Just a few decades ago, a child tearing their ACL would lead to years of reduced activity and inability to participate in sports. Surgical reconstruction was not an option, given that the procedure required drilling through the growth plate, and would disrupt future growth in the child’s affected leg.
But in 1976, Lyle Micheli, MD, director of the Sports Medicine Division at Boston Children’s Hospital, pioneered a new growth plate-sparing ACL reconstruction procedure for growing children. Known as physeal-sparing ACL reconstruction, the procedure has been used to reconstruct ACLs in prepubescent kids at Boston Children’s ever since.
This is the procedure that Nate — a 12-year-old star baseball player at the time — underwent in 2013, after tearing his ACL playing football. Rather than rush into an ACL reconstruction surgery in their home state of Maine, Nate’s family researched the best ACL surgeons, and were ultimately referred to Mininder Kocher, MD, MPH, associate director of the Sports Medicine Division at Boston Children’s. …
When it comes to orthopedic injuries, sports are usually talked about as high-risk activities, but it’s not often we consider the risk that musicians take when playing an instrument for hours every day.
Musicians can get overuse injuries the same way that athletes do, and are at risk for neck and back injuries, as well as shoulder strain. In particular, nerve injuries in the upper extremities are quite common amongst string instrument musicians, as they tend to hold their instruments in abnormal positions for long periods of time.
While parents may not think that their kid playing an instrument could come with potential injury hazards, these conditions can leave a child or young adult in pain and unable to play. Andrea Bauer, MD, a pediatric orthopedic surgeon in the Hand and Orthopedic Upper Extremity Program at Boston Children’s Hospital details how these injuries occur and what parents should look out for.
In recent years, sports specialization has become a hot topic amongst both parents of young athletes and medical professionals. There are a lot of questions swirling around early specialization: When should my child begin to focus on just one sport year-round? Are there injury risks associated with specialization? Does specializing in one sport provide a significant benefit for their skill development?
While answers to these questions aren’t always straightforward, in a recent study Dr. Mininder Kocher, an orthopedic surgeon and associate director of the Boston Children’s Hospital Sports Medicine Division, found some compelling evidence of the risks of early sports specialization.
Chase is only a few months away from fulfilling a lifelong dream; playing college football. It’s a dream thousands of other kids across the country will be living out this fall — but they aren’t like Chase.
“The first time I saw Chase was in 2000,” says Dr. Peter Waters, Orthopedic Surgeon-in-Chief and director of the Brachial Plexus Program at Boston Children’s. “He was six months old when his parents brought him in, and had a severe brachial plexus injury to his right side.” To correct this nerve injury that occurs during birth, Chase would undergo nerve surgery on his arm in 2001, and another two surgeries on his shoulder in 2003. He would continue to need life-long physical therapy as he grew and will always have limited use of his right arm. …