Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Feb;50(2):163-171.
doi: 10.1007/s00132-021-04074-z.

[Apophyseal injuries in sports]

[Article in German]
Markus Neubauer  1   2 , Stefan Nehrer  3   4
Affiliations

[Apophyseal injuries in sports]

[Article in German]
Markus Neubauer et al. Orthopade. 2021 Feb.

Abstract
in English, German

The number of adolescents and children in elite and high-intensity mass sports is increasing, with respect to industrial nations. High-intensity training can cause overload due to the increased traction effect, particularly on tendon and muscle insertion sites. Apophyses are the center for ossification in tendon and muscle insertions and are therefore particularly vulnerable in youths to overload-related pathologies. Core measures in the prevention are a systematic planning of training and the avoidance of mechanical overstraining in the growth period. An exact imaging enables the diagnosis of apophyseal structural damage at an early stage, which in this phase can be healed by a pause in training and conservative measures.

Die Zahl an Jugendlichen und Kindern im Spitzen- oder hochintensiven Breitensport ist – bezogen auf Industrienationen – im Steigen begriffen. Hochintensives Training kann Überlastungen durch die vermehrte Zugwirkung besonders auf Sehnen- und Muskelinsertionsstellen bedingen. Apophysen als Ossifikationskerne in Sehnen- und Muskelinsertionen sind bei Heranwachsenden besonders vulnerabel für überlastungsbedingte Pathologien. Zentrale Maßnahmen in der Prävention sind eine systematische Trainingsplanung und die Vermeidung mechanischer Überbeanspruchung im Wachstumsalter. Eine exakte Bildgebung ermöglicht die Diagnose von Frühstadien apophysärer Strukturschäden, die in dieser Phase durch Trainingspause und konservative Maßnahmen geheilt werden können.

Keywords: Growth period; High-intensity training; Imaging; Mechanical overstraining; Systematic training plan.

PubMed Disclaimer

References

    1. Caine D, Maffulli N, Caine C. Epidemiology of injury in child and adolescent sports: injury rates, risk factors, and prevention. Clin Sports Med. 2008;27(vii):19–50. doi: 10.1016/j.csm.2007.10.008. - DOI - PubMed
    1. Caine D, Caine C, Maffulli N. Incidence and distribution of pediatric sport-related injuries. Clin J Sport Med. 2006;16:500–513. doi: 10.1097/01.jsm.0000251181.36582.a0. - DOI - PubMed
    1. Shephard RJ. Physical activity and child health. Sports Med. 1984;1:205–233. doi: 10.2165/00007256-198401030-00004. - DOI - PubMed
    1. Maffulli NP, Longo UG, Spiezia F, et al. Aetiology and prevention of injuries in elite young athletes. Med Sport Sci. 2011;56:187–200. doi: 10.1159/000321078. - DOI - PubMed
    1. Caine D, DiFiori J, Maffulli N. Physeal injuries in children’s and youth sports: reasons for concern? Br J Sports Med. 2006;40:749–760. doi: 10.1136/bjsm.2005.017822. - DOI - PMC - PubMed

LinkOut - more resources