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The Adolescent Athlete: A Practical Approach

Dilip R. Patel, MD
JAMA. 2008;299(19):2329-2330. doi:10.1001/jama.299.19.2329.
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Participation in sports is considered a rite of passage for children and adolescents in contemporary US society. It is estimated that between 25 million and 30 million children and adolescents in the United States participate in organized sports. Highly specialized, intensive, and year-round sport participation is becoming increasingly prevalent, contributing to an increased prevalence of musculoskeletal injuries. Data on the epidemiology of adolescent sports injuries are limited. The Centers for Disease Control and Prevention High School Sport-Related Injury Surveillance Study reported that during 2005-2006 high school sports accounted for 2 million injuries, 500 000 physician visits, and 30 000 hospitalizations.1

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Common orthopedic injuries associated with sport activity and repetitive trauma. A, Tillaux fracture. Arrowhead identifies a vertical fracture line across the epiphysis of the distal tibia. B, Osteochondritis dissecans of the medial femoral condyle. Arrowhead identifies the area of bone necrosis. C, Slipped capital femoral epiphysis. Arrow indicates the direction of displacement and subsequent loss of continuity between the growth plate and the femoral neck. Radiographs reproduced with permission of John L. Zeller, MD, PhD.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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