Stories about: Sports Medicine

Expert’s Corner: Caring for patellofemoral instability in athletes

patellofemoral instability lead image

Dislocation or subluxation of the patella or “kneecap” is a common acute injury for young athletes, especially in sports and activities such as basketball, football, lacrosse, gymnastics and dance. These injuries may be routinely observed in clinic, and depending on severity, may warrant a referral to a pediatric orthopedic specialist.

The term “patellofemoral instability” can refer to both the condition in which an individual experiences a traumatic dislocation of their patella, and the general instability that a patient can feel or a physician may observe upon examination. In both cases, there are observations that may be made or treatments that can be provided that may reduce the risk of a dislocation event occurring in the future, as well as protect a young athlete from further damage.

Notes talked to Matthew Milewski, MD, a pediatric orthopedic surgeon in Boston Children’s Orthopedics and Sports Medicine Center, about how to best care for young athletes with patellofemoral instability.

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Paper Trail: Fever in children, early ACL reconstruction, hydrocephalus and more

Boy looking at medical scale

Boston Children’s Hospital is at the forefront of clinical research. Stay connected with Paper Trail — a monthly feature highlighting recently published outcomes data and new approaches to the diagnosis, treatment and prevention of pediatric illnesses.

Fever in Children: Pearls and Pitfalls

Fever in children is a prominent concern for parents and a frequent cause of emergency department visits. Although in most instances the cause of these fevers is a mild viral illness, some children might be at risk of a more serious, life-threatening infection. Emergency Medicine researcher Baruch Krauss, MD, EdM writes about the epidemiology, measurement, meaning and clinical signs of a fever in a pediatric patient, learn more in this Children paper.

Prevention, treatment, and rehabilitation of anterior cruciate ligament injuries in children

As the number of children and teens participating in competitive sports is increasing, so is the frequency of anterior cruciate ligament (ACL) injuries. Historically, treatment would consist of rehabilitation until the patient reached skeletal maturity, then modification would take place; however, Lyle Micheli, MD, director of our Sports Medicine Division writes that more recent evidence encourages early reconstruction. Read more about the complexities in ACL injury treatment, re-tear prevention and the debate between early and delayed modification in this Open Acess J Sports Med article.

Utilizing trauma admissions as an opportunity to identify developmental and behavioral concerns

In the pediatric population, developmental and behavioral problems tend to be underdiagnosed, and can be risk factors for injury and trauma. In a study titled “The Survey of Wellbeing of Young Children,” researcher Catherine Chen, MD, MPH assessed the opportunity that pediatric trauma admissions provide to screen patients for these developmental and behavioral concerns. Read more about their research in the American Journal of Surgery.

Growing Brains: How Adapting to Africa Advanced the Treatment of Infant Hydrocephalus

Infant hydrocephalus is an under-recognized yet prominent global health problem, with over 400,000 new infant cases a year. Of those cases, 100,000 come from Sub-Saharan Africa alone, making it a key region to analyze the pathogenesis in order to develop public health strategies for prevention. Read more about hydrocephalus and its treatment in this Clinical Neurosurgery paper written by Benjamin C. Warf, MD, Director of our Neonatal and Congenital Anomaly Neurosurgery Program.

Disparities in epilepsy surgery in the United States of America

Tobias Loddenkemper, MD alongside other neurology researchers conducted a study to describe the epidemiology of epilepsy surgery. By analyzing the National Inpatient Sample and the Kids’ Inpatient Sample, researchers found racial disparities in both pediatric and adult admissions, more specifically an underrepresentation of Blacks in both patient pools. Find out more about their results by reading this Journal of Neurology article.

For more clinically-actionable insights, bookmark Boston Children’s Notes blog for primary care providers.

Paper Trail: Asthma, urology advancements, cardiovascular disease and more

Paper Trail-October-2107

Boston Children’s Hospital is at the forefront of clinical research. Stay connected with Paper Trail — a monthly feature highlighting recently published outcomes data and new approaches to the diagnosis, treatment and prevention of pediatric illnesses.

This edition of Paper Trail focuses on the link between sedentary behaviors and BMI in young dancers, lifestyle-based tools to detect cardiovascular diseases in young adults, asthma prevention and management and more.

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Preventing sports injuries through clinician-to-technician communication

Sports Injury Prevention Prescription SIPRx

For patients who are serious athletes or who have had a history of sports injuries, injury prevention is often a focal point. Advances in technology can now pinpoint where an individual might have a greater risk of injury, allowing injury prevention specialists to prescribe exercises that reduce this risk. For an athlete, learning exercises that may help prevent certain injuries — while strengthening areas of the body that are underdeveloped — not only reduces injury risk, but strengthens their game.

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