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J Am Acad Orthop Surg, Vol 15, No 6, June 2007, 356-366.
© 2007 the American Academy of Orthopaedic Surgeons
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Lower Extremity Injuries in the Skeletally Immature Athlete

Joshua B. Frank, MD, Gregg J. Jarit, MD, Jonathan T. Bravman, MD and Jeffrey E. Rosen, MD

Dr. Frank is Orthopaedic Fellow, Kerlan-Jobe Orthopaedic Clinic, Los Angeles, CA. Dr. Jarit is Resident, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases, New York, NY. Dr. Bravman is Resident, Department of Orthopaedic Surgery, University of Colorado School of Medicine, Denver, CO. Dr. Rosen is Assistant Professor and Director, Adolescent Sports Medicine, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Frank, Dr. Jarit, Dr. Bravman, and Dr. Rosen.

Reprint requests: Dr. Rosen, NYU–Hospital for Joint Diseases, Department of Orthopaedic Surgery, Suite 1616, 301 E 17th Street, New York, NY 10003.

The heightened intensity of training and competition among young athletes places them at increased risk for both acute and chronic injuries. Prompt recognition and treatment of such injuries are critical to prevent long-term functional disability and deformity. These injuries occur in patterns unique to the skeletally immature athlete, given their developing epiphyses and ossification centers and supporting ligamentous structures. Children and adolescents who participate in recreational and organized sports are particularly susceptible to a broad spectrum of lower extremity injuries involving both the osseous and soft-tissue structures. Fundamental knowledge of the pathophysiology of injury helps the clinician in determining management. Early recognition of acute traumatic injuries, along with preventive regimens and knowledge of both nonsurgical and surgical treatment protocols, has helped to restore and maintain normal lower extremity function in the skeletally immature athlete.






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Copyright © 2007 by the American Academy of Orthopaedic Surgeons.