SPORTS MEDICINE - (click  to jump to specific module section)
Updated March 2020
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Preparticipation Screen


Learning Objectives:
  1. Identify medical and family history components important in assessing an adolescent during a pre-participation screen
  2. Recognize the medical conditions that limit participation in certain sports activities
  3. Identify risk factors for abuse of performance enhancing drugs

Readings and Videos:

Readings:
  1. Peterson AR, Bernhardt DT. The preparticipation sports evaluation. Pediatr Rev 2011;32(5):e53-65.
  2. Roberts WO1, Löllgen H, Matheson GO. Advancing the preparticipation physical evaluation: an ACSM and FIMS joint consensus statement. Clin J Sport Med. 2014 Nov;24(6):442-7.
  3. LaBotz M, Griesemer BA, Council On Sports Medicine and Fitness. Use of Performance-Enhancing Substances. Pediatrics 2016;138(1).

Podcasts:
  1. Advancing the Preparticipation Evaluation: A Conversation with Dr. William Roberts (Podcast) From the Clinical Journal of Sports Medicine Podcast Series 

Materials to Develop Educational Sessions:

Online Resources:
  1. AAP Section on Sports Medicine and Fitness: Preparticipation Physical Evaluation Resources - PPE Monograph (2010) - also with links to forms 

Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, subspecialty clinics, sports medicine clinics)

 


 

Common Injuries


Learning Objectives:
  1. Recognize and understand risk factors for common overuse injuries in adolescents such as patellofemoral pain syndrome, shoulder instability, tibial stress fracture, spondylolysis.
  2. Recognize and diagnose common traumatic sports injuries in adolescents such as ACL tear, ankle sprain, patellar dislocation.
Readings and Videos:

Readings:
  1. DiFiori JP. Evaluation of overuse injuries in children and adolescents. Curr Sports Med Rep 2010;9(6):372-8.
  2. Valovich McLeod TC, Decoster LC, Loud KJ, Micheli LJ, Parker JT, Sandrey MA, et al. National Athletic Trainers' Association position statement: prevention of pediatric overuse injuries. J Athl Train 2011;46(2):206-20.
  3. Brown T, Moran M. Pediatric Sports-Related Injuries. Clin Pediatr (Phila). 2019 Feb;58(2):199-212. doi: 10.1177/0009922818810879. Epub 2018 Nov 27.
  4. Cleary S, Chi V, Feinstein R. Female* athletes: managing risk and maximizing benefit.  Curr Opin Pediatr. 2018 Dec;30(6):874-882. doi: 10.1097/MOP.0000000000000700.

Podcasts:
  1. Overuse Injuries & Burnout in Youth Sports with Dr. John DiFiori (lead author), Dr. Joel S. Brenner and Dr. Neeru Jayanthi.
Websites and Online Resources:
  1. Overuse injuries in Children. American Assoc of Orthopedic Surgeons.
 
Interactive Learning Opportunities
Interactive online cases available from the American Medical Society for Sports 
  1. 32 Yo Woman With Excruciating Left Lower Extremity Pain
  2. Knee Pain After A Slide Tackle In Football  

Materials to Develop Educational Sessions:

Online Resources:

American College of Emergency Physicians - Sports Medicine
  1. Musculoskeletal Exam Series: Video Tutorials
 
Clinical and Community Settings:
  • Adolescent Clinic/Rotation
  • Resident Continuity Clinic
  • Sports Medicine Clinic (during adolescent rotation or separate rotation/ experience)
  • Emergency department
  • Acute/urgent care settings
 

Female Athlete Triad and Relative Energy Deficiency


Learning Objectives:
  1. Identify components of the female athlete triad and the possible long-term health consequences associated with it
  2. Recognize that excessive exercise may result in relative energy deficiency in athletes and others focused on exercise for weight management
  3. Recognize athletes who are at risk for developing female athlete triad 
  4. Describe possible treatment approaches to adolescents diagnosed with female athlete triad.
*Note that what is traditionally called “Female Athlete Triad” may also apply to youth  of all genders​
 
Readings and Videos:

Readings:
  1. Joy E, De Souza MJ, Nattiv A, Misra M, Williams NI, Mallinson RJ, et al. 2014 female athlete triad coalition consensus statement on treatment and return to play of the female athlete triad. Curr Sports Med Rep 2014;13(4):219-32.
  2. Mountjoy M, Sundgott-Borgen J, Burke L, et al. The IOC consensus statement: beyond the Female Athletic Triad—Relative Energy Deficiency in Sport (RED-S). Br J Sports Med 2014, 48:491-497.
  3. Weiss Kelly AK, Hecht S, Council on Sports Medicine and Fitness. The Female Athlete Triad. Pediatrics 2016;138(2). 

Podcasts and Videos:
  1. A Deeper Dive into the Female Athlete Triad with American Medical Society of Sports Medicine (AMSSM) members Drs. Elizabeth Joy and Aurelia Nattiv. Available from the American Medical Society for Sports Medicine E-learning Portal
  2. Dr. Gloria Cohen presents The Female Athlete Triad at the ONSF Medical Education Conference for medical professionals held at Greenwich Hospital on November 8, 2014
 
Interactive Learning Opportunities:


American Medical Society for Sports Medicine - interactive online cases 

Sports Medicine in the Pediatric Office, 2nd Edition: American Academy of Pediatrics. Jordan D. Metzl MD, FAAP. Available from AAP for purchase ($) and includes a skills-focused 2-hour DVD.

 
Materials to Develop Educational Sessions:

Online Resources:

  1. Female Athlete Triad Coalition


Clinical and Community Settings:

  • Adolescent Clinic/Rotation
  • Eating disorder treatment center
  • Pediatric/
  • Adolescent gynecology
  • Sports medicine
 

 

Concussion


Learning Objectives:
  1. Recognize symptoms of sports-related concussion in adolescents
  2. Describe "second impact syndrome"
  3. Explain the importance of return to play guidelines and practice their implementation
Readings and Videos:

Readings:
  1. Sport-Related Concussion in Children and Adolescents (AAP 2010; reaffirmed 2014).

Podcasts: available at: http://www.amssm.org/E-Learning.php
  1. Concussion Evaluation and Management with Dr. Jeffrey Kutcher
  2. Managing Concussion with Dr. Kim Harmon

Interactive Learning Opportunities
Materials to Develop Educational Sessions:

Online Resources:
  1. American Academy of Neurology Sports Concussion Toolkit
  2. CDC HEADS UP to Health Care Providers.
Clinical and Community Settings
  • Adolescent Clinic
  • Emergency Room Rotation
  • Neurology/ concussion clinic 
  • Continuity clinic
  • Sports medicine
  • College health
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