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Understanding Pediatric Sports Injuries

Pediatric Foot Care

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In today’s world, sports are more than just a pastime for children; they’re an essential part of growing up healthy. With childhood obesity rates on the rise, encouraging regular exercise has never been more crucial. Over the past three decades, we’ve seen a tremendous spike in kids participating in organized sports. This shift has transformed casual play into year-round, high-intensity training, often focusing on a single sport. Consequently, pediatric sports injuries, particularly overuse injuries, have become increasingly common—conditions that used to affect primarily adult athletes.

Growth Plates and Vulnerability

Children possess unique physiological characteristics that make them more susceptible to sports injuries. Growth plates, crucial for bone development, are notably fragile and are common sites for fractures. Additionally, children tend to have more flexible joints and ligaments, factors contributing to overuse injuries. This flexibility decreases as they mature, especially during puberty, leading to muscular imbalances and stress on tendons and bones, predominantly affecting the lower extremities.

The Impact of Sports Specialization

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Sports specialization—focusing on one sport year-round—has shifted from child-driven play to structured skill development led by adults. Approximately 60 million American children aged 6-18 are involved in organized sports, with around 16 million specializing in one sport throughout the year. However, research suggests that early specialization isn’t necessary for reaching elite levels and instead increases the risk of injuries and burnout. Experts recommend that training hours should not exceed a child’s age in years, and single-sport play should be limited to eight months per year.

Statistics and Patterns

In the U.S., approximately 3.5 million youths under 15 receive medical attention for sports-related injuries annually. Football is notorious for having the highest injury rate, closely followed by soccer. Lower extremity injuries account for 42% of these injuries, predominantly affecting boys aged 5-14, who are more prone to apophyseal and cartilage injuries. Girls, on the other hand, are more susceptible to bone and tendon injuries. Furthermore, young athletes, especially females, face a heightened risk of developing relative energy deficiency in sports (REDS).

For children under 10, common injuries include contusions, sprains, and growth plate injuries, while ligament injuries become more prevalent post-skeletal maturity. These insights emphasize the importance of informed management and prevention strategies in tackling pediatric sports injuries.

Want to ensure your child receives expert foot and ankle care? Consult Dr. Kris Titko—a specialist in foot and ankle sports medicine. Her approach involves minimizing time away from the game while prioritizing your child’s health.