Children are currently involved in various sports at different intensity levels in record numbers. Injuries are occurring at an increasing rate because of this surge of organized athletic activity. Accompanying this rise in injury incidence is a proportional growth in diagnostic and treatment options, which have been addressed quite well in this issue of Sports Medicine and Arthroscopy Review.
Youth sports injuries are synonymous with overuse injuries the majority of the time. Heyworth has outlined common overuse injuries affecting these young people, including extrinsic and intrinsic factors, as the genesis of this challenging problem. Treatment of young athletes with anterior cruciate ligament injuries has also been a topic with much interest and continues to evolve, encompassing more novel techniques and graft choices. Albright discusses these advances along with use of quadriceps tendon autograft in this population.
Ankle, hip, and spine injuries present often nagging issues that are not easily resolved. Klingele, Rosneck, and Goodwin have very expertly outlined the current diagnostic and treatment alternatives for these difficult problems.
Smucny, Kolmodin, and Bessette have nicely addressed the very broad topics of shoulder, elbow, and patellofemoral issues in these young athletes, encompassing components of overuse, instability, pain, and osteochondritis dessicans among others.
Finally, Paterno’s review on unique rehabilitation issues in this age group is quite timely, and is based on nuances that must be taken into account on the basis of real differences in outcomes of surgical procedures stratified by age. He assists us in determining and minimizing these potential pitfalls.
The reviews have been well organized and thoroughly address each topic, which will serve as an excellent reference for physicians who care for the pediatric and adolescent athlete.