Pengel K Brooke
Pediatr Ann. 2014 Dec;43(12):e297-308. doi: 10.3928/00904481-20141124-09.
Pediatric overuse injury is a common complaint presenting to pediatricians. Overuse injury can affect the soft tissues or bone, and results from an imbalance between training and load to the tissues and recovery time. In the skeletally immature athlete, physeal and apophyseal tissue is particularly vulnerable to overuse resulting in different patterns of injury compared to adults. Awareness of age-dependent patterns of overuse is necessary for proper recognition, treatment, and prevention of injury. This article reviews the most common pediatric overuse injuries with emphasis on risk factors, diagnosis, and treatment. Guidelines for prevention are included, as this is the key component for successful management of overuse injury in pediatric athletes.
儿童过度使用损伤是儿科医生常见的诊治问题。过度使用损伤可累及软组织或骨骼,是由训练与组织负荷及恢复时间之间的失衡所致。在骨骼未成熟的运动员中,骨骺和骺板组织尤其易受过度使用的影响,与成人相比会导致不同的损伤模式。了解与年龄相关的过度使用模式,对于正确识别、治疗和预防损伤很有必要。本文综述了最常见的儿童过度使用损伤,重点关注危险因素、诊断和治疗。文中还包括预防指南,因为这是成功管理儿童运动员过度使用损伤的关键部分。