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Acute Upper Extremity Injuries in Pediatric and Adolescent Sports

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Injury in Pediatric and Adolescent Sports

Part of the book series: Contemporary Pediatric and Adolescent Sports Medicine ((PASM))

Abstract

Pediatric and adolescent sports have been gaining in popularity over the last several years. Along with an increase in participants, there has been an increase in frequency of injuries among these young athletes. The most common acute upper extremity injuries the clinician should be aware of include medial clavicular physeal separations, shoulder instability, ruptures of the ulnar collateral ligament of the elbow, and medial epicondyle fractures. The majority of injuries discussed in this chapter should be treated in a nonoperative manner; however, there are some indications for operative treatment. Proper diagnosis, treatment, and rehabilitation can expedite recovery and return to play in these young athletes.

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References

  1. Sullivan JA. Fractures of the lateral condyle of the humerus. J Am Acad Orthop Surg. 2006;14(1):58–62.

    PubMed  Google Scholar 

  2. Baumann M, Vogel T, Weise K, et al. Bilateral posterior sternoclavicular dislocation. Orthopedics. 2010;33(7):510.

    PubMed  Google Scholar 

  3. Taylor DC, Krasinski KL. Adolescent shoulder injuries: consensus and controversies. J Bone Joint Surg Am. 2009;91(2):462–73.

    PubMed  Google Scholar 

  4. Sykes JA, Ezetendu C, Sivitz A, et al. Posterior dislocation of sternoclavicular joint encroaching on ipsilateral vessels in 2 pediatric patients. Pediatr Emerg Care. 2011;27:327–30.

    Article  PubMed  Google Scholar 

  5. Sewell MD, Al-Hadithy N, Leu AL, et al. Instability of the sternoclavicular joint: current concepts in classification, treatment and outcomes. Bone Joint J. 2013;95-B:721–31.

    Article  CAS  PubMed  Google Scholar 

  6. Zaricznyj B, Shattuck LJ, Mast TA, et al. Sports-related injuries in school-aged children. Am J Sports Med. 1980;8(5):318–24.

    Article  CAS  PubMed  Google Scholar 

  7. Zaslav KR, Ray S, Neer CS. Conservative management of a displaced medial clavicular physeal injury in an adolescent athlete: a case report and literature review. Am J Sports Med. 1989;17(6):833–6.

    Article  CAS  PubMed  Google Scholar 

  8. Andersen K, Jensen PO, Lauritzen J. Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling. Acta Orthop Scand. 1987;58:71–4.

    Article  CAS  PubMed  Google Scholar 

  9. Leonard J, Hutchinson MR. Shoulder injuries in skeletally immature throwers: review and current thoughts. Br J Sports Med. 2010;44:306–10.

    Article  PubMed  Google Scholar 

  10. Vander Have KL, Perdue AM, Caird MS, et al. Operative versus nonoperative treatment of midshaft clavicle fractures in adolescents. J Pediatr Orthop. 2010;30(4):307–12.

    Article  PubMed  Google Scholar 

  11. Sarwark JF, King EC, Janicki JA. Proximal humerus, scapula and clavicle. In: Beaty JH, Kasser JR, Skaggs DL, Flynn JM, Waters PM, editors. Rockwood and Wilkins fractures in children. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. p. 620–74.

    Google Scholar 

  12. Provencher MT, Mazzocca AD, Romeo AA. Injuries to the acromioclavicular joint in adults and children. In: DeLee JC, Drez D, Miller MD, editors. Delee and Drez’s orthopaedic sports medicine. Philadelphia, PA: Saunders; 2009. p. 826–56.

    Google Scholar 

  13. Gamradt SC, Warren RF. Glenohumeral instability in adults. In: DeLee JC, Drez D, Miller MD, editors. Delee and Drez’s orthopaedic sports medicine. Philadelphia, PA: Saunders; 2009. p. 909–31.

    Google Scholar 

  14. Bottoni CR, Wilckens JH, DeBerardino TM, et al. A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocations. Am J Sports Med. 2002;30:576–80.

    PubMed  Google Scholar 

  15. Bottoni CR, Smith EL, Berkowitz MJ, et al. Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med. 2006;34(11):1730–7.

    Article  PubMed  Google Scholar 

  16. Harris JD, Gupta AK, Mall NA, et al. Long term outcomes after Bankart shoulder stabilization. Arthroscopy. 2013;29(5):920–33.

    Article  PubMed  Google Scholar 

  17. Curtis RJ. Glenohumeral instabilities: glenohumeral instability in the child. In: DeLee JC, Drez D, Miller MD, editors. Delee and Drez’s orthopaedic sports medicine. Philadelphia, PA: Saunders; 2009. p. 932–46.

    Google Scholar 

  18. Zbojniewicz AM, Maeder ME, Emery KH, Salisbury SR. Rotator cuff tears in children and adolescents: experience at a large pediatric hospital. Pediatr Radiol. 2014;44(6):729–37.

    Article  PubMed  Google Scholar 

  19. Lyman S, Fleisig GS, Andrews JR, et al. Effect of pitch type, pitch count, and pitching mechanics on risk of elbow and shoulder pain in youth baseball pitchers. Am J Sports Med. 2002;30:463–8.

    PubMed  Google Scholar 

  20. Bishop JY, Flatow EL. Pediatric shoulder trauma. Clin Orthop Relat Res. 2005;432:41–8.

    Article  PubMed  Google Scholar 

  21. Wilkins K. Injuries of the proximal humerus in the skeletally immature athlete. In: DeLee JC, Drez D, Miller MD, editors. Delee and Drez’s orthopaedic sports medicine. Philadelphia, PA: Saunders; 2009. p. 1066–93.

    Google Scholar 

  22. Caviglia H, Garrido CP, Palazzi FF, et al. Pediatric fractures of the humerus. Clin Orthop Relat Res. 2005;432:49–56.

    Article  PubMed  Google Scholar 

  23. Watson JN, McQueen P, Hutchinson MR. A systematic review of ulnar collateral ligament reconstruction techniques. Am J Sports Med. 12 Nov 2013 [Epub ahead of print].

    Google Scholar 

  24. Fleisig GS, Weber A, Hassell N, et al. Prevention of elbow injuries in youth baseball pitchers. Curr Sports Med Rep. 2009;8(5):250–4.

    Article  PubMed  Google Scholar 

  25. DeLee JC, Drez Jr D. Orthopaedic sports medicine: principles and practices. 1st ed. Philadelphia, PA: WB Saunders; 1994.

    Google Scholar 

  26. Green NE, Swiontowski MF. Skeletal trauma in children. 4th ed. Philadelphia, PA: Elsevier; 2008.

    Google Scholar 

  27. Miller MD, Thompson SR, Hart J. Review of orthopaedics. 6th ed. Philadelphia, PA: Elsevier; 2012.

    Google Scholar 

  28. Skaggs DL. Elbow fractures in children: diagnosis and management. J Am Acad Orthop Surg. 1997;5(6):303–12.

    PubMed  Google Scholar 

  29. Case SL, Hennrikus WL. Surgical treatment of displaced medial epicondyle fractures in adolescent athletes. Am J Sports Med. 1997;25(5):682–6.

    Article  CAS  PubMed  Google Scholar 

  30. Alt V, Gasnier J, Sicre G. Injuries of the scapholunate ligament in children. J Pediatr Orthop B. 2004;13(5):326–9.

    Article  PubMed  Google Scholar 

  31. Andersson JK, Lindau T, Karlsson J, et al. Distal radio-ulnar joint instability in children and adolescents after wrist trauma. J Hand Surg Eur Vol. 2014;39(6):653–61.

    Article  CAS  PubMed  Google Scholar 

  32. de Putter CE, van Beeck EF, Looman CW, et al. Trends in wrist fractures in children and adolescents, 1997–2009. J Hand Surg Am. 2011;36(11):1810–5.

    Article  PubMed  Google Scholar 

  33. Kocher MS, Waters PM, Micheli LJ. Upper extremity injuries in the paediatric athlete. Sports Med. 2000;30(2):117–35.

    Article  CAS  PubMed  Google Scholar 

  34. Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist—anatomy and function. J Hand Surg Am. 1981;6(2):153–62.

    Article  CAS  PubMed  Google Scholar 

  35. Wood AM, Robertson GA, Rennie L, et al. The epidemiology of sports-related fractures in adolescents. Injury. 2010;41(8):834–8.

    Article  PubMed  Google Scholar 

  36. Peterson JJ, Bancroft LW. Injuries of the fingers and thumb in the athlete. Clin Sports Med. 2006;25(3):527–42.

    Article  PubMed  Google Scholar 

  37. Fassler PR. Fingertip injuries: evaluation and treatment. J Am Acad Orthop Surg. 1996;4(1):84–92.

    PubMed  Google Scholar 

  38. Dawson WJ, Pullos N. Baseball injuries to the hand. Ann Emerg Med. 1981;10(6):302–6.

    Article  CAS  PubMed  Google Scholar 

  39. Degroot 3rd H, Mass DP. Hand injury patterns in softball players using a 16 inch ball. Am J Sports Med. 1988;16(3):260–5.

    Article  PubMed  Google Scholar 

  40. Tuttle HG, Olvey SP, Stern PJ. Tendon avulsion injuries of the distal phalanx. Clin Orthop Relat Res. 2006;445:157–68.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Illinois at Chicago, 835 S. Wolcott Ave., E-270 MSB, M/C 844, Chicago, IL, 60612, USA

    Jonathan Watson MD, Kian Setayesh MD & Mark R. Hutchinson MD

Authors
  1. Jonathan Watson MD
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  2. Kian Setayesh MD
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  3. Mark R. Hutchinson MD
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Corresponding author

Correspondence to Mark R. Hutchinson MD .

Editor information

Editors and Affiliations

  1. University of North Dakota, Grand Forks, North Dakota, USA

    Dennis Caine

  2. McMaster University, Hamilton, Ontario, Canada

    Laura Purcell

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Watson, J., Setayesh, K., Hutchinson, M.R. (2016). Acute Upper Extremity Injuries in Pediatric and Adolescent Sports. In: Caine, D., Purcell, L. (eds) Injury in Pediatric and Adolescent Sports. Contemporary Pediatric and Adolescent Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-18141-7_9

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  • DOI: https://doi.org/10.1007/978-3-319-18141-7_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18140-0

  • Online ISBN: 978-3-319-18141-7

  • eBook Packages: MedicineMedicine (R0)

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