Preventing Children's Sports Injuries (continued)

Adequate Adult Supervision and Commitment to Safety

Any team sport or activity that kids participate in should be supervised by qualified adults. Select leagues and teams that have the same commitment to safety and injury prevention that you do.

The team coach should have training in first aid and CPR, and the coach's philosophy should promote players' well-being. A coach with a win-at-all-costs attitude may encourage kids to play through injury and may not foster good sportsmanship. Be sure that the coach enforces playing rules and requires that safety equipment be used at all times.

Additionally, make sure your kids are matched for sports according to their skill level, size, and physical and emotional maturity.

Proper Preparation

Just as you wouldn't send a child who can't swim to a swimming pool, it's important not to send kids to play a sport that they're unprepared to play. Make sure that your child knows how to play the sport before going out on the field.

Your child should be adequately prepared with warm-ups and training sessions before practices as well as before games. This will help ensure that your child has fun and reduce the chances of an injury.

In addition, your child should drink plenty of fluids and be allowed to rest during practices and games.

Common Types of Sports Injuries

Three common types of sports injuries in children are acute injuries, overuse injuries, and reinjuries:

Acute Injuries

Acute injuries occur suddenly and are usually associated with some form of trauma. In younger children, acute injuries typically include minor bruises, sprains, and strains. Teen athletes are more likely to sustain more severe injuries, including broken bones and torn ligaments.

More severe acute injuries that can occur, regardless of age, include: eye injuries, including scratched corneas, detached retinas, and blood in the eye; broken bones or ligament injuries; brain injuries, including concussions, skull fractures, brain hemorrhages; and spinal cord injuries.

Acute injuries often occur because of a lack of proper equipment or the use of improper equipment. For example, without protective eyewear, eye injuries are extremely common in basketball and racquet sports. In addition, many kids playing baseball and softball have suffered broken legs or ankles from sliding into immobile bases.

Overuse Injuries

Overuse injuries occur from repetitive actions that put too much stress on the bones and muscles. Although these injuries can occur in adults as well as kids, they're more problematic in a child athlete because of the effect they may have on bone growth.

All kids who play sports can develop an overuse injury, but the likelihood increases with the amount of time a child spends on the sport.

Some of the most common types of overuse injuries are:

• anterior knee pain: Anterior knee pain is pain in the front of the knee under the kneecap. The knee will be sore and swollen due to tendon or cartilage inflammation. The cause is usually muscle tightness in the hamstrings or quadriceps, the major muscle groups around the thigh.
• Little League elbow: Repetitive throwing sometimes results in pain and tenderness in the elbow. The ability to flex and extend the arm may be affected, but the pain typically occurs after the follow-through of the throw. In addition to pain, pitchers sometimes complain of loss of velocity or decreased endurance.
• swimmer's shoulder: Swimmer's shoulder is an inflammation (swelling) of the shoulder caused by the repeated stress of the overhead motion associated with swimming or throwing a ball. The pain typically begins intermittently but may progress to continuous pain in the back of the shoulder.
• shin splints: Shin splints are characterized by pain and discomfort on the front of the lower parts of the legs. They are often caused by repeated running on a hard surface or overtraining at the beginning of a season.
• spondylolysis: Spondylolysis often results from trauma or from repetitive flexing, then overextension, twisting, or compression of the back muscles. This can cause persistent lower back pain. Spondylolysis is commonly seen in kids who participate in soccer, football, weight lifting, gymnastics, wrestling, and diving.

Overuse injuries can be caused or aggravated by: