2011年10月7日星期五

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I have seen in the past few months a handful of children with bony and ligamentous
injuries of the knee which has resulted in gross damage. This puts the child at
risk of developing osteoarthritis. A sports injury in childhood can cause late arthritis in later
life. But how can parents and coaches protect kids' joints, reducing the risk of injury
and cutting the chance of developing osteoarthritis later?PreventionoEnsuring that your child has protective gear for
that particular sport.oConditioning and training for a specific sport can ward of injury.oWarming up and
cooling down exercises at the beginning and end of the game are vital.oParents should not
be over ambitious and push their kids too much.oEnsure that your kids get the right
nutrition.oIf you want your kid to develop into a good sports person, get him a
good coach.oOlder children can localize pain but younger ones can't. In the big cities
like Chennai, Bangalore, tech Hubs of India, there are many families who have relocated from
the United States. There may be hidden problems which can surface later. (Liverpool)[http://www.kneeindia.com/aboutus.asp] has worked
with leading Knee surgeons in the UK, Belgium and Dubai earlier.He is affiliated to Venkataeswara
and Malar hospitals.Recovery from surgery is no longer a painful ordeal as expert anesthetists provide
effective anesthesia and pain relief to inpatients. If your kid complains of pain in a
joint, or nike pas cher develops a swelling in a joint or limps, consult an orthopaedic surgeon with
special interest in paediatric sports injuries. Sports are a good way of developing comrade ship
and leader ship qualities. Protecting your child's joints from sports injuries should not mean keeping
him or her out of sports and stuck in the house. The intensive care unit
is monitored by alert physicians round the clock and multi specialty referrals are readily available.
Most of these are sprains.To quote some statistics from the US,oNationally, over 775,000 children under
age 15 are treated in hospital emergency departments for sports-related injuries each year.oAbout 80 percent
of these injuries are from football, basketball, baseball, or soccer.oMost sports-related injuries in children -
about two-thirds of them - are sprains and strains. So while examining children with knee
injuries, it is important to remember that the pattern of injury could resemble an adult
type of ACL injury. Since there is little help from coaches or advice from parents,
children are more than likely to suffer from injuries that can be neglected. The main
ligament injury of the knee is an avulsion of the anterior cruciate ligament from its
bony attachment at the top of the shinbone (tibia). As many people are aware, in
Osteoarthritis (OA) the cartilage that cushions a joint is worn away, causing the bones to
grind against each other tn requin casing pain and stiffness. Children in India these days are increasingly
participating in competitive sports. They may just limp or not use the limb. Earlier it
was thought that in children, the attachment of the ligament to the bone gave way
earlier before the ligament could tear as in adults. According to one study, a single
knee injury early in life can put a child at five times the risk for
osteoarthritis in adulthood; likewise a hip injury could more than triple the risk.Fact: Osteoarthritis affects
one third of the people with chronic arthritis and joint symptoms. The long-term benefits of
sports for children are clear. The most serious of these is osteoarthritis. There are well
qualified physiotherapists to help you recover quickly from surgery.Our track recordWe have had the pleasure
of treating patients from the USA, UK, Bangladesh recently and these numbers are increasing.
Only 5 percent of sports injuries involve broken bones.However the trauma of a sports injury
does not end with the immediate hospitalization. Participation in sport is good for the overall
development of kids but there is a risk of getting injured. Knee osteoarthritis is the
commonest arthritis in our country.Knee ligament and cartilage injuries are the commonest joint injuries in
sports like football, basketball or soccer.Ligamentous injuries of the knee are a major cause of
secondary osteoarthritis, a variant of osteoarthritis which appears at a much earlier age than arthritis
in our grandparents. Let us examine the risks from sports and look at the methods
of preventing sports injuries.Children in sports are likely to sustain injuries. Emotionally, team sports
can help children build social skills and can provide a general sense of well-being.Let them
play - but play smart!Dr.A.K.Venkatachalam, MS, DNB, FRCS (UK), MCh. Children of such families have
been exposed to games like Basketball, soccer, football, baseball, roller and board skating from an
early age. Knee replacements are performed using the most modern techniques and prostheses. Sports activities
are bound to increase in children and adults with abundant leisure time and affluence. Osteoarthritis
is the leading cause of chronic disability in many countries with aging populations. They find
in sports, especially the popular ones a career opportunity or a pastime. This has not
been born out in more and more case reports and my experience as well. The
growing child's surgical reconstruction differs slightly from a reconstructive procedure.Kids who play sports will get
hurt - that's a fact. Exercise is crucial for maintaining proper weight, improving strength and
coordination, and building lifelong good health habits early. Amongst others the following procedures are routinely
performed.Knee Total knee replacement- normal and high flexion Unicondylar knee replacement Arthroscopic ACL reconstruction Cartilage
surgery Osteotomy for osteo arthritis and knee cap problem Fracturehttp://www.shoulderindia.com.

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