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Pediatric and Adolescent Sports Injuries

Christopher S. Ahmad (Editor) pp. 199 New York: American Academy of Orthopaedic Surgeons, 2010 ISBN: 978-0-89203-691-2

Pediatric and Adolescent Sports Injuries is a monograph edited by Christopher S. Ahmad, Associate Professor of Clinical Orthopedic Surgery and Director of the Centre for Adolescent and Pediatric Sports Medicine, Columbia University, New York.

The text consists of 200 pages in 12 chapters looking at: knee ligament injuries in young athletes, osteochondritis dissecans, the discoid meniscus, patellofemoral disorders, foot and ankle and hip and pelvis injuries. In the upper limb subjects include: shoulder instability, throwing injuries, elbow osteochondritis dissecans, olecranon stress fractures, and medial side elbow injuries. Hand and wrist injuries are also covered, and the monograph concludes with a chapter on spinal injuries. Given the relative popularity of baseball in the United States and the overuse injuries associated with the sport, the upper limb may be considered to be more represented than typically found in a text aimed at surgeons from the United Kingdom. These orthopaedic problems do occur in our patients and when seeking advice it is useful to consult chapters written by those more experienced in managing them.

Each chapter consists of the aetiology, history and physical examination, imaging, the natural history, classification and treatment. Both non-operative and operative treatments are discussed with surgical techniques being described in the text and accompanied with clinical photographs and schematics. The discussion features the key topic related to surgery on the developing child and adolescent such as all epiphyseal anterior cruciate ligament reconstruction. There is a paragraph discussing outcome and return to play criteria in some paragraphs. The formation and ossification of apophyses are covered together with the estimation of bone age.

The complex biomechanics involved during the action of baseball pitching: wind up, early cocking, late cocking, acceleration, deceleration and follow are related to both shoulder and elbow injuries. This will be useful to the American reader but less so for readers from countries where the predominant sports do not involve throwing. Unfortunately the key aspect of return to school sports and other physical activities, which would be useful for the general orthopaedic surgeon, has been omitted in some chapters.

This is a concise, well-written, quick reference text covering the majority of adolescent and paediatric sports complaints. All the key complaints are covered and surgical techniques well presented.

M. Carmont

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