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                                Health Topics 
                                
                                
                                    Healthy Living
                                
                                
                                
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            | October 2010 |  
            | Sports Injuries in Young Athletes |  
            | Dr. Sharat Kumar |  
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                        |  | Injuries can mar a child’s sporting future.  Young athletes are not miniature adults, which means that their muscles, tendons, bones and ligaments are still growing - making them susceptible to injury. The adolescent growth spurt predisposes children to injury, particularly at their growth plate, which determines the length and shape of the mature bones. |  
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 Types of InjuriesThe majority of sports injuries are relatively minor, like bruises, sprains and strains, which can occur during contact and non-contact sports or while training. Significant injuries like growth plate injury, fracture, dislocation, head injury and spinal injury can sometimes cause permanent disability - and every effort should be taken to prevent and minimise them. 
 Macrotrauma or acute injuries are the result of a single application of force, which brings about tissue damage.  Microtrauma or injuries due repetitive stress is what comprises 40 percent of all sports injuries. It leads to inflammation of the muscle tendons and stress fractures. Common overuse injuries are tennis elbow (remember Sachin Tendulkar’s?), anterior knee pain, little league elbow, shin splints and plantar fasciitis (the painfull inflammatory process in the thick connective tissue which supports the arch of the foot).
 
 Sticking to rules of the game and training appropriately are important, not only for performance, but also for injury prevention. Sports specific equipment is essential to avoid and minimise injuries.
 
 
 Taking Care of Your InjuriesIf not anything in this article, just remember this acrostic ‘P R I C E S’ 
                            Protection of the injured partRestIce to control bleeding, pain and oedemaCompression to control swelling, and for supportElevation to decrease oedema and bleedingSupport for stabilising injured part 5 Good Wound Care 
                            Wash hands thoroughlyAvoid touching the wounds with hands while treatingDon’t talk, cough or breathe over the wound or dressingCover the wound with a sterilised dressingRaise and support the injured part to prevent swelling Are there different types of pneumonia?When you catch such infections, primarily from being in public places (except a hospital), it is called community-acquired pneumonia. Hospital-acquired pneumonia on the other hand, is acquired during or after hospitalisation for another illness or procedure. You get it within 72 hrs of admission – so be careful of the kind of hospital you get into. 
 
 Do I need to see the doctor soon?While there are many microbes that can cause bacterial pneumonia, the most frequent culprit is a bug called streptococcus pneumonia. It’s important to understand that symptoms of pneumonia need immediate medical evaluation. Physical examination by a doctor may prevent life-threatening spread of the infection from lung to rest of body through bloodstream, a condition called sepsis. 
 
 What would my doctor do?Typically he would ask for chest x-rays, blood test, examination of the cough, and sometimes chest CT (computed tomography). Most cases of pneumonia can be treated without hospitalisation with oral antibiotics, rest and fluids. However for those with serious symptoms, other medical problems, and for the elderly, he would ask them to be hospitalised for intravenous antibiotics and other supportive measures like oxygen, intravenous fluids and sometimes in serious cases, ventilation. 
 
 Could I have prevented this?Not always, but do get treatment for underlying illnesses (such as AIDS). Stop smoking, if you do. Children and the elderly could use with vaccinations against certain bacteria. 
 
 
                            
                                
                                    | 7 Tips for Injury Prevention 
                                        Proper nutrition and body conditioningMaintain healthy weightWear protective equipmentDo not play if in pain or sickLearn and play within the rules of the gameWarm up and cool downDrink plenty of water |  |  
 
                
                    
                        | Dr. Sharat Kumar is Sports Medicine Consultant, Joint and Arthroscopic surgeon at Apollo Health City Hyderabad |  |  |