabil Med. 1986;18:17–21
  21. McKay GD, Goldie PA, Payne WR, et al. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med. 2001;35:103–108
  22. Thacker SB, Stroup DF, Branche CM, et al. The prevention of ankle sprains in sports: a systematic review of the literature. Am J Sports Med. 1999;27:753–760
  23. Boytim MJ, Fischer DA, Neumann L. Syndesmotic ankle sprains. Am J Sports Med. 1991;19:294–298
  24. Boden BP, Dean GS, Faegin JA, et al. Mechanisms of anterior cruciate ligament injury. Orthopedics. 2000;23:573–578
  25. McNair PJ, Marshall RN, Matheson JA. Important features associated with acute anterior cruciate ligament injury. N Z Med J. 1990;103:537–539
  26. Micheli LJ, Metzl JD, DiCanzio J, et al. Anterior cruciate ligament reconstructive surgery in adolescent soccer and basketball players. Clin J Sport Med. 1999;9:138–141
  27. Emery CA, Meeuwisse WH, Hartmann SE. Evaluation of risk factors for injury in adolescent soccer: implementation and validation of an injury surveillance system. Am J Sports Med. 2005;33:1882–1891
  28. Messina DF, Farney WC, DeLee JC. The incidence of injury in Texas high school basketball. A prospective study among male and female athletes. Am J Sports Med. 1999;27:294–299
  29. Arendt E, Dick R. Knee injury patterns among men and women in collegiate basketball and soccer: NCAA data and review of literature. Am J Sports Med. 1995;23:694–701
  30. Shea KG, Pfeiffer R, Wang JH, et al. Anterior cruciate ligament injury in pediatric and adolescent soccer players: an analysis of insurance data. J Pediatr Orthop. 2004;24:623–628
  31. Hewett TE, Meyer GD, Ford KR. Anterior cruciate ligament injuries in female athletes: part 1, mechanisms and risk factors. Am J Sports Med. 2005;34:299–311
  32. Hewett TE, Lindenfeld TN, Riccobene JV, et al. The effect of neuromuscular training on the incidence of knee injury in female athletes. Am J Sports Med. 1999;27:699–705
  33. Malinzak RA, Colby SM, Kirkendall DT, et al. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clin Biomech. 2001;16:438–445
  34. Chappell JD, Yu B, Kirkendall DT, et al. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. Am J Sport Med. 2002;30:261–267
  35. Lephart SM, Ferris CM, Riemann BL, et al. Gender differences in strength and lower extremity kinematics during landing. Clin Orthop. 2002;401:162–169
  36. Hewett TE, Meyer GD, Ford KR, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes. Am J Sport Med. 2005;33:492–501
  37. McLean SG, Lipfert SW, van den Bogart A. Effect of gender and defensive opponent on the biomechanics of sidestep cutting. Med Sci Sports Exerc. 2004;36:1008–1016
  38. Heidt RS, Sweeterman LM, Carlonas RL, et al. Avoidance of soccer injuries with preseason conditioning. Am J Sports Med. 2000;28:659–662
  39. Myklebust G, Engebretsen L, Braekken IH, et al. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003;13:71–78
  40. Mandelbaum BR, Silvers HJ, Watanabe DS, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sport Med. 2005;33:1003–1010
  41. Olsen OE, Myklebust G, Engebresten L, et al. Exercises to prevent lower limb injuries in youth sports: cluster randomized controlled trial. BMJ. 2005;330:449
  42. Erickson MA, Schmale GA. Medial ligament injuries in children. In:  DeLee JC,  Drez D,  Miller MD editor. DeLee and Drez's orthopedic sports medicine: principles and practice. 2nd ed.. Philadelphia, PA: WB Saunders; 2003;p. 1949–1968
  43. Scholten RJ, Opstelten W, van der Plas CG, et al. Accuracy of physical diagnostic tests for assessing ruptures of the anterior cruciate ligament: a meta-analysis. J Fam Pract. 2003;52:689–694
  44. Swirtun LR, Jansson A, Renstrom P. The effects of a functional knee brace during early treatment of patients with a nonoperated acute anterior cruciate ligament tear: a prospective randomized study. Clin J Sport Med. 2005;15:299–304
  45. Martin TJ and the American Academy of Pediatrics Committee on Sports Medicine and Fitness. Knee brace use in the young athlete—technical report. Pediatrics. 2001;108:503–507
  46. Atkin DM, Fithian DC, Marangi KS, et al. Characteristics of patients with acute lateral patellar dislocation and their recovery within the first 6 months of injury. Am J Sports Med. 2000;28:472–479
  47. Nietosvaara Y, Aalto K, Kallio PE. Acute patellar dislocation in children: incidence and associated osteochondral fractures. J Pediatr Orthop. 1994;14:513–515
  48. Fithian DC, Paxton EW, Stone ML, et al. Epidemiology and natural history of acute patellar dislocation. Am J Sports Med. 2004;32:1114–1121
  49. Stanitski CL, Paletta GA. Articular cartilage injury with acute patellar dislocation in adolescents: arthroscopic and radiographic correlation. Am J Sports Med. 1998;26:52–55
  50. Nomura E, Inoue M, Kurimura M. Chondral and osteochondral injuries associated with acute patellar dislocation. Arthroscopy. 2003;19:717–721
  51. MacNab I. Recurrent dislocation of the patella. J Bone Joint Surg Br. 1952;34:957–967
  52. Cofield RH, Bryan RS. Acute dislocation of the patella: results of conservative treatment. J Trauma. 1977;17:526–531
  53. Hawkins RJ, Bell RH, Anisette G. Acute patellar dislocations: the natural history. Am J Sports Med. 1986;14:117–120
  54. Cherf J, Paulos LE. Bracing for patellar instability. Clin Sports Med. 1990;9:813–821
  55. Moeller JL. Pelvic and hip apophyseal avulsion injuries in young athletes. Curr Sports Med Rep. 2003;2:110–115
  56. Tolo V. Fractures and dislocations about the knee. In:  Green NE,  Swiontkowski MF editor. Skeletal Trauma in Children. Philadelphia, PA: WB Saunders; 1988;p. 444–447
  57. Meyers MH, McKeever FM. Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am. 1959;41:209–222
  58. Willis RB, Blokker C, Stoll TM, et al. Long-term follow-up of anterior tibial eminence fractures. J Pediatr Orthop. 1993;13:361–364
  59. Accousti WK, Willis RB. Tibial eminence fractures. Orthop Clin North Am. 2003;34:365–375
  60. Dameron TB. Fractures and anatomical variations of the proximal portion of the fifth metatarsal. J Bone Joint Surg Am. 1975;57:788–792
  61. Canale ST, Williams KD. Iselin's disease. J Pediatr Orthop. 1992;12:90–93
  62. Rammelt S, Heineck J, Zwipp H. Metatarsal fractures. Injury. 2004;35(Suppl. 2):SB77–SB86
  63. Koester MC, Spindler KP. Pharmacologic agents in fracture healing. Clin Sports Med 2006;25:63-73, viii.
  64. Wheeler P, Batt ME. Do non-steroidal anti-inflammatory drugs adversely affect stress fracture healing? A short review. Br J Sports Med. 2005;39:65–69
  65. Clarke S, Lecky F. Best evidence topic report. Do non-steroidal anti-inflammatory drugs cause a delay in fracture healing. Emerg Med J. 2005;22:652–653

PII: S1522-8401(07)00011-0

doi: 10.1016/j.cpem.2007.02.010

Clinical Pediatric Emergency Medicine
Volume 8, Issue 1 , Pages 31-42 , March 2007

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