Stories about: Sports Medicine Division

What parents of musicians should know about upper extremity injuries

Andrea Bauer Thriving lead image nerve injuries upper extremity musicians

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.

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Sports specialization and injury risk for young athletes

Kocher sports specialization Thriving blog

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.

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Football and family: Overcoming brachial plexus birth palsy

Brachial plexus patient plays football
(Photo credit: Ray Labbe)

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.

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What you should know about hip labral tears in young athletes

Dr. Young-Jo Kim hip labral tears Q&A lead image

Labral tears are a common injury in the hip, particularly with young athletes who may have underlying hip anatomy issues, such as hip dysplasia or impingement. Treatment for labral tears can range from rest and physical therapy to open surgery, with time away from sports spanning from days to weeks, or even months.

It’s important that any individual experiencing hip pain see a physician as soon as possible in order to limit pain and damage to the hip. Dr. Young-Jo Kim, a pediatric and young adult orthopedic hip specialist at Boston Children’s Hospital Orthopedic and Sports Medicine Center, discusses the causes of labral tears and his philosophy for treatment of this injury in young athletes.

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