Sports Medicine Update: Shoulder Instability, Knee and Overuse Injuries

Date:
Jul 29, 2021 from 5:30 p.m. - 7 p.m. (ET)

Overview

Please join us for another installment of our Pediatric Orthopaedics and Sports Medicine Virtual Lecture Series, hosted by the Division of Orthopaedics and the Sports Medicine and Performance Center at Children’s Hospital of Philadelphia.

This event, “Sports Medicine Update: Shoulder Instability, Knee and Overuse Injuries,” will highlight three areas of particular concern for pediatric and adolescent athletes, why accurate diagnosis and individualized treatments are needed, and tips to prevent overuse injuries in young athletes who are still growing and developing. 

Physician speakers will discuss:

  • Traumatic shoulder dislocation is one of the most common shoulder-related injuries in adolescents. While non-operative treatment with a sling, followed by physical therapy, is usually the initial treatment recommendation, adolescent athletes have a more than 90% risk of re-dislocation. And each time the shoulder is dislocated, it increases the risk of long-term arthritic damage to the joint and decreases the success rate of any future surgical intervention. Instead, an arthroscopic Bankart repair – using modern suture anchors – can restore normal anatomy, has a low recurrence rate, allows for a successful return to sports and greatly enhances long-term quality of life. Because of these advantages, early arthroscopic treatment is the most cost-effective treatment option for males younger than 24, and females younger than 18, following an initial traumatic shoulder dislocation.
  • Knee injuries, specifically anterior cruciate ligament (ACL) and meniscus injuries, are common in the pediatric and adolescent population, with increased incidence among young athletes. Recognizing, expediting, and managing these injuries are of paramount importance. Surgical techniques must be respectful of the growing patient and rehabilitation is focused on injury prevention in this unique high-risk patient population.
  • Overuse injuries have become increasingly common in young athletes, as many chose to specialize in a single sport year-round with inadequate time for rest and recovery. Overuse injuries may account for half of all sports injuries in middle and high school athletes. If left untreated, these injuries can have significant long-term consequences. In some cases, athletes should be screened for underlying conditions that can predispose them to overuse injuries such as low bone density or nutritional deficiencies.

Learning objectives

  1. Describe the impact of an initial non-operative treatment decision vs. an initial operative treatment approach on the long-term quality of life for the adolescent with a first-time shoulder dislocation.
  2. Identify clinical signs and symptoms associated with ACL and meniscus tears and be comfortable with performing and interpreting a physical examination of the knee.
  3. Gain an appreciation of the core concepts of treatment and prevention of overuse injuries in youth sports.

Speakers

  • J. Todd Lawrence, MD, PhD, Attending Orthopaedic Surgeon in the Division of Orthopaedics and the Sports Medicine and Performance Center. Dr. Lawrence specializes in treating high-performance young athletes.
  • Mary Daley, MD, FAAP, CAQSM, Sports Medicine Pediatrician with a subspecialty in sports psychiatry, in the Division of Orthopaedics and the Sports Medicine and Performance Center.
  • Kathleen J. Maguire, MD, Attending Physician in the Division of Orthopaedics and the Sports Medicine and Performance Center. Dr. Maguire specializes in treating pediatric performance athletes including dancers, gymnasts and figure skaters.

Moderator

  • Kat Ashe, PA-C, Physician Assistant in the Division of Orthopaedics and Sports Medicine and Performance

Schedule

  • 5:30-5:35 p.m.: Introduction
  • 5:35-5:55 p.m.: “I can’t believe I waited so long to be able to play and just dislocated my shoulder. How long am I going to be out with this injury?” The Case for Early Surgical Stabilization of Traumatic Shoulder Instability in Adolescent Athletes (Dr. Lawrence)
  • 5:55-6:15 p.m.: Evaluation and management of acute knee injuries in the pediatric and adolescent population: When am I dealing with more than a sprain? (Dr. Maguire)
  • 6:15-6:35 p.m.: Too Much of a Good Thing: Overuse Injuries in Young Athletes (Dr. Daley)
  • 6:35-7 p.m.: Q&A

Register now

Upcoming professional events

Future events in the Pediatric Orthopaedics and Sports Medicine Virtual Lecture Series include:

  • Return to Sports for Elite Athletes
  • Latest research and treatments for thoracic insufficiency syndrome
  • Best practices for brachial plexus birth injuries and upper limb anomalies
  • Osteosarcoma, hip preservation and more! 

ACCME Accreditation Statement: Children’s Hospital of Philadelphia is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA Credit Designation Statement: Children's Hospital of Philadelphia designates this live activity for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement: Mary Daley, MD, FAAP, CAQSM (Speaker), Kathleen Maguire, MD (Speaker), Todd Lawrence, MD, PhD (Speaker), Kat Ashe, PA-C, (Moderator) Katie Lockwood, MD (CHOP Talks Course Director) and Monica S. Williams (CME Planner) and others as appropriate have no relevant financial relationship with a commercial interest to disclose.