Author Archives: hummingbird

Picking The Right Sports WITH Your Kids

 

When parents read stories of childhood “prodigies” such as Michelle Wie learning a sport as young as 3 years old, it is natural for us to wonder what sports are best for our child and at what age they should start. While there are no sure answers as to when a particular child is ready for a sport, there are well-studied developmental patterns that can guide us.

Infants and toddlers, for example, gain gross and fine motor skills along a predetermined path, and any attempts to speed this up with training will fail. That being said, there are windows of opportunity in which a toddler learns certain movements more readily and should not be missed. So, the best course in this age-group is to expose the child to a wide variety of interactive games so that they can have the tools to progress at their own pace. Mom and Dad can create a variety of activities with a ball and things around the house or get some ideas at the local toddler gym.
In preschool a child can follow simple instructions and has basic postural control and balance to allow sports participation. Soccer is a great activity at this level because it can be played by following one simple instruction; “kick this ball in that goal!” Preschoolers do not have the ability to engage in rapid decision-making to account for unexpected events. So, they all stick with the one thing they do get – kick the ball! The result is the “swarm” phenomena we see in all soccer games at this level. This is normal behavior and should not be a source of frustration to parents—and oh, by the way, kids this age cannot distinguish multiple instructions coming from the crowd, so you can save your breath!

A classic study has shown that by elementary school, 6 out of 10 children can throw, kick, run, jump, catch, strike, hop and skip. This opens the door to a wide variety of sports. However, children this age also become aware of their status among their peers and their own inadequacies (they know who is “cool”, who is “athletic”, etc.). Keep in mind that children of the same age and grade may be at very different developmental stages, so comparing them to their peers is misguided. For these reasons, confidence-enhancing activities for all children are important. Parents should choose at least one noncompetitive activity and always emphasize socialization and sportsmanship more than physical performance. Additionally, contact sports are not ideal because coordination is not fully developed and children have little ability to consider future consequences of current behavior. For example, they cannot think through the consequences of spear-tackling. Weight-training with light weights under strict supervision can begin as early as 8 years of age. Strength gains can be achieved in pre-pubescent children, but no gains in muscle size will occur until the hormones kick in at puberty.

As a child transitions to adolescence, their growth dramatically increases. Bones grow faster than tendons which can result in loss of flexibility and “growing pains”. This is a crucial time for skills development, and most are ready for organized sports of all types. However, precautions, such as pitch counts and cross-training, must be taken to avoid overuse injuries to the growth plates. This is the most appropriate time to begin weight-training. There is no evidence that a proper weight-training program during adolescence stunts growth. However, to avoid injury, explosive exercises such as clean-and jerk should not be done until skeletal maturity (15-16 years old).

In summary, children are not just “little adults”. They react to physical and emotional stress at different developmental stages in different ways. Moderation should always rule, and as my grandmother used to say about raising children, “the best that we can hope for is to not mess ‘em up.”

 

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“Just” A Headache? Maybe Not.

Concussions: “When in doubt, sit them out.”

An estimated 300,000 sports-related traumatic brain injuries occur in the United States each year. 63,000 of these injuries occur at the high school level. Football causes 63% of these injuries, and girls’ soccer is the second leading cause. Most of these types of head injuries recover within a week, but some can take a month or longer to recover. However, unfortunately, there are still approximately 900 deaths a year from sports-related traumatic brain injuries (concussions).

So, what can be done to decrease these numbers? Makes sure athletes, coaches, and parents know the signs and symptoms of concussion. Athletes should be encouraged to speak with someone (teammate, parents, coaches or healthcare professional, etc.) if they “don’t feel right” after a hard hit to the head. If at all possible, make sure your school has a Certified Athletic Trainer (ATC) present at games and practices. ATCs are trained to recognize, evaluate, and treat athletes who show signs and symptoms of concussions. They work closely with the team physician to get athletes the care they need quickly and to keep them safe. They will also work with the treating and/or team physician, coaches, parents and athlete to transition them back into the game once their symptoms have resolved and have been cleared by the physician. If your school does not have an ATC, make sure the coaches follow the general guideline, “When in doubt, sit them out.”

March is Alabama Brain Injury Awareness Month and National Athletic Training Month.

For more head injury information, please go to nata.org or alabamabraininjuryawareness.org

Click here for more information about Alabama Orthopaedic Clinic, P.C.

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The Difference In Shoulder Separations and Shoulder Dislocations

A shoulder separation is often confused with a shoulder dislocation.

A shoulder separation is technically an injury to the acromioclavicular joint. This joint is located at the top of the shoulder just under the skin and is often a visible bump in thin individuals. A shoulder separation or AC injury occurs as a result of a direct blow to the top of the shoulder such as might be experienced by an athlete during a shoulder tackle in football or a fall onto the top of the shoulder. The ligaments that support the AC joint may be sprained or completely torn resulting in varying degrees of pain and disability. Continue reading

Forearm Fractures

Forearm fractures are the most common long bone fracture in children. They usually result from a simple fall onto an outstretched hand while running or playing sports. When this injury occurs, it is arguably more traumatic to the parents than it is to the injured child! Here are some basic first aid techniques and things to expect to help parents be prepared in case the unexpected happens. Continue reading

The Achilles Heel

The Achilles tendon is the strongest tendon in the human body and owes its name to the great, invulnerable warrior of Homer’s Iliad. Invulnerable, that is except at his heel. Greek mythology has it that, Thetis, Achilles’ mother dipped him in the Styx River making him invincible at all points on his body but the heel by which she grasped him as he was being immersed. This proved to be his undoing when Paris, the brother of Hector, shot him in the heel with a poisoned arrow. Continue reading

Retirement of Dr. Semon from AOC

 

Dr. John E. “Manny” Semon, the oldest practicing orthopaedic surgeon in Mobile will be retiring from Alabama Orthopaedic Clinic after 43 years of great service. Dr. Semon is 74 years old and continued to take call until he was 72 years old. Even today, he continues to perform surgery and will be greatly missed by his colleagues at AOC. Dr. Semon has had the same nurse for the past 27 years and the same secretary for 39 years. Mrs. Pat Borrego and Mrs. Brenda Burns continue to work for AOC.

Dr. Semon will begin working for the Veteran’s Administration clinic in Mobile as the Chief Orthopaedic Surgeon after his retirement from AOC. His last day at AOC will be Friday, June 12, 2009.

Interesting History: Before Dr. Semon became a physician, he was a professional musician. He and several friends from Mobile started the band “Royal Street Seven – Dixie Land Jazz Band” for more than 25 years. They played in many venues in Mobile area and in New Orleans. Some of the most interesting venues where the Royal Street Seven played was in the train club on the maiden voyage of the Sunset Limited from Mobile to New Orleans for the 1984 World’s Fair. They also played on the maiden voyage of the Magnolia Queen paddle boat in Mobile. The band members: Dr. Herb Allen, Sr. (father of our Dr. Herbert Allen III), Dr. Charles Chambliss, Judge Warren Hammond, Wesley Nichols, Rod Slater and George Sullivan continued to play together as a hobby while pursuing careers as physicians, an architect, a banker and a judge. Four of the original band members are still alive today.

Prior to his musical career, Dr. Semon served in the U.S. Army. He completed his medical internship in the Medical Corps at Tripler U.S. Army Hospital in Honolulu from 1960 – 1961 and served as a 1st Lieutenant. He was a battalion surgeon with the 506th Parachute Infantry Regiment, 101st Airborne Division, Fort Campbell, KY from 1961 – 1963. He also completed his first year of orthopaedic residency at Fort Campbell US Army Hospital.

Stress Fractures In Athletes

With the increase in participation in recreational and competitive sports, the incidence of overuse injuries has risen substantially. One such overuse injury is a stress fracture. A stress fracture is a break in a bone as a result of repetitive force that exceeds the bone’s ability to repair itself. The break may be partial or complete and can have varying symptoms. Prompt diagnosis and proper treatment is imperative in order to minimize loss of playing time and prevent irreversible damage to certain joints. Continue reading

Anterior Cruciate Ligament (ACL) and Meniscal Tears

Two of the most common causes of swelling of the knee after an injury playing sports are tears of the ACL and the important C-shaped cartilages of the knee called the meniscus. While both can cause symptoms of pain, swelling, and ‘giving way’, the treatment of these common injuries can be different and involve different lengths of recovery times. Continue reading