Elbow injuries in young athletes are becoming an increasing concern for orthopedic sports medicine specialists, but imaging is frequently complicated. The purpose of this study was to assess MRI in imaging ligaments, plicae, and cartilage in 65 pediatric and adolescent patients. 9 MRIs (13%) did not allow assessment because of poor quality.
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Ligamentous structures are more robust than bone. Therefore, avulsion fractures are more common in children. This principle is seen in bony avulsion fractures of the anterior cruciate ligament in children. Diagnostics include conventional radiographs as well as an MRI to evaluate further intra-articular injuries.
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During puberty, when growth accelerates, physis are weak and at risk for slippage. The slipped capital femoral epiphysis is often misdiagnosed. It should be considered even if the patient’s symptoms are not typical. The diagnosis can usually be made on conventional x-rays in two planes.
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Overuse injuries are undoubtedly one of the most frequent cause of pain in adolescent athletes which can result in limitation in sport activities and competition, prolonged pain and psychological consequences. We see different forms of this condition regarding the anatomical region at insertion sites of major tendons.
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Pediatric and adolescent athletes have a high risk for elbow problems. In most cases these problems are due to overuse and can heal if diagnosed in time and treated with avoiding further overload. Traumatic elbow problems are less frequent and because of their often subtle symptoms they are at risk of underdiagnosis.
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The shoulder is a particularly vulnerable joint in sports, and especially so in children and adolescents. The normal hypermobility during growth needs to be differentiated from pathological instability. Overuse injury has to be avoided or treated. Some injuries are specific for childhood and adolescence and need to be treated with a specific and age appropriate approach.
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«Kinder sind keine kleinen Erwachsenen.» Dieser Ausdruck geistert durch viele medizinische Diskussionen. Doch was sind denn Kinder nun? Wo liegt der Unterschied zu den «Grossen», den Erwachsenen – oder sind dies nur lasche Sprüche ohne Basis?
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In den letzten eineinhalb Jahren wurde ich vielfach gefragt, ob die sportpsychologische Beratung von Sportlerinnen und Sportlern im Rahmen der Pandemie weiter in Anspruch genommen wurde und ob die Anliegen in dieser Zeit andere waren. Die Antwort lautet auf beide Fragen «ja».
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Dans cet article, l’autrice principale et son co-auteur masculin nous apprennent sur la base d’une analyse objective de données réelles des activités scientifiques de la Société Suisse de Médecine du sport que le sexe féminin est largement sous représenté dans tous les domaines investigués (orateur invité au congrès, conférencier, premier auteur d’article de la revue, éditorialiste, vainqueur du prix scientifique principal et de celui réservé aux jeunes). Les chiffres mentionnés sont clairs, peu surprenant, et remarque masculine, présentés de manière indiscutable et objective, sans aucune polémique.
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Fatigue is a frequent complaint, felt by the adolescent athlete or expressed by his or her sporting, family or school environment. The factors of this fatigue are multiple and require a holistic analysis of the situation. On the basis of the described psychological and situational factors, we will provide practical recommendations to support the adolescent athlete. We will discuss recovery, organisation and prevention strategies. These recommendations can provide the foundation for treatment in a multidisciplinary way.
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