Updated April 2010

Youth & Amateur Sports Injuries



Every day, millions of amateurs in the United States participate in sports activities, from soccer and football fields to baseball diamonds and ice rinks.

It's called playing, but sports activities are more than play. For youth, participation in athletics improves physical fitness, coordination, and self-discipline, and gives them valuable opportunities to learn teamwork.

But sports activities can also result in injuries - some minor, some serious, and still others resulting in lifelong medical problems.

Each year, more than 3.5 million sports-related injuries in youth under age 15 are treated in hospitals, doctors' offices, clinics, ambulatory surgery centers and hospital emergency rooms in the United States, according to the Consumer Product Safety Commission. Over 1 million of those injuries result from football and basketball alone.

Young athletes are not merely small adults. Their bones, muscles, tendons, and ligaments are still growing, which makes them more susceptible to injury.

Growth plates - the areas of developing cartilage where bone growth occurs in youngsters - are weaker than the nearby ligaments and tendons. What is often a bruise or sprain in an adult can be a potentially serious growth plate injury in a young athlete.

Young athletes of the same age can differ greatly in size and physical maturity. Some youngsters may be physically less mature than their peers and try to perform at levels for which they are not ready.

Parents and athletic coaches should try to group youngsters according to skill level and size, not chronological age, particularly during contact sports. If this is not practical, they should modify the sport to accommodate the needs of children with varying skill levels.

Injuries among young athletes fall into two basic categories: overuse injuries and acute injuries. Both types include injuries to the soft tissues (muscles and ligaments) and bones.

Acute injuries are caused by a sudden trauma. Common acute injuries among young athletes include contusions (bruises), sprains (a partial or complete tear of a ligament), strains (a partial or complete tear of a muscle or tendon) and fractures. But not all injuries are caused by a single, sudden twist, fall, or collision. A series of small injuries to immature bodies can cause minor fractures, minimal muscle tears, or progressive bone deformities, known as overuse injuries.

As an example, "Little League Elbow" is the term used to describe a group of common overuse injuries in young throwers involved in many sports, not just baseball. Other common overuse injuries occur in the heels and knees with tears in the tissue where tendons attach to the leg bone or the heel bone.

Contact sports have inherent dangers that put young athletes at special risk for severe injuries. Even with rigorous training and proper safety equipment, youngsters are at risk for severe injuries to the neck, spinal cord, and growth plates. However, following the rules of the game and using proper equipment can decrease these risks.

Children and teens often experience some discomfort with athletic activity. Their bones and muscles are growing, and their level of physical activity may increase with a sudden, intense interest in sports, so some aches and pains can be expected. Still, their complaints always deserve careful attention. Some injuries, if left untreated, can cause permanent damage and interfere with proper physical growth.

Whether an injury is acute or due to overuse, a child who develops a symptom that persists or that affects his or her athletic performance should be examined by a physician. A child should never be allowed or expected to "work through the pain."

Signs that warrant a visit to the doctor include:

1. Inability to play following an acute or sudden injury.
2. Decreased ability to play because of chronic or long-term complications following an injury.
3. Visible deformity of the athlete's arms or legs.
4. Severe pain from acute injuries which prevent the use of an arm or leg.

Prompt treatment can often prevent a minor injury from becoming worse or causing permanent damage. The basic treatment for many simple injuries is often "R.I.C.E." Rest - Ice - Compression - Elevation.

Treatment for a child with any significant injury will usually involve specific recommendations for temporary or permanent adjustment in athletic activity. Depending on the injury's severity, treatment may range from simple observation with minor changes in athletic level to a recommendation that the athletic activity be discontinued. Some combination of physical therapy, strengthening exercises, and bracing may also be prescribed.

Guidelines for Preventing Sports Injuries:

1. Be in proper physical condition to play a sport.
2. Know and abide by the rules of the sport.
3. Wear appropriate protective gear (for example, shin guards for soccer, a hard-shell helmet when facing a baseball pitcher, a helmet and body padding for ice hockey).

Know how to use athletic equipment (for example, correctly adjusting the straps on football helmets).

5. Always warm up before playing.
6. Avoid playing when very tired or in pain.

Young athletes need proper training for sports. They should be encouraged to train for the sport rather than expecting the sport itself to get them into shape. Many injuries can be prevented if youths follow a regular conditioning program with incorporated exercises designed specifically for their chosen sport. A well-structured, closely supervised weight-training regimen may modestly help youngsters prepare for athletic activities. Young athletes should have their coaches help them design a conditioning program suited to their needs.

Parents should make sure their child's coaches have the appropriate qualifications to supervise a particular sport, provide well-maintained safety equipment, and help with proper conditioning for that sport.

Youth sports should always be fun. The "win at all costs" attitude of many parents, coaches, professional athletes, and peers can lead to injuries. A young athlete striving to meet the unrealistic expectations of others may ignore the warning signs of injury and continue to play with pain.

Coaches and parents can prevent injuries by fostering an atmosphere of healthy competition that emphasizes self-reliance, confidence, cooperation, and a positive self-image, rather than just winning.

We insure all youth sports activities, either on a per event, per team/league, or per season basis. See our sports section for details.