Valasek Amy Elizabeth, Young Julie A, Huang Lihong, Singichetti Bhavna, Yang Jingzhen
1 Nationwide Children's Hospital, Columbus, OH, USA.
2 The Ohio State University, Columbus, OH, USA.
Clin Pediatr (Phila). 2019 Jun;58(7):770-777. doi: 10.1177/0009922819837360. Epub 2019 Mar 22.
Pediatric overuse injuries present with a gradual mechanism of onset and an underlying pathogenesis of microtrauma. We evaluated the clinical presentation of pediatric sports injuries to determine if differences exist between age and sex. A retrospective chart review was performed over a 6-year period; 6593 overuse injuries were included with the mean age of 13.4 years. Males presented with a greater proportion of apophysis, physis, and articular cartilage injuries ( P < .01). Females presented with greater bone, tendon, and "other" injuries ( P < .01). Children <9 years of age demonstrated apophysis and physis injuries. Conversely, children older than 15 years of age presented with tendon, bone, bursa, and other ( P < .01) overuse injuries. A significant number of pediatric athletes in this cohort reported playing through pain prior to clinical evaluation. Injury prevention programs need to educate children, and a red flag should be raised when pediatric athletes are participating with pain.
小儿过度使用性损伤具有逐渐起病的机制和微创伤的潜在发病机制。我们评估了小儿运动损伤的临床表现，以确定年龄和性别之间是否存在差异。进行了一项为期6年的回顾性病历审查；纳入了6593例过度使用性损伤，平均年龄为13.4岁。男性出现骨骺、生长板和关节软骨损伤的比例更高（P < 0.01）。女性出现骨骼、肌腱和“其他”损伤的比例更高（P < 0.01）。9岁以下儿童表现为骨骺和生长板损伤。相反，15岁以上儿童出现肌腱、骨骼、滑囊和其他（P < 0.01）过度使用性损伤。该队列中有相当数量的小儿运动员报告在临床评估之前忍痛参赛。预防损伤计划需要对儿童进行教育，当小儿运动员带伤参赛时应予以警示。
