Metzl J D
Department of Orthopaedic Surgery, Hospital for Special Surgery, Cornell Medical Center, New York, New York, USA.
Clin Sports Med. 2000 Oct;19(4):577-92, v. doi: 10.1016/s0278-5919(05)70227-1.
The preparticipation examination (PPE) is a widely practiced method of screening athletes for medical limitations before sports participation. Although the PPE is widely implemented, there is little consistency regarding content or method in providing this important service. This lack of uniformity undermines the overall effectiveness of the PPE. The history, efficiency, and nature of athletic screening in adolescents are discussed in this article, and specific suggestions are offered on how the examination might be improved in the future. As sports participation among teens continues to change--in number of participants and in athlete-demographics--and as the field of sports medicine expands equally rapidly, the adolescent PPE, the commonest interaction between adolescent patients and the medical system, should be updated.
运动前检查（PPE）是一种广泛应用的方法，用于在运动员参加运动前筛查其医学方面的限制因素。尽管PPE被广泛实施，但在提供这项重要服务时，内容或方法几乎没有一致性。这种缺乏统一性的情况削弱了PPE的整体有效性。本文讨论了青少年运动筛查的历史、效率和性质，并就未来如何改进该检查提出了具体建议。随着青少年参与体育运动的情况持续变化——参与人数和运动员人口统计学特征方面——以及运动医学领域同样迅速地扩展，青少年PPE作为青少年患者与医疗系统之间最常见的互动方式，应该与时俱进。
