Paediatrics in sport Flashcards
1
Q
Why do girls drop out of sports?
A
- No longer fun (winning)
- Cost
- Different priorities
2
Q
What are unique factors that can lead to increased injury risk in children?
A
- Immature skeletons
- Non- linearity of growth
- Maturity associated variation
- Unique response to skeletal injury
- Adolesecnt growth spurt
- Immature/underdeveloped coordination skills and perception
- psychological issues
3
Q
what is non-linear growth in children?
A
- Different body segments grow at different rates
- Growth plates grow at different rates
Resting zone
Proliferation zone
Zone of hypertrophy
Zone of endochondral ossification
4
Q
What are the 4 types of fractures in younger athletes
A
- Metaphyseal
- Physeal
- Diaphyseal
- Apophyseal avulsion fracture
5
Q
Metaphyseal (forearm or lower leg)
A
- Most common: FOOSH
- Buckling of one side of the bone
- Immobilisation
6
Q
Physeal (growth plate fracture)
A
-Injury to zone of hypertrophy
Salter and harris classification system
Usually cast/sling:
7
Q
Diaphyseal fractures
A
- Fracture of the shaft of the long bones
- Greenstick due to periostium elastic
- Cast
8
Q
Apophysea avulsions
A
- Cast immobilisation, surgery when displacement is too large
9
Q
Osteochondroses
A
Ossification of centres of growing bones
10
Q
What are types of Osteochodnrosis?
A
- Perthes
- Osteochondritis Dissecans
- Osgood schlatters
- Severs
- Scheuermanns lesion
11
Q
Perthes disease management?
A
- Rest from activity
- Pain killers
- if lateral pillar collapse > 50%- surgery
12
Q
Preventing injuries
A
Prevention
Screening
Rule changes
Protective equipment
