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General Aspects of Sports in Adolescents with a Special Focus on Knee Injuries in the Adolescent Handball Player

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Handball Sports Medicine
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Abstract

Knees in children and adolescents cannot be compared to adults’ knees. Due to the large physiological changes occurring in and around the knee at this age, knee injuries in children are very specific. Adolescence is typically the age period where sports training load and performance increases significantly and where external forces applied to the knee joint become comparable to adult joint loads. On the other hand, the young athletes’ body and mind are not comparable to an adult population. Several so-called pediatric diseases may still be present. Therefore, it is of utmost importance that parents, coaches, team staff, and decision-makers in clubs, sports schools, and federations who share responsibilities of adolescent handball players are aware of the fact that this age group has some particularities which make them susceptible to sustain specific injuries. The current chapter provides an overview of some general aspects in youth sports with a special focus on knee injuries and diseases but also on existing knowledge gaps.

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References

  1. Mountjoy M, Armstrong N, Bizzini L, Blimkie C, Evans J, Gerrard D, et al. IOC consensus statement: “training the elite child athlete”. Br J Sports Med. 2008;42(3):163–4.

    Article  CAS  Google Scholar 

  2. Kahl H, Dortschy R, Ellsäßer G. Verletzungen bei Kindern und Jugendlichen (1–17 Jahre) und Umsetzung von persönlichen Schutzmaßnahmen. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2007;50(5):718–27.

    Article  CAS  Google Scholar 

  3. Malisoux L, Frisch A, Urhausen A, Seil R, Theisen D. Injury incidence in a sports school during a 3-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2013;21(12):2895–900.

    Article  Google Scholar 

  4. Malisoux L, Frisch A, Urhausen A, Seil R, Theisen D. Monitoring of sport participation and injury risk in young athletes. J Sci Med Sport. 2013;16(6):504–8.

    Article  Google Scholar 

  5. Theisen D, Frisch A, Malisoux L, Urhausen A, Croisier JL, Seil R. Injury risk is different in team and individual youth sport. J Sci Med Sport. 2013;16(3):200–4.

    Article  Google Scholar 

  6. Moller M, Attermann J, Myklebust G, Wedderkopp N. Injury risk in Danish youth and senior elite handball using a new SMS text messages approach. Br J Sports Med. 2012;46(7):531–7.

    Article  Google Scholar 

  7. Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury pattern in youth team handball: a comparison of two prospective registration methods. Scand J Med Sci Sports. 2006;16(6):426–32.

    Article  Google Scholar 

  8. Mayer F, Bonaventura K, Cassel M, Mueller S, Weber J, Scharhag-Rosenberger F, et al. Medical results of preparticipation examination in adolescent athletes. Br J Sports Med. 2012;46(7):524–30.

    Article  Google Scholar 

  9. Beighton P, Horan F. Orthopaedic aspects of the Ehlers-Danlos syndrome. J Bone Joint Surg Br. 1969;51(3):444–53.

    Article  CAS  Google Scholar 

  10. Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis. 1973;32(5):413–8.

    Article  CAS  Google Scholar 

  11. Vaeyens R, Malina RM, Janssens M, Van Renterghem B, Bourgois J, Vrijens J, et al. A multidisciplinary selection model for youth soccer: the Ghent Youth Soccer Project. Br J Sports Med. 2006;40(11):928–34. discussion 934

    Article  CAS  Google Scholar 

  12. Watkins J, Peabody P. Sports injuries in children and adolescents treated at a sports injury clinic. J Sports Med Phys Fitness. 1996;36(1):43–8.

    CAS  PubMed  Google Scholar 

  13. DiFiori JP, Caine DJ, Malina RM. Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast. Am J Sports Med. 2006;34(5):840–9.

    Article  Google Scholar 

  14. Adams JE. Little league shoulder: osteochondrosis of the proximal humeral epiphysis in boy baseball pitchers. Calif Med. 1966;105(1):22–5.

    CAS  PubMed  PubMed Central  Google Scholar 

  15. Dotter WE. Little leaguer's shoulder: a fracture of the proximal epiphysial cartilage of the humerus due to baseball pitching. Guthrie Clin Bull. 1953;23(1):68–72.

    CAS  PubMed  Google Scholar 

  16. Cahuzac JP, Vardon D, Sales de Gauzy J. Development of the clinical tibiofemoral angle in normal adolescents. A study of 427 normal subjects from 10 to 16 years of age. J Bone Joint Surg Br. 1995;77(5):729–32.

    Article  CAS  Google Scholar 

  17. Thijs Y, Bellemans J, Rombaut L, Witvrouw E. Is high-impact sports participation associated with bowlegs in adolescent boys? Med Sci Sports Exerc. 2012;44(6):993–8.

    Article  Google Scholar 

  18. Cook SD, Lavernia CJ, Burke SW, Skinner HB, Haddad RJ Jr. A biomechanical analysis of the etiology of tibia vara. J Pediatr Orthop. 1983;3(4):449–54.

    Article  CAS  Google Scholar 

  19. Wild CY, Munro BJ, Steele JR. How young girls change their landing technique throughout the adolescent growth spurt. Am J Sports Med. 2016;44(5):1116–23.

    Article  Google Scholar 

  20. Ahlden M, Samuelsson K, Sernert N, Forssblad M, Karlsson J, Kartus J. The Swedish National Anterior Cruciate Ligament Register: a report on baseline variables and outcomes of surgery for almost 18,000 patients. Am J Sports Med. 2012;40(10):2230–5.

    Article  Google Scholar 

  21. Engebretsen L, Forssblad M. Why knee ligament registries are important. Knee Surg Sports Traumatol Arthrosc. 2009;17(2):115–6.

    Article  Google Scholar 

  22. Granan LP, Bahr R, Steindal K, Furnes O, Engebretsen L. Development of a national cruciate ligament surgery registry: the Norwegian National Knee Ligament Registry. Am J Sports Med. 2008;36(2):308–15.

    Article  Google Scholar 

  23. Granan LP, Forssblad M, Lind M, Engebretsen L. The Scandinavian ACL registries 2004-2007: baseline epidemiology. Acta Orthop. 2009;80(5):563–7.

    Article  Google Scholar 

  24. Granan LP, Inacio MC, Maletis GB, Funahashi TT, Engebretsen L. Sport-specific injury pattern recorded during anterior cruciate ligament reconstruction. Am J Sports Med. 2013;41(12):2814–8.

    Article  Google Scholar 

  25. Lind M, Menhert F, Pedersen AB. The first results from the Danish ACL reconstruction registry: epidemiologic and 2 year follow-up results from 5,818 knee ligament reconstructions. Knee Surg Sports Traumatol Arthrosc. 2009;17(2):117–24.

    Article  Google Scholar 

  26. Myklebust G, Maehlum S, Engebretsen L, Strand T, Solheim E. Registration of cruciate ligament injuries in Norwegian top level team handball. A prospective study covering two seasons. Scand J Med Sci Sports. 1997;7(5):289–92.

    Article  CAS  Google Scholar 

  27. Myklebust G, Maehlum S, Holm I, Bahr R. A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports. 1998;8(3):149–53.

    Article  CAS  Google Scholar 

  28. Myklebust G, Skjolberg A, Bahr R. ACL injury incidence in female handball 10 years after the Norwegian ACL prevention study: important lessons learned. Br J Sports Med. 2013;47(8):476–9.

    Article  Google Scholar 

  29. Seil R, Mouton C, Theisen D. How to get a better picture of the ACL injury problem? A call to systematically include conservatively managed patients in ACL registries. Br J Sports Med. 2016;50(13):771–2.

    Article  Google Scholar 

  30. Kellenberger R, von Laer L. Nonosseous lesions of the anterior cruciate ligaments in childhood and adolescence. Prog Pediatr Surg. 1990;25:123–31.

    Article  CAS  Google Scholar 

  31. Meyers MH, McKeever FM. Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am. 1970;52(8):1677–84.

    Article  CAS  Google Scholar 

  32. Zaricznyj B. Avulsion fracture of the tibial eminence: treatment by open reduction and pinning. J Bone Joint Surg Am. 1977;59(8):1111–4.

    Article  CAS  Google Scholar 

  33. Seil R, Weitz FK, Pape D. Surgical-experimental principles of anterior cruciate ligament (ACL) reconstruction with open growth plates. J Exp Orthop. 2015;2(1):11.

    Article  Google Scholar 

  34. Frosch KH, Stengel D, Brodhun T, Stietencron I, Holsten D, Jung C, et al. Outcomes and risks of operative treatment of rupture of the anterior cruciate ligament in children and adolescents. Arthroscopy. 2010;26(11):1539–50.

    Article  Google Scholar 

  35. Moksnes H, Engebretsen L, Risberg MA. The current evidence for treatment of ACL injuries in children is low: a systematic review. J Bone Joint Surg Am. 2012;94(12):1112–9.

    Article  Google Scholar 

  36. Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016;50(13):804–8.

    Article  Google Scholar 

  37. Bencke J, Curtis D, Krogshede C, Jensen LK, Bandholm T, Zebis MK. Biomechanical evaluation of the side-cutting manoeuvre associated with ACL injury in young female handball players. Knee Surg Sports Traumatol Arthrosc. 2013;21(8):1876–81.

    Article  Google Scholar 

  38. Garrick JG, Requa R. Structured exercises to prevent lower limb injuries in young handball players. Clin J Sport Med. 2005;15(5):398.

    Article  Google Scholar 

  39. Kocher MS, Shore B, Nasreddine AY, Heyworth BE. Treatment of posterior cruciate ligament injuries in pediatric and adolescent patients. J Pediatr Orthop. 2012;32(6):553–60.

    Article  Google Scholar 

  40. Mariani PP, Margheritini F, Christel P, Bellelli A. Evaluation of posterior cruciate ligament healing: a study using magnetic resonance imaging and stress radiography. Arthroscopy. 2005;21(11):1354–61.

    Article  Google Scholar 

  41. Fetto JF, Marshall JL. Medial collateral ligament injuries of the knee: a rationale for treatment. Clin Orthop Relat Res. 1978;(132):206–18.

    Google Scholar 

  42. Phisitkul P, James SL, Wolf BR, Amendola A. MCL injuries of the knee: current concepts review. Iowa Orthop J. 2006;26:77–90.

    PubMed  PubMed Central  Google Scholar 

  43. Clark CR, Ogden JA. Development of the menisci of the human knee joint. Morphological changes and their potential role in childhood meniscal injury. J Bone Joint Surg Am. 1983;65(4):538–47.

    Article  CAS  Google Scholar 

  44. Hoffmann A, Gillman T, Pape D, Seil R. Neue Entwicklungen und bewährte Verfahren der Meniskusreparation. Sports Orthop Traumatol. 2016;32(2):129–38.

    Article  Google Scholar 

  45. Seil R, Rupp S, Jochum P, Schofer O, Mischo B, Kohn D. Prevalence of popliteal cysts in children. A sonographic study and review of the literature. Arch Orthop Trauma Surg. 1999;119(1-2):73–5.

    Article  CAS  Google Scholar 

  46. Pujol N, Bohu Y, Boisrenoult P, Macdes A, Beaufils P. Clinical outcomes of open meniscal repair of horizontal meniscal tears in young patients. Knee Surg Sports Traumatol Arthrosc. 2013;21(7):1530–3.

    Article  Google Scholar 

  47. Watanabe M, Takeda S, Ikeuchi H. Atlas of arthroscopy. Tokyo: Igaku-Shoin; 1978.

    Google Scholar 

  48. Ahn JH, Lee YS, Ha HC, Shim JS, Lim KS. A novel magnetic resonance imaging classification of discoid lateral meniscus based on peripheral attachment. Am J Sports Med. 2009;37(8):1564–9.

    Article  Google Scholar 

  49. Nakamura N, Horibe S, Iwahashi T, Kawano K, Shino K, Yoshikawa H. Healing of a chondral fragment of the knee in an adolescent after internal fixation. A case report. J Bone Joint Surg Am. 2004;86-A(12):2741–6.

    Article  Google Scholar 

  50. Cahill BR. Osteochondritis Dissecans of the knee: treatment of juvenile and adult forms. J Am Acad Orthop Surg. 1995;3(4):237–47.

    Article  CAS  Google Scholar 

  51. Bruns J. Osteochondrosis dissecans. Orthopade. 1997;26(6):573–84.

    Article  CAS  Google Scholar 

  52. Krause M, Hapfelmeier A, Moller M, Amling M, Bohndorf K, Meenen NM. Healing predictors of stable juvenile osteochondritis dissecans knee lesions after 6 and 12 months of nonoperative treatment. Am J Sports Med. 2013;41(10):2384–91.

    Article  Google Scholar 

  53. Wall EJ, Vourazeris J, Myer GD, Emery KH, Divine JG, Nick TG, et al. The healing potential of stable juvenile osteochondritis dissecans knee lesions. J Bone Joint Surg Am. 2008;90(12):2655–64.

    Article  Google Scholar 

  54. Fithian DC, Paxton EW, Stone ML, Silva P, Davis DK, Elias DA, et al. Epidemiology and natural history of acute patellar dislocation. Am J Sports Med. 2004;32(5):1114–21.

    Article  Google Scholar 

  55. Palmu S, Kallio PE, Donell ST, Helenius I, Nietosvaara Y. Acute patellar dislocation in children and adolescents: a randomized clinical trial. J Bone Joint Surg Am. 2008;90(3):463–70.

    Article  Google Scholar 

  56. Deie M, Ochi M, Sumen Y, Yasumoto M, Kobayashi K, Kimura H. Reconstruction of the medial patellofemoral ligament for the treatment of habitual or recurrent dislocation of the patella in children. J Bone Joint Surg Br. 2003;85(6):887–90.

    Article  CAS  Google Scholar 

  57. Fabricant PD, Ladenhauf HN, Salvati EA, Green DW. Medial patellofemoral ligament (MPFL) reconstruction improves radiographic measures of patella alta in children. Knee. 2014;21(6):1180–4.

    Article  Google Scholar 

  58. Nelitz M, Dornacher D, Dreyhaupt J, Reichel H, Lippacher S. The relation of the distal femoral physis and the medial patellofemoral ligament. Knee Surg Sports Traumatol Arthrosc. 2011;19(12):2067–71.

    Article  CAS  Google Scholar 

  59. Petersen W, Ellermann A, Gosele-Koppenburg A, Best R, Rembitzki IV, Bruggemann GP, et al. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc. 2014;22(10):2264–74.

    Article  Google Scholar 

  60. Sanchis-Alfonso V. Holistic approach to understanding anterior knee pain. Clinical implications. Knee Surg Sports Traumatol Arthrosc. 2014;22(10):2275–85.

    Article  Google Scholar 

  61. Barendrecht M, Lezeman HC, Duysens J, Smits-Engelsman BC. Neuromuscular training improves knee kinematics, in particular in valgus aligned adolescent team handball players of both sexes. J Strength Cond Res. 2011;25(3):575–84.

    Article  Google Scholar 

  62. van der Worp H, van Ark M, Roerink S, Pepping GJ, van den Akker-Scheek I, Zwerver J. Risk factors for patellar tendinopathy: a systematic review of the literature. Br J Sports Med. 2011;45(5):446–52.

    Article  Google Scholar 

  63. Clarsen B, Bahr R, Heymans MW, Engedahl M, Midtsundstad G, Rosenlund L, et al. The prevalence and impact of overuse injuries in five Norwegian sports: application of a new surveillance method. Scand J Med Sci Sports. 2015;25(3):323–30.

    Article  CAS  Google Scholar 

  64. Seil R, Rupp S, Tempelhof S, Kohn D. Sports injuries in team handball. A one-year prospective study of sixteen men's senior teams of a superior nonprofessional level. Am J Sports Med. 1998;26(5):681–7.

    Article  CAS  Google Scholar 

  65. Watson-Jones R. The classic: “fractures and joint injuries” by Sir Reginald Watson-Jones, taken from “fractures and joint injuries,” by R. Watson-Jones, vol. II, 4th ed. Baltimore: Williams and Wilkins Company, 1955; 1974.

    Google Scholar 

  66. Edwards PH Jr, Grana WA. Physeal fractures about the knee. J Am Acad Orthop Surg. 1995;3(2):63–9.

    Article  Google Scholar 

  67. Gicquel P, Giacomelli MC, Karger C, Clavert JM. Développement embryonnaire et croissance normale du genou. Rev Chir Orthop Reparatrice Appar Mot. 2007;93(6 Suppl):3S100–2.

    Google Scholar 

  68. Baxter MP. Assessment of normal pediatric knee ligament laxity using the genucom. J Pediatr Orthop. 1988;8(5):546–50.

    Article  CAS  Google Scholar 

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Seil, R., Engebretsen, L., Menetrey, J., Landreau, P. (2018). General Aspects of Sports in Adolescents with a Special Focus on Knee Injuries in the Adolescent Handball Player. In: Laver, L., Landreau, P., Seil, R., Popovic, N. (eds) Handball Sports Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55892-8_22

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