With the growth in youth sports programs, overuse injuries in children and adolescents have become common. Physicians are challenged to make the diagnosis and identify the causes of injury. Growth-related factors require special consideration in injury management. Physicians must make a directed history assessing causative factors and a systematic…

Describes how school nurses can advocate for adolescent female students and help them avoid the female athlete triad that includes disordered eating, amenorrhea, and osteoporosis. The article focuses on consequences of the triad, how to uncover the symptoms, working to improve public support, and creating a successful program through partnership.…

Physically active adolescent girls and young women who eliminate meat from their diets risk developing protein, iron, and zinc deficiencies. Meatless diets signal the possibility of amenorrhea and/or disordered eating, with the attendant risk of osteoporosis. Physicians must educate young women, parents, and coaches about the risks of meatless…

The second of a two-part series on contraindications to athletic activity, this article examines the sensory, spinal, gastrointestinal, systemic, hematologic, and dermatologic conditions that warrant activity disqualification and provides guidelines about when it is safe to participate. Activity considerations for individuals who have lost a…

In discussing pharmacologic control of hypertension in children and adolescents who participate in sports, the second of two articles emphasizes drugs with few side effects and that usually do not alter heart rate (e.g., long-lasting angiotensin-converting enzyme inhibitors or calcium channel blockers). Such drugs allow continued sports…

A step-by-step guide to auscultating young athletes helps physicians identify normal heart murmurs as well as sounds that might signify underlying cardiac pathology. Rapid, thorough preparticipation screening can help differentiate athletes who may require treatment or activity restriction from those with normal murmurs who can remain active. (SM)

Presents a case report of a 15-year-old boy with severe hemophilia who played soccer 1 school year but was denied continued participation following another screening examination. Before deciding about participation, physicians must assess the type and severity of hemophilia and risk factors for injury. Appropriate sports for hemophiliacs are…

Essential hypertension is diagnosed with increasing frequency in children and adolescents. Studies indicate exercise can be a clinically useful treatment, though strenuous exercise may be contraindicated for some. The article discusses the physician's role in diagnosis, nonpharmacologic interventions, exercise safety and effectiveness, and…

With appropriate techniques, physicians interested in sports medicine can use their brief contacts with adolescents to address issues of violent behavior. Seizing the moment to gauge involvement and counsel appropriately can be done on any brief visit. The paper presents specific strategies for such teen violence prevention. (SM)

Regular exercise is important for children's and adolescents' health maintenance, facilitating weight control, strengthening bones, and improving cardiovascular risk factors and mental health. Active childhoods help promote lifetime fitness. Physicians can assess children's weight and activity levels during routine exams. With simple…