Healthy Sports in Young Athletes

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  • We have never had an epidemic like this that we have been able to track so thoroughly and see. As I told you, this is conservative. About 60 million adults, or 30 percent of the adult population, are now obese, which represents a doubling of the rate since 1980.
  • We have never had an epidemic like this that we have been able to track so thoroughly and see. As I told you, this is conservative. About 60 million adults, or 30 percent of the adult population, are now obese, which represents a doubling of the rate since 1980.
  • We have never had an epidemic like this that we have been able to track so thoroughly and see. As I told you, this is conservative. About 60 million adults, or 30 percent of the adult population, are now obese, which represents a doubling of the rate since 1980.
  • 660655. Michelsen. Gymnasts wrist with ulnolunat impaction.
  • Healthy Sports in Young Athletes

    1. 1. Program Agenda <ul><li>Welcome </li></ul><ul><li>Common Injuries and Issues in Adolescents (Metzl) </li></ul><ul><li>Dynamic Warmup (Fitzgerald) </li></ul><ul><li>Concussion Update (Metzl) </li></ul><ul><li>ACL Prevention (Chaia, Demille) </li></ul><ul><li>Mouthguard Use in Sports (Martin) </li></ul><ul><li>Nutrition, Hydration, and Cramping (Skolnic) </li></ul><ul><li>Sports and Academic Balance (Duff) </li></ul>
    2. 2. Healthy Sports in Young Athletes Keys to Prevention and Safety Jordan D. Metzl, MD Hospital for Special Surgery
    3. 3. <ul><li>HSS educational activities are carried out in a manner that serves the educational component of our Mission. </li></ul><ul><li>As faculty we are committed to providing transparency in any/all external relationships prior to giving an academic presentation. </li></ul><ul><li>Jordan D. Metzl, MD </li></ul><ul><li>Hospital for Special Surgery </li></ul><ul><li>I Do Not have a financial relationship with any commercial interest. </li></ul>
    4. 4. Kids are not simply small adults
    5. 5. Little League Shoulder
    6. 6. Sports Grading <ul><li>High Contact </li></ul><ul><ul><li>1) Football </li></ul></ul><ul><ul><li>2) Soccer </li></ul></ul><ul><ul><li>3) Lacrosse </li></ul></ul><ul><ul><li>4) Ice Hockey </li></ul></ul><ul><ul><li>5) Field Hockey </li></ul></ul><ul><ul><li>6) Wrestling </li></ul></ul><ul><ul><li>7) Rugby </li></ul></ul><ul><ul><li>8) Basketball </li></ul></ul>
    7. 7. Sports Grading <ul><li>Medium Contact </li></ul><ul><ul><li>Baseball </li></ul></ul><ul><ul><li>Cheerleading </li></ul></ul><ul><ul><li>Fencing </li></ul></ul><ul><ul><li>Figure Skating </li></ul></ul><ul><ul><li>Skiing </li></ul></ul><ul><ul><li>Softball </li></ul></ul><ul><ul><li>Gymnastics </li></ul></ul>
    8. 8. Sports Grading <ul><li>Noncontact Sports </li></ul><ul><ul><li>Dancing </li></ul></ul><ul><ul><li>Running </li></ul></ul><ul><ul><li>Strength Training </li></ul></ul><ul><ul><li>Tennis </li></ul></ul><ul><ul><li>Swimming </li></ul></ul>
    9. 9. The Young Athlete <ul><li>Mind </li></ul><ul><ul><li>Competition </li></ul></ul><ul><ul><li>Participation </li></ul></ul><ul><li>Body </li></ul><ul><ul><li>Injury </li></ul></ul><ul><ul><li>Recognition and prevention </li></ul></ul><ul><li>Performance Enhancing Drugs </li></ul>
    10. 10. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14%
    11. 11. Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14%
    12. 12. Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14%
    13. 13. Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14%
    14. 14. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14%
    15. 15. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14%
    16. 16. Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19%
    17. 17. Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19%
    18. 18. Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19%
    19. 19. Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19%
    20. 20. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19%
    21. 21. Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19%
    22. 22. Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% ≥20
    23. 23. Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% ≥20
    24. 24. Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% ≥20
    25. 25. Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% ≥20
    26. 26. Obesity Trends* Among U.S. Adults BRFSS, 2001 No Data <10% 10%–14% 15%–19% 20%–24% ≥25% (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
    27. 27. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. Adults BRFSS, 2002 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
    28. 28. Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
    29. 29. Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
    30. 30. Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
    31. 31. Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
    32. 32. Fit For Life
    33. 33. Healthy Sports Parenting <ul><li>It’s him or her, not me! </li></ul><ul><li>Sideline etiquette </li></ul><ul><li>Value of competition </li></ul><ul><li>Perspective </li></ul><ul><li>Excess competition </li></ul><ul><li>“ Warning signs” </li></ul><ul><ul><li>Parents </li></ul></ul><ul><ul><li>Kids </li></ul></ul>
    34. 34. High School Sports Participants 1972-2006
    35. 35. When is it Serious? <ul><li>Pain </li></ul><ul><li>Inability to perform tasks </li></ul><ul><li>Limiting performance </li></ul>
    36. 36. Acute Traumatic Injury <ul><li>Soccer </li></ul><ul><li>Basketball </li></ul><ul><li>Lacrosse </li></ul><ul><li>Field Hockey </li></ul><ul><li>Gymnastics </li></ul>
    37. 37. Knee Injuries - ACL <ul><li>Female ACL </li></ul><ul><ul><li>3-4 times more common than males </li></ul></ul><ul><ul><li>College, High School studies </li></ul></ul><ul><li>Recognizing injury </li></ul><ul><li>Prevention </li></ul><ul><li>www.aclprevent.com </li></ul>
    38. 38. Overuse Injury: When is it Serious? <ul><li>Pain </li></ul><ul><li>Inability to perform tasks </li></ul><ul><li>Limiting performance </li></ul>
    39. 39. Overuse Injury (Physeal): Wrist Pain in a Gymnast <ul><li>11 year old gymnast </li></ul><ul><li>6 months of worsening wrist pain </li></ul><ul><li>Pain with vault, hand stand </li></ul><ul><li>Worsening with activity </li></ul>
    40. 40. Wrist Pain in an 11 year-old gymnast
    41. 41. Bone Overuse Injury in the Athlete Activity Biomechanics Bone Density
    42. 42. Anabolic Steroid Use in Youth Sports <ul><li>Buckley et al, 1988, 6.6% user-rate in HS seniors </li></ul><ul><li>Johnson et al, 1988, 11% user-rate, HS juniors </li></ul><ul><li>Faigenbaum et al, 1998, 2.7% user-rate, middle school </li></ul>

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