S.P.O.R.R.T.-A Comprehensive Approach to the Assessment and Non-Operative Management of Overuse Knee Conditions in Youth Athletes.

IF 2.9 2区 医学 Q1 ORTHOPEDICS Current Reviews in Musculoskeletal Medicine Pub Date : 2023-12-01 Epub Date: 2023-11-24 DOI:10.1007/s12178-023-09874-8
Jacob Davis, Bridget Doyle, Haruki Ishii, Neeru Jayanthi
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Abstract

Purpose of review: The evaluation of a young athlete with an overuse injury to the knee involves a comprehensive approach. There are a number of elements to consider including assessments of skeletal maturity (biologic maturation), workload (training load + competition load), sport specialization status, and biomechanics. The type of injury and treatment, as well as future prognosis, may be influenced by these and other factors.

Recent findings: Calculating the percentage of predicted adult height (PPAH) is a valuable tool in assessing overuse injury patterns and diagnoses in youth athletes. Modifiable and non-modifiable overuse injury risk factors require monitoring from clinicians as young athletes mature and develop over time. Training and rehabilitation programs should be adapted to account for these. In this manuscript, we seek to introduce a novel, comprehensive approach: S.P.O.R.R.T. (Skeletal Maturity, Prior Injury Risk, One Sport Specialization, Rehabilitation, Return to Play, Training Recommendations) (Fig. 1). Overuse, non-traumatic injuries to the knee in youth athletes will be presented in a case-based and evidence-based model to provide a framework for a comprehensive approach to the assessment and treatment of youth athletes with overuse injuries.

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s.p.o.r.r.t.:青少年运动员过度使用性膝关节状况的综合评估与非手术治疗。
回顾的目的:评估一个年轻的运动员与过度使用性损伤的膝盖涉及一个全面的方法。有许多因素需要考虑,包括骨骼成熟度(生物成熟度)、工作量(训练负荷+比赛负荷)、运动专业化状态和生物力学的评估。损伤的类型和治疗,以及未来的预后,可能受到这些因素和其他因素的影响。最近的研究发现:计算预测成人身高百分比(PPAH)是评估青少年运动员过度使用损伤模式和诊断的一个有价值的工具。随着年轻运动员的成熟和发展,可改变和不可改变的过度使用损伤风险因素需要临床医生的监测。训练和康复计划应该适应这些。在本文中,我们试图介绍一种新颖的综合方法:S.P.O.R.R.T.(骨骼成熟度,先前损伤风险,一项运动专业化,康复,恢复比赛,训练建议)(图1)。青少年运动员过度使用,非创伤性膝盖损伤将以案例为基础和基于证据的模型提出,为评估和治疗青少年运动员过度使用损伤的综合方法提供框架。
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来源期刊
CiteScore
7.50
自引率
2.40%
发文量
64
期刊介绍: This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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