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Basketball injuries in children

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Abstract

Basketball is a popular, worldwide sport played outdoors and indoors year-round. Patterns of injury are related to abrupt changes in the athlete’s direction, jumping, contact between athletes, the hard playing surface and paucity of protective equipment. Intensity of play and training in the quest of scholarships and professional careers is believed to contribute to an increasing occurrence of injury. Radiologists’ appreciation of the breadth of injury and its relation to imaging and clinical findings should enhance the care of these children. Some of the patterns of injury are well known to radiologists but vary due to age- and size-related changes; the growing skeleton is affected by differing susceptibilities from biomechanical stresses at different sizes. Beyond screening radiographs, the accuracy of MRI and CT has improved diagnosis and treatment plans in this realm. Investigations to detect symptoms and signs in an attempt to prevent the tragedy of sudden cardiac death in basketball players may lead to MRI and CTA studies that compel radiologists to evaluate cardiac function along with myocardial and coronary artery anatomy. Worthy of mention also is the female athlete triad of disordered eating, amenorrhea, and osteoporosis that is observed in some young women participating in this and other sports.

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References

  1. American Academy of Pediatrics. Committee on Sports Medicine and Fitness (2000) Intensive training and sports specialization in young athletes. Pediatrics 106:154–157

    Article  Google Scholar 

  2. Maffulli N, Baxter-Jones AD (1995) Common skeletal injuries in young athletes. Sports Med 19:137–149

    Article  CAS  PubMed  Google Scholar 

  3. van Mechelen W (1997) The severity of sports injuries. Sports Med 24:176–180

    Article  PubMed  Google Scholar 

  4. Outerbridge AR, Micheli LJ (1995) Overuse injuries in the young athlete. Clin Sports Med 14:503–516

    CAS  PubMed  Google Scholar 

  5. Ferguson A, Dowell W, Drummond T et al (1999) Inside the crazy culture of kids sports. TIME Magazine

  6. National SAFE KIDS Campaign (NSKC) (2004) Sports injury fact sheet. NSKC, Washington DC

  7. Gomez E, DeLee JC, Farney WC (1996) Incidence of injury in Texas girls’ high school basketball. Am J Sports Med 24:684–687

    Article  CAS  PubMed  Google Scholar 

  8. Powell JW, Barber-Foss KD (2000) Sex-related injury patterns among selected high school sports. Am J Sports Med 28:385–391

    CAS  PubMed  Google Scholar 

  9. Taylor BL, Attia MW (2000) Sports-related injuries in children. Acad Emerg Med 7:1376–1382

    Article  CAS  PubMed  Google Scholar 

  10. Meeuwisse WH, Sellmer R, Hagel BE (2003) Rates and risks of injury during intercollegiate basketball. Am J Sports Med 31:379–385

    PubMed  Google Scholar 

  11. Zipes DP, Wellens HJ (1998) Sudden cardiac death. Circulation 98:2334–2351

    CAS  PubMed  Google Scholar 

  12. Soejima K, Stevenson WG (2004) Athens, athletes, and arrhythmias: the cardiologist’s dilemma. J Am Coll Cardiol 44:1059–1061

    Article  PubMed  Google Scholar 

  13. Maron BJ, Doerer JJ, Haas TS et al (2009) Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980–2006. Circulation 119:1085–1092

    Article  PubMed  Google Scholar 

  14. Burke AP, Farb A, Malcom GT et al (1999) Plaque rupture and sudden death related to exertion in men with coronary artery disease. JAMA 281:921–926

    Article  CAS  PubMed  Google Scholar 

  15. Thompson PD, Stern MP, Williams P et al (1979) Death during jogging or running. A study of 18 cases. JAMA 242:1265–1267

    Article  CAS  PubMed  Google Scholar 

  16. Corrado D, Thiene G, Nava A et al (1990) Sudden death in young competitive athletes: clinicopathologic correlations in 22 cases. Am J Med 89:588–596

    Article  CAS  PubMed  Google Scholar 

  17. Maron BJ, Shirani J, Poliac LC et al (1996) Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. JAMA 276:199–204

    Article  CAS  PubMed  Google Scholar 

  18. Maron BJ (2002) Hypertrophic cardiomyopathy: a systematic review. JAMA 287:1308–1320

    Article  PubMed  Google Scholar 

  19. McKeag D (2003) Basketball. Blackwell Science, Indianapolis, IN

    Google Scholar 

  20. Mohiddin SA, Begley D, Shih J et al (2000) Myocardial bridging does not predict sudden death in children with hypertrophic cardiomyopathy but is associated with more severe cardiac disease. J Am Coll Cardiol 36:2270–2278

    Article  CAS  PubMed  Google Scholar 

  21. Maron BJ, Pelliccia A (2006) The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation 114:1633–1644

    Article  PubMed  Google Scholar 

  22. Cheitlin MD, De Castro CM, McAllister HA (1974) Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, A not-so-minor congenital anomaly. Circulation 50:780–787

    CAS  PubMed  Google Scholar 

  23. Maron BJ (2003) Sudden death in young athletes. N Engl J Med 349:1064–1075

    Article  CAS  PubMed  Google Scholar 

  24. Madias C, Maron BJ, Weinstock J et al (2007) Commotio cordis—sudden cardiac death with chest wall impact. J Cardiovasc Electrophysiol 18:115–122

    Article  PubMed  Google Scholar 

  25. Maron BJ, Gohman TE, Kyle SB et al (2002) Clinical profile and spectrum of commotio cordis. JAMA 287:1142–1146

    Article  PubMed  Google Scholar 

  26. Maron BJ, Thompson PD, Puffer JC et al (1998) Cardiovascular preparticipation screening of competitive athletes: addendum: an addendum to a statement for health professionals from the Sudden Death Committee (Council on Clinical Cardiology) and the Congenital Cardiac Defects Committee (Council on Cardiovascular Disease in the Young), American Heart Association. Circulation 97:2294

    CAS  PubMed  Google Scholar 

  27. Maron BJ, Thompson PD, Puffer JC et al (1996) Cardiovascular preparticipation screening of competitive athletes. A statement for health professionals from the Sudden Death Committee (clinical cardiology) and Congenital Cardiac Defects Committee (cardiovascular disease in the young), American Heart Association. Circulation 94:850–856

    CAS  PubMed  Google Scholar 

  28. Rettig AC (2003) Athletic injuries of the wrist and hand. Part I: traumatic injuries of the wrist. Am J Sports Med 31:1038–1048

    PubMed  Google Scholar 

  29. Nafie SA (1987) Fractures of the carpal bones in children. Injury 18:117–119

    Article  CAS  PubMed  Google Scholar 

  30. Hunter JC, Escobedo EM, Wilson AJ et al (1997) MR imaging of clinically suspected scaphoid fractures. AJR 168:1287–1293

    CAS  PubMed  Google Scholar 

  31. Amrami KK (2005) Radiology corner: diagnosing radiographically occult scaphoid fractures—what’s the best second test? J Am Soc Surg Hand 5:134–138

    Article  Google Scholar 

  32. Moser T, Dosch JC, Moussaoui A et al (2007) Wrist ligament tears: evaluation of MRI and combined MDCT and MR arthrography. AJR 188:1278–1286

    Article  PubMed  Google Scholar 

  33. Mastey RD, Weiss AP, Akelman E (1997) Primary care of hand and wrist athletic injuries. Clin Sports Med 16:705–724

    Article  CAS  PubMed  Google Scholar 

  34. Rettig AC (2004) Athletic injuries of the wrist and hand: part II: overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med 32:262–273

    Article  PubMed  Google Scholar 

  35. Barnett LS (1985) Little League shoulder syndrome: proximal humeral epiphyseolysis in adolescent baseball pitchers. A case report. J Bone Joint Surg Am 67:495–496

    CAS  PubMed  Google Scholar 

  36. Cahill BR, Tullos HS, Fain RH (1974) Little league shoulder: lesions of the proximal humeral epiphyseal plate. J Sports Med 2:150–152

    Article  CAS  PubMed  Google Scholar 

  37. Liebling MS, Berdon WE, Ruzal-Shapiro C et al (1995) Gymnast’s wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MR imaging. AJR 164:157–159

    CAS  PubMed  Google Scholar 

  38. Roy S, Caine D, Singer KM (1985) Stress changes of the distal radial epiphysis in young gymnasts. A report of twenty-one cases and a review of the literature. Am J Sports Med 13:301–308

    Article  CAS  PubMed  Google Scholar 

  39. Caine D, DiFiori J, Maffulli N (2006) Physeal injuries in children’s and youth sports: reasons for concern? Br J Sports Med 40:749–760

    Article  CAS  PubMed  Google Scholar 

  40. Yoo JH, Hahn SH, Yang BK et al (2007) An en bloc avulsion fracture of tibial tuberosity and Gerdy’s tubercle in an adolescent basketball player: a case report. Knee Surg Sports Traumatol Arthrosc 15:781–785

    Article  PubMed  Google Scholar 

  41. Georgiou G, Dimitrakopoulou A, Siapkara A et al (2007) Simultaneous bilateral tibial tubercle avulsion fracture in an adolescent: a case report and review of the literature. Knee Surg Sports Traumatol Arthrosc 15:147–149

    Article  PubMed  Google Scholar 

  42. Hamilton SW, Gibson PH (2006) Simultaneous bilateral avulsion fractures of the tibial tuberosity in adolescence: a case report and review of over 50 years of literature. Knee 13:404–407

    Article  CAS  PubMed  Google Scholar 

  43. Adirim TA, Cheng TL (2003) Overview of injuries in the young athlete. Sports Med 33:75–81

    Article  PubMed  Google Scholar 

  44. Piasecki DP, Spindler KP, Warren TA et al (2003) Intraarticular injuries associated with anterior cruciate ligament tear: findings at ligament reconstruction in high school and recreational athletes. An analysis of sex-based differences. Am J Sports Med 31:601–605

    PubMed  Google Scholar 

  45. Arendt E, Dick R (1995) Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 23:694–701

    Article  CAS  PubMed  Google Scholar 

  46. Agel J, Arendt EA, Bershadsky B (2005) Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. Am J Sports Med 33:524–530

    Article  PubMed  Google Scholar 

  47. Mihata LC, Beutler AI, Boden BP (2006) Comparing the incidence of anterior cruciate ligament injury in collegiate lacrosse, soccer, and basketball players: implications for anterior cruciate ligament mechanism and prevention. Am J Sports Med 34:899–904

    Article  PubMed  Google Scholar 

  48. LaPrade RF 2nd, Burnett QM (1994) Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries. A prospective study. Am J Sports Med 22:198–202; discussion 203

    Article  CAS  PubMed  Google Scholar 

  49. Emerson RJ (1993) Basketball knee injuries and the anterior cruciate ligament. Clin Sports Med 12:317–328

    CAS  PubMed  Google Scholar 

  50. Shelbourne KD, Davis TJ, Klootwyk TE (1998) The relationship between intercondylar notch width of the femur and the incidence of anterior cruciate ligament tears. A prospective study. Am J Sports Med 26:402–408

    CAS  PubMed  Google Scholar 

  51. Hewett TE, Myer GD, Ford KR (2006) Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. Am J Sports Med 34:299–311

    Article  PubMed  Google Scholar 

  52. Huston LJ, Greenfield ML, Wojtys EM (2000) Anterior cruciate ligament injuries in the female athlete. Potential risk factors. Clin Orthop Relat Res 372:50–63

    Article  PubMed  Google Scholar 

  53. Haycock CE, Gillette JV (1976) Susceptibility of women athletes to injury. Myths vs reality. JAMA 236:163–165

    Article  CAS  PubMed  Google Scholar 

  54. Shambaugh JP, Klein A, Herbert JH (1991) Structural measures as predictors of injury basketball players. Med Sci Sports Exerc 23:522–527

    CAS  PubMed  Google Scholar 

  55. Zelisko JA, Noble HB, Porter M (1982) A comparison of men’s and women’s professional basketball injuries. Am J Sports Med 10:297–299

    Article  CAS  PubMed  Google Scholar 

  56. Tohyama H, Kutsumi K, Yasuda K (2002) Avulsion fracture at the femoral attachment of the anterior cruciate ligament after intercondylar eminence fracture of the tibia. Am J Sports Med 30:279–282

    PubMed  Google Scholar 

  57. Prince JS, Laor T, Bean JA (2005) MRI of anterior cruciate ligament injuries and associated findings in the pediatric knee: changes with skeletal maturation. AJR 185:756–762

    PubMed  Google Scholar 

  58. Kocher MS, Mandiga R, Klingele K et al (2004) Anterior cruciate ligament injury versus tibial spine fracture in the skeletally immature knee: a comparison of skeletal maturation and notch width index. J Pediatr Orthop 24:185–188

    PubMed  Google Scholar 

  59. Goldman AB, Pavlov H, Rubenstein D (1988) The Segond fracture of the proximal tibia: a small avulsion that reflects major ligamentous damage. AJR 151:1163–1167

    CAS  PubMed  Google Scholar 

  60. Resnick D, Kransdorf MJ (2005) Bone and joint imaging. Elsevier Saunders, Philadelphia, PA, pp 968–971

    Google Scholar 

  61. Hayes CW, Coggins CA (2006) Sports-related injuries of the knee: an approach to MRI interpretation. Clin Sports Med 25:659–679

    Article  PubMed  Google Scholar 

  62. Duri ZA, Patel DV, Aichroth PM (2002) The immature athlete. Clin Sports Med 21:461–482

    Article  PubMed  Google Scholar 

  63. Niemeyer P, Weinberg A, Schmitt H et al (2006) Stress fractures in adolescent competitive athletes with open physis. Knee Surg Sports Traumatol Arthrosc 14:771–777

    Article  PubMed  Google Scholar 

  64. Resnick D, Kransdorf MJ (2005) Bone and joint imaging. Elsevier Saunders, Philadelphia, PA, pp 796–797

    Google Scholar 

  65. Baublitz SD, Shaffer BS (2004) Acute fracture through an intramedullary stabilized chronic tibial stress fracture in a basketball player: a case report and literature review. Am J Sports Med 32:1968–1972

    Article  PubMed  Google Scholar 

  66. Boden BP, Osbahr DC (2000) High-risk stress fractures: evaluation and treatment. J Am Acad Orthop Surg 8:344–353

    CAS  PubMed  Google Scholar 

  67. Gaeta M, Minutoli F, Mazziotti S et al (2008) Diagnostic imaging in athletes with chronic lower leg pain. AJR 191:1412–1419

    Article  PubMed  Google Scholar 

  68. Ohta-Fukushima M, Mutoh Y, Takasugi S et al (2002) Characteristics of stress fractures in young athletes under 20 years. J Sports Med Phys Fitness 42:198–206

    CAS  PubMed  Google Scholar 

  69. Hanson JA, Fotoohi M, Wilson AJ (1999) Maisonneuve fracture of the fibula: implications for imaging ankle injury. AJR 173:702

    CAS  PubMed  Google Scholar 

  70. Omey ML, Micheli LJ (1999) Foot and ankle problems in the young athlete. Med Sci Sports Exerc 31:S470–S486

    Article  CAS  PubMed  Google Scholar 

  71. Paavola M, Kannus P, Jarvinen TA et al (2002) Achilles tendinopathy. J Bone Joint Surg Am 84-A:2062–2076

    PubMed  Google Scholar 

  72. Buchbinder R (2004) Clinical practice. Plantar fasciitis. N Engl J Med 350:2159–2166

    Article  CAS  PubMed  Google Scholar 

  73. Zwipp H, Ranft T (1991) Malunited juvenile fractures in the foot region. Orthopade 20:374–380

    CAS  PubMed  Google Scholar 

  74. Fernandez Fairen M, Guillen J, Busto JM et al (1999) Fractures of the fifth metatarsal in basketball players. Knee Surg Sports Traumatol Arthrosc 7:373–377

    Article  CAS  PubMed  Google Scholar 

  75. Rammelt S, Heineck J, Zwipp H (2004) Metatarsal fractures. Injury 35:77–86

    Article  Google Scholar 

  76. Theodorou DJ, Theodorou SJ, Kakitsubata Y et al (2003) Fractures of proximal portion of fifth metatarsal bone: anatomic and imaging evidence of a pathogenesis of avulsion of the plantar aponeurosis and the short peroneal muscle tendon. Radiology 226:857–865

    Article  PubMed  Google Scholar 

  77. Jones R (1902) Fracture of the base of the fifth metatarsal bone by indirect violence. Ann Surg 35:697–702

    CAS  PubMed  Google Scholar 

  78. Rubino LJ 3rd, Miller MD (2006) What’s new in sports medicine. J Bone Joint Surg Am 88:457–468

    Article  PubMed  Google Scholar 

  79. Major NM (2006) Role of MRI in prevention of metatarsal stress fractures in collegiate basketball players. AJR 186:255–258

    Article  PubMed  Google Scholar 

  80. Hame SL, LaFemina JM, McAllister DR et al (2004) Fractures in the collegiate athlete. Am J Sports Med 32:446–451

    Article  PubMed  Google Scholar 

  81. National Federation of State High School Associations (2002) 2002 High School Participation Survey. National Federation of State High School Associations, Indianapolis, IN

  82. Otis CL, Drinkwater B, Johnson M et al (1997) American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc 29:i–ix

    CAS  PubMed  Google Scholar 

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  1. Division of Pediatric Radiology, Department of Radiology, Duke University Health Systems, Durham, NC, USA

    Ana Maria Gaca

  2. Division of Pediatric Radiology, Department of Radiology, 1905 McGovern-Davison Children’s Health Center, Box 3808 DUMC, Durham, NC, 27710, USA

    Ana Maria Gaca

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Correspondence to Ana Maria Gaca.

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Gaca, A.M. Basketball injuries in children. Pediatr Radiol 39, 1275–1285 (2009). https://doi.org/10.1007/s00247-009-1360-0

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