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Age and Sex Differences in Overuse Injuries Presenting to Pediatric Sports Medicine Clinics
Amy Elizabeth Valasek, MD, MS, Julie A. Young, MA, ATC, Lihong Huang, MD, PhD, ...
Clinical Pediatrics March 22, 2019
Pediatric overuse injuries present with a gradual mechanism of onset and an underlying pathogenesis of microtrauma. We evaluated the clinical presentation of pediatric sports injuries to determine if differences exist between age and sex. A retrospective chart review was performed over a 6-year period; 6593 overuse injuries were included with the mean age of 13.4 years. Males presented with a greater proportion of apophysis, physis, and articular cartilage injuries (P < .01). Females presented with greater bone, tendon, and “other” injuries (P < .01). Children <9 years of age demonstrated apophysis and physis injuries. Conversely, children older than 15 years of age presented with tendon, bone, bursa, and other (P < .01) overuse injuries. A significant number of pediatric athletes in this cohort reported playing through pain prior to clinical evaluation. Injury prevention programs need to educate children, and a red flag should be raised when pediatric athletes are participating with pain.
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