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Editorial Comment: Symposium: The 3rd Annual Meeting of Pediatric Research in Sports Medicine (PRISM)

Milewski, Matthew D. MD1,a; Chambers, Hank G. MD2

Clinical Orthopaedics and Related Research®: June 2017 - Volume 475 - Issue 6 - p 1561–1562
doi: 10.1007/s11999-017-5264-2
Symposium: The 3rd Annual Meeting of Pediatric Research in Sports Medicine (PRISM)
Free

1Connecticut Children's Medical Center, 399 Farmington Avenue, 06032, Farmington, CT, USA

2Children's Hospital, San Diego, CA, USA

ae-mail; mdmilewski@gmail.com

The authors certify that they, or any members of their immediate families, have no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request.

The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

In January 2016, the Pediatric Research in Sports Medicine (PRISM), a broad group of international orthopaedic surgeons, primary care providers, concussion researchers, physical therapists, certified athletic trainers, radiologists, and endocrine specialists met in San Diego, CA, USA to present their research and collaborative efforts for the group's 3rd annual meeting.

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Pediatric and adolescent sports injuries have increased as more young people, particularly young women, have become involved with formal structured sports participation, as opposed to “free play” [2]. This increase in the number of young injured athletes, as well as the diversity of pathology seen in this population, has given rise to pediatric and adolescent sports medicine—a rapidly growing subspecialty in not only orthopaedic surgery, but also in primary-care sports medicine, and in associated medical disciplines including radiology, nutrition, and endocrinology.

Although the treatment opportunities and options have increased in recent years, many providers still notice a dearth of quality evidence-based medicine for this patient population. Because some of the problems we treat are uncommon or rare, it is increasingly evident that multicenter collaboration will be necessary in order to produce high-quality evidence in pediatric and adolescent sports medicine. Our specialty demands improved basic science approaches and novel biomechanical and anatomical research methods that test our established interventions for musculoskeletal disorders such as osteochondritis dissecans, a disease that often presents in young active athletes [1]. We also need better surgical interventions for this young and active patient population; cadaver studies would be helpful, but such specimens in this age group are difficult to obtain for obvious reasons.

Finally, in order to recognize the emotional and societal impact of sports injuries in a young population, clinicians will need to adapt or tailor their patient-reported outcomes tools. Current patient reported outcomes (with the exception of the IKDC which has been adapted for pediatrics/adolescents) need to be applicable for a younger population. Better outcome measures will allow for better means to improve patient care.

Pediatric and adolescent sports medicine research continues to evolve and expand. This symposium highlights the collective nature of this dynamic and innovative group and introduces their collaboration to a broader audience. Our multidisciplinary “team” of sports medicine professionals is still growing, as is our support and focus on disseminating pediatric and adolescent sports medicine education and research.

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References

1. Nepple JJ, Milewski MD, Shea KG. Research in osteochondritis dissecans of the knee: 2016 Update. J Knee Surg. 2016;29:533-538 10.1055/s-0036-1586723.
2. Powell JS, Foss KDB. Injury patterns in selected high school sports: A review of the 1995-1997 seasons. J Athl Train. 1999;34:277-2841322923.
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