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 Vol. 29 No. 3, March 2008
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(Pediatrics in Review. 2008;29:75-85.)
© 2008 American Academy of Pediatrics

Managing Sports Injuries in the Pediatric Office


Jordan D. Metzl, MD*
 * Assistant Professor, Department of Pediatrics, Hospital for Special Surgery, Cornell Medical College, New York, NY

The first 300 words of the full text of this article appear below.


   Objectives
 
After completing this article, readers should be able to:

  1. Describe the current management of concussion.
  2. Delineate the prescription for treatment of acute ankle injuries and prevention of subsequent injuries.
  3. Describe appropriate handling of neck injuries to avoid additional damage.
  4. Discuss the likelihood of sustaining an ankle injury if the patient has had a previous ankle injury.
  5. Recognize which sports are more closely associated with head injury than others.


   Introduction
 
With increasing numbers of young athletes participating in sports activities across the United States, the issues of sports participation, sports safety, and specific return-to-play decisions have become more common in the pediatric office. Athletic patients and their families are turning increasingly toward the pediatrician for guidance and safe decision-making regarding sports participation and injury prevention.

This article examines specific issues that pediatricians and pediatric residents in training should encounter during the practice of general pediatric medicine. These issues include concussion, cervical spine injury, and ankle injury. Case-based teaching examples are used to illustrate teaching points.


   Current Management of Concussion
 
     Case #1: Head Injury
A 15-year-old soccer player comes to her pediatrician for follow-up 1 day after suffering a head injury during a soccer game. She sustained a head-to-head collision with another player and quickly developed a headache. She tried to continue playing but was having difficulty remembering her position and on-field responsibilities. She did not lose consciousness. She came off the field voluntarily, was evaluated by the athletic trainer on the sideline, and was removed from the soccer game. Her parents were worried and took her to the emergency department, where she was evaluated. A computed tomography scan was negative for subdural or epidural hematoma.

Closed-head injury is a common medical problem in young athletes who play in high- and medium-contact sports (Table 1). Unfortunately, the majority of concussive episodes in young athletes are not reported, but the . . . [Full Text of this Article]






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