Jacks said.Ĭhildhood limps that are the result of congenital conditions, developmental issues and arthritides may go unnoticed until children start playing sports. It’s time that it takes to get it better,” Dr. To recover, young athletes need to sit out for three months, with no physical therapy, stretching, or strengthening exercises, according to Dr. What often is called a sports hernia isn’t a hernia at all but a muscle strain: athletic pubalgia. “The treatment is you’ve got to just not do anything for weeks until it heals, and then you have to slowly work your way back into the game,” Dr. Some of them are going to present as muscle strain, which can be painful and extremely limiting.įor example, a rectus femoris strain - which can happen in soccer while kicking with the hip flexed - makes running, climbing or descending steps, and even walking, painful. ![]() That entails getting pertinent injury films, a skeletal survey and arranging for a social services consult.Įveryday practice, everyday contact, everyday twisting in a sport like soccer is going to result in injuries. “I think it’s a good idea, if it crosses your mind, to evaluate for child abuse,” she said. Jacks, who presented at a continuing medical education opportunity, “ Is Your Child’s Limp Due to a Sports Injury?”Ĭhildren who start a new and rigorous sport, or play two sports at the same time, or go straight from one sport to another without a break have a greater risk of a stress fracture, which typically presents as a waxing and waning pain.Ī child who comes in repeatedly with fractures may be a victim of child abuse or, less likely, have underlying osteogenesis imperfecta, according to Dr. Stress fractures can happen almost anywhere but most often are found on the second metatarsal, the femoral neck or the tibia, according to Dr. Stress fractures are common in childhood and can progress to complete fracture. Also, even with a negative X-ray, sometimes the pain warrants splinting or bracing. No matter what the X-ray shows, a clinician needs to test the bone to see if it is broken, according to Dr. Also, clinicians also should keep in mind that it’s not always easy to tell the difference between a septic joint and an occult fracture. This is especially true in younger patients. “One thing always to keep in mind is that not all fractures are visible on X-ray,” Dr. When fractures occur, they usually involve the tibia or foot. ![]() Most commonly, the injury occurs from the knee down. Jacks, M.D., a pediatric orthopedic surgeon with Norton Children’s Orthopedics of Louisville, affiliated with the UofL School of Medicine. 1 thing we’re looking for,” said Laura K. “In many cases there is at least some trauma, whether you just stubbed your toe or broke your ankle, so trauma - especially in an orthopedic office - is the No. When a child who plays sports is limping, it’s often the result of a sprain or an overuse injury, but there are more serious injuries and conditions a clinician should consider.
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