Musculoskeletal injuries and pain in children involved in sports: A literature review
- Authors: Kenis V.M.1,2, Baindurashvili A.G.1,2, Sapogovskiy A.V.1, Melchenko E.V.1, Kasev A.N.1, Shpulev P.S.1
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Affiliations:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 12, No 2 (2024)
- Pages: 271-283
- Section: Scientific reviews
- URL: https://journals.rcsi.science/turner/article/view/265170
- DOI: https://doi.org/10.17816/PTORS633296
- ID: 265170
Cite item
Abstract
BACKGROUND: In children, sports aims to obtain positive emotions and improve health and personal development. Sports injuries are associated with various risk factors, such as sex, age, previous injuries, and early specialization.
AIM: This study aimed to analyze published data on the epidemiology, etiology, pathogenesis, and diagnosis and treatment of musculoskeletal injuries and associated pain in children engaged in sports.
MATERIALS AND METHODS: The literature regarding the epidemiology, diagnosis, and treatment of pain in children involved in sports was explored. The literature search garnered 64 publications, including original articles, reviews, and normative documents.
RESULTS: For most athletes, pain commonly occurs during training and competition. Injuries are an inherent risk when playing sports. However, coaches and parents can minimize the risk of injury by ensuring that they choose the right sports activities, use appropriate equipment, follow the rules, use safe practice, and provide adequate supervision. The negative consequences of sports injuries must be balanced with the social, psychological, and health benefits of sports participation.
CONCLUSIONS: Treatment of injuries and analgesia must be implemented effectively to prevent pain from becoming chronic and reduce psychological burden on the young athletes.
Full Text
##article.viewOnOriginalSite##About the authors
Vladimir M. Kenis
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: kenis@mail.ru
ORCID iD: 0000-0002-7651-8485
SPIN-code: 5597-8832
MD, PhD, Dr. Sci. (Med.), Professor
Russian Federation, Saint Petersburg; Saint PetersburgAlexey G. Baindurashvili
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
Email: turner011@mail.ru
ORCID iD: 0000-0001-8123-6944
SPIN-code: 2153-9050
MD, PhD, Dr. Sci. (Med.), Professor, Member of RAS, Honored Doctor of the Russian Federation
Russian Federation, Saint Petersburg; Saint PetersburgAndrey V. Sapogovskiy
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: sapogovskiy@gmail.com
ORCID iD: 0000-0002-5762-4477
SPIN-code: 2068-2102
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgEvgenii V. Melchenko
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: emelchenko@gmail.com
ORCID iD: 0000-0003-1139-5573
SPIN-code: 1552-8550
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgAleksandr N. Kasev
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: an.kasev@aodkb29.ru
ORCID iD: 0009-0006-0802-4949
MD, PhD student
Russian Federation, Saint PetersburgPavel S. Shpulev
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: pavel_shpulev@mail.ru
ORCID iD: 0009-0004-1327-6759
MD, PhD student
Russian Federation, Saint PetersburgReferences
- Arsenovic D, Djokic B, Kovacevic Z, et al. Quality of life of children engaged in regular physical activities. Iran J Public Health. 2022;51(7):1629–1636. doi: 10.18502/ijph.v51i7.10097
- Kjellenberg K, Ekblom O, Ahlen J, et al. Cross-sectional associations between physical activity pattern, sports participation, screen time and mental health in Swedish adolescents. BMJ Open. 2022;12(8). doi: 10.1136/bmjopen-2022-061929
- Damore DT, Metzl JD, Ramundo M, et al. Patterns in childhood sports injury. Pediatr Emerg Care. 2003;19(2):65–67. doi: 10.1097/00006565-200304000-00001
- Pizzarro J, Chiang B, Malyavko A, et al. Epidemiology of sports injuries among high school athletes in the united states: data from 2015 to 2019. Orthop J Sports Med. 2024;12(5). doi: 10.1177/23259671241252637
- Uršej E, Zaletel P Injury occurrence in moder and hip-hop dancers: a systematic literature review. Zdr Varst. 2020;59(3):195–201. doi: 10.2478/sjph-2020-0025
- Schneider S, Yamamoto S, Weidmann C Sports injuries among adolescents: Incidence, causes and consequences. J Paediatr Child Health. 2012;48(10):E183–E189. doi: 10.1111/j.1440-1754.2012.02578.x
- Shanmugam C, Maffulli N. Sports injuries in children. Br Med Bull. 2008;86:33–35. doi: 10.1093/bmb/ldn001
- Schwebel DC, Brezausek CM Child development and pediatric sport and recreational injuries by age. J Athl Train. 2014;49(6):780–785. doi: 10.4085/1062-6050-49.3.41
- Krasnoyarov GA, Tsybanov AS, Kozlov OO. Our experience of sports injuries treatment in children and adolescents. Bulletin of Buryat State University. 2013;(12):140–146. EDN: REXSRP
- Saß AC, Kuhnert R, Gutsche J. Unintentional injuries in childhood and adolescence-prevalence, locations, and mechanisms: Results from KiGGS Wave 2 and trends. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz. 2019;62(10):1174–1183. doi: 10.1007/s00103-019-03013-w
- Caine DJ, Maffulli N. Epidemiology of children’s individual sports injuries. An important area of medicine and sport science research. Med Sport Sci. 2005;48:1–7. doi: 10.1159/000084274
- Caine D, Caine C, Maffulli N. Incidence and distribution of pediatric sport-related injuries. Clin J Sport Med. 2006;16(6):500–513. doi: 10.1097/01.jsm.0000251181.36582.a0
- Phelan KJ, Khoury J, Xu Y, et al. A randomized, controlled trial of home injury hazard reduction: the home injury study. Arch Pediatr Adolesc Med. 2011;165(4):339–345. doi: 10.1001/archpediatrics.2011.29
- Volmut T, Pišot R, Šimunič B. Objectively measured physical activity in children aged from 5 to 8 years. Zdr Varst. 2013;52:9. doi: 10.2478/sjph-2013-0002
- Lesjak V, Stanojević-Jerković O. Physical activity, sedentary behaviour and substance among adolescents in Slovenian urban area. Zdr Varst. 2015;54(3):168–174. doi: 10.1515/sjph-2015-0024
- Videmšek M, Karpljuk D, Mlinar S, et al. Injuries to primary school pupils and secondary school students during physical education classes and their leisure time. Coll Anthropol. 2010;34(3):973–980.
- Medved T, Scagnetti N, Zupet P. Injuries in sports and recreation. In: Simon M, editor. Injuries to children and young people – a problem in Slovenia too? Ljubljana: National Institute of Public Health; 2018. P. 91–104. (In Slov.)
- Adirim TA, Cheng TL. Overview of injuries in the young athlete. Sports Med. 2003;33(1):75–81. doi: 10.2165/00007256-200333010-00006
- Molcho M, Walsh S, Donnelly P, et al. Trend in injury-related mortality and morbidity among adolescents across 30 countries from 2002 to 2010. Eur J Public Health. 2015;25:33–36. doi: 10.1093/eurpub/ckv026
- Raisanen AM, Kokko S, Pasanen K, et al. Prevalence of adolescent physical activity related injuries in sports, leisure time, and school: the national physical activity behaviour study for children and adolescents. BMC Musculoskelet Disord. 2018;19(1):58. doi: 10.1186/s12891-018-1969-y
- Maffulli N, Baxter-Jones AD. Common skeletal injuries in young athletes. Sports Med. 1995;19(2):137–149. doi: 10.2165/00007256-199519020-00005
- Wang C, Toigo S, Zutrauen S, et al. Injuries among Canadian children and youth: an analysis using the 2019 Canadian Health Survey on Children and Youth. Health Promot Chronic Dis Prev Can. 2023;43(2):98–102. doi: 10.24095/hpcdp.43.2.05
- Siebenga J, Segers MJ, Elzinga MJ, et al. Spine fractures caused by horse riding. Eur Spine J. 2006;15(4):465–471. doi: 10.1007/s00586-005-1012-5
- Baxter-Jones A, Maffulli N, Helms P. Low injury rates in elite athletes. Arch Dis Child. 1993;68(1):130–132. doi: 10.1136/adc.68.1.130
- Richardson A, Clarsen B, Verhagen EALM, et al. High prevalence of self-reported injuries and illnesses in talented female athletes. BMJ Open Sport Exerc Med. 2017;3(1). doi: 10.1136/bmjsem-2016-000199
- Hainline B, Derman W, Vernec A, et al. International Olympic Committee consensus statement on pain management in elite athletes. Br J Sports Med. 2017;51(3):1245–1258. doi: 10.1136/bjsports-2017-097884
- Herring SA, Kibler WB, Putukian M. Psychological issues related to injury and illness in athletes and the team physician: a consensus statement – 2016 update. Med Sci Sports Exerc. 2017;16(3):189–201. doi: 10.1249/MSS.0000000000001247
- DiFiori JP, Puffer JC, Aish B, et al. Wrist pain, distal radial physeal injury, and ulnar variance in young gymnasts: does a relationship exist? Am J Sports Med. 2002;30(6):879–885. doi: 10.1177/03635465020300062001
- Flachsmann R, Broom ND, Hardy AE, et al. Why is the adolescent joint particularly susceptible to osteochondral shear fracture? Clin Orthop Relat Res. 2000;(381):212–221. doi: 10.1097/00003086-200012000-00025
- Burns PR, Lowery N. Etiology, pathophysiology, and most common injuries of the lower extremity in the athlete. Clin Podiatr Med Surg. 2011;28(1):1–18. doi: 10.1016/j.cpm.2010.11.003
- Nichols JC, Shah N, Jones A, et al. Characteristics of sports-related injuries presenting to a pediatric emergency department. South Med J. 2023;116(11):883–887. doi: 10.14423/SMJ.0000000000001621
- Stracciolini A, Casciano R, Levey Friedman H, et al. Pediatric sports injuries: an age comparison of children versus adolescents. Am J Sports Med. 2013;41(8):1922–1929. doi: 10.1177/0363546513490644
- Stracciolini A, Casciano R, Friedman HL, et al. A closer look at overuse injuries in the pediatric athlete. Clin J Sport Med. 2015;25(1):30–35. doi: 10.1097/JSM.0000000000000105
- Tripp DA, Stanish WD, Reardon G, et al. Comparing postoperative pain experiences of the adolescent and adult athlete after anterior cruciate ligament surgery. J Athl Train. 2003;38(2):154–157.
- Sundblad G, Saartok T, Engstrom LM, et al. Injuries during physical activity in school children. Scand J Med Sci Sports. 2005;15(5):313–323. doi: 10.1111/j.1600-0838.2004.00419.x
- Abernethy L, MacAuley D, McNally O, et al. Immediate care of school injury. Inj Prev. 2003;9(3):270–273. doi: 10.1136/ip.9.3.270
- Sciranka J, Kaplánová A. Sports injuries and psychological aspects of pain perception of athletes. Acta Gymnica. 2021;51. doi: 10.5507/ag.2021.021
- Codner M, Ames C, Pluhar EI. The psychological effects of injury on youth athletes. In: Christino M.A., Pluhar E.I., Micheli L.J., editors. Psychological considerations in the young athlete. Contemporary pediatric and adolescent sports medicine. Springer, Cham; 2023. doi: 10.1007/978-3-031-25126-9_5
- Beischer S, Hamrin Senorski E, et al. How is psychological outcome related to knee function and return to sport among adolescent athletes after anterior cruciate ligament reconstruction? Am J Sports Med. 2019;47(7):1567–1575. doi: 10.1177/0363546519843073
- Watson A, Mjaanes JM. Soccer injuries in children and adolescents. Pediatrics. 2019;144(5). doi: 10.1542/peds.2019-759
- Lutz D, van den Berg C, Räisänen AM, et al. Best practices for the dissemination and implementation of neuromuscular training injury prevention warm-ups in youth team sport: a systematic review. Br J Sports Med. 2024;58(11):615–625. doi: 10.1136/bjsports-2023-106906
- Helms PJ. Sports injuries in children: should we be concerned? Arch Dis Child. 1997;77(2):161–163. doi: 10.1136/adc.77.2.161
- Kocher MS, Waters PM, Micheli LJ. Upper extremity injuries in the paediatric athlete. Sports Med. 2000;30(2):117–135. doi: 10.2165/00007256-200030020-00005
- Heidt RS, Jr., Sweeterman LM, Carlonas RL et al. Avoidance of soccer injuries with preseason conditioning. Am J Sports Med. 2000;28(5):659–662. doi: 10.1177/03635465000280050601
- Patankar AG, Christino MA, Milewski MD. Psychological aspects of adolescent knee injuries. Clin Sports Med. 2022;41(4):595–609. doi: 10.1016/j.csm.2022.05.003
- Fong DT, Hong Y, Chan LK, et al. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73–94. doi: 10.2165/00007256-200737010-00006
- Feletti F, Bonato M. The incidence of pediatric and adolescent concussion in action sports: a systematic review and meta-analysis. Int J Environ Res Public Health. 2020;17(23):8728. doi: 10.3390/ijerph17238728
- Select issues in pain management for the youth and adolescent athlete. Med Sci Sports Exerc. 2020;52(9):2037–2046. doi: 10.1249/MSS.0000000000002333
- Liu DV, Lin YC. Current evidence for acute pain management of musculoskeletal injuries and postoperative pain in pediatric and adolescent athletes. Clin J Sport Med. 2019;29(5):430–438. doi: 10.1097/JSM.0000000000000690
- Drendel AL, Lyon R, Bergholte J, et al. Outpatient pediatric pain management practices for fractures. Pediatr Emerg Care. 2006;22(2):94–99. doi: 10.1097/01.pec.0000199564.64264.f4
- Koller DM, Myers AB, Lorenz D, et al. Effectiveness of oxycodone, ibuprofen, or the combination in the initial management of orthopedic injury-related pain in children. Pediatr Emerg Care. 2007;23(9):627–633. doi: 10.1097/PEC.0b013e31814a6a39
- Klyuchnikov SO, Kozlov IG, Pushkina TA, et al. Guideline on drugs use in youth sports. Extreme medicine. 2015;4(54):68–74. EDN: VBCUPP
- Cukiernik VA, Lim R, Warren D, et al. Naproxen versus acetaminophen for therapy of soft tissue injuries to the ankle in children. Ann Pharmacother. 2007;41:1368–1374. doi: 10.1345/aph.1H596
- Clark E, Plint AC, Correll R, et al. A randomized, controlled trial of acetaminophen, ibuprofen, and codeine for acute pain relief in children with musculoskeletal trauma. Pediatrics. 2007;119(9):460–467. doi: 10.1542/peds.2006-1347
- Friday JH, Kanegaye JT, McCaslin I, et al. Ibuprofen provides analgesia equivalent to acetaminophen-codeine in the treatment of acute pain in children with extremity injuries: a randomized clinical trial. Acad Emerg Med. 2009;16(8):711–716. doi: 10.1111/j.1553-2712.2009.00471.x
- Drendel AL, Gorelick MH, Weisman SJ, et al. A randomized clinical trial of ibuprofen versus acetaminophen with codeine for acute pediatric arm fracture pain. Ann Emerg Med. 2009;54(4):553–560. doi: 10.1016/j.annemergmed.2009.06.005
- Le May S, Gouin S, Fortin C, et al. Efficacy of an ibuprofen/codeine combination for pain management in children presenting to the emergency department with a limb injury: a pilot study. J Emerg Med. 2013;44(2):536–542. doi: 10.1016/j.jemermed.2012.06.027
- Dodwell ER, Latorre JG, Parisini E, et al. NSAID exposure and risk of nonunion: a meta-analysis of case-control and cohort studies. Calcif Tissue Int. 2010;87(3):193–202. doi: 10.1007/s00223-010-9379-7
- DePeter KC, Blumberg SM, Dienstag Becker S, et al. Does the use of ibuprofen in children with extremity fractures increase their risk for bone healing complications? J Emerg Med. 2017;52(4):426–432. doi: 10.1016/j.jemermed.2016.09.027
- Benjamin HJ, Perri MM, Leemputte J, et al. Opioids and youth athletes. Sports Health. 2024;16(2):269–278. doi: 10.1177/19417381241228629
- Charde V, Sanklecha M, Rajan P, et al. Comparing the efficacy of paracetamol, ibuprofen, and a combination of the two drugs in relieving pain and fever in the pediatric age group: a prospective observational study. Cureus. 2023;15(10). doi: 10.7759/cureus.46907
- Nasr Isfahani M, Etesami H, Ahmadi O, et al. Comparing the efficacy of intravenous morphine versus ibuprofen or the combination of ibuprofen and acetaminophen in patients with closed limb fractures: a randomized clinical trial. BMC Emerg Med. 2024;24(1):15. doi: 10.1186/s12873-024-00933-y
- Danilov AB, Danilov AlB. Physiological and psychological model and chronic pain. Modern therapy in psychiatry and neurology. 2013;(1):30–36. EDN: PXUFGF
- Wilson JE, Pendleton JM. Oligoanalgesia in the emergency department. Am J Emerg Med. 1989;7(6):620–623. doi: 10.1016/0735-6757(89)90286-6
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