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The pediatric overhead athlete: what is the real problem?

机译:儿科高架运动员:真正的问题是什么?

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摘要

OBJECTIVE: The purposes of this article are to examine shoulder and elbow injuries in pediatric athletes, to evaluate the pathophysiology and pathomechanics that may be associated with the pathoanatomy, and to present suggestions for the prevention of those injuries. DATA SOURCES: This article will review the published sports medicine literature on these topics in baseball and tennis injuries and present a kinetic chain-based perspective on the possible causative factors that are present in the young thrower. RESULTS: The published literature shows that there are multiple intrinsic and extrinsic factors that contribute to the risk of injury in young throwing athletes. These factors appear to develop over time; if not recognized or addressed early, they have undesirable outcomes. CONCLUSIONS: A multitude of factors, including anatomical, biomechanical, and environmental concerns, can contribute to the dysfunction of the shoulder and elbow in young overhead athletes. Understanding the force-generating and load-absorbing processes of the body will help clinicians, coaches, and others prevent or limit the deleterious effects of such occurrences.
机译:目的:本文旨在检查小儿运动员的肩肘关节损伤,评估可能与病理解剖学相关的病理生理和病理力学,并提出预防此类损伤的建议。数据来源:本文将回顾已发表的有关棒球和网球损伤中这些主题的运动医学文献,并从动力学链的角度对年轻投掷者中可能存在的致病因素进行分析。结果:已发表的文献表明,存在多种内在和外在因素,这些因素导致了年轻投掷运动员受伤的风险。这些因素似乎随着时间而发展。如果不及早发现或解决,那么它们将产生不良后果。结论:许多因素,包括解剖,生物力学和环境方面的考虑,都可能导致年轻高架运动员的肩部和肘部功能障碍。了解身体的力量产生和负荷吸收过程将有助于临床医生,教练和其他人防止或限制此类事件的有害影响。

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