Letters to the Editor

Principles to Help Prevent Youth Sports-Related Injuries


Am Fam Physician. 2007 Jun 1;75(11):1620.

Author disclosure: Nothing to disclose.

to the editor: It was refreshing to read the review article, “Prevention of Unintentional Childhood Injuries,” in the December 1, 2006, issue of American Family Physician.1 However, youth sports injuries, an important area of preventable, unintentional injuries, was overlooked by the authors.

It is currently estimated that at least 30 million American youths participate in some sort of athletic activity.2 This equates to roughly one half of all children five to 18 years of age.3 More than one third of these young participants sustain an injury that is significant enough to be evaluated by a medical professional. The peak sports-related injury rate occurs in children five to 14 years of age, accounting for more than 750,000 annual visits to the emergency department.4 The absolute number of injuries, however, is believed to be much higher because many young athletes do not seek medical attention. Although many childhood sporting injuries are of limited long-term significance, others (such as eye injuries, concussions, anterior cruciate ligament tears) can have significant long-term sequelae. Sports-related injuries, therefore, are a significant cause of morbidity that all physicians who care for adolescents or children will commonly encounter in their practices.

Sports and athletics are an inextricable component of modern American society, and increasing athletic participation is a key focus in the fight against the growing epidemic of childhood and adolescent obesity. However, the push to participate and the pressure to succeed undoubtedly lead to many otherwise preventable injuries in children. Additionally, relatively few scientific data exist on effective ways to promote safe participation and prevent injury in youth sports. With this in mind, we support the following principles to govern participation in youth sports and help prevent unnecessary injury:5,6

  • Children should always participate in athletics at a level that is commensurate with their skill and ability.

  • Organized sporting activities should always have adequate supervision.

  • Organized sporting activities should always provide participants with the proper protective equipment.

  • Training programs for young athletes should always proceed at the proper intensity to avoid overuse injuries.

  • Funding and priority should be increased for research into equipment modifications and training program enhancements that will decrease sports injuries in young athletes.

The opinions and assertions contained herein are the views of the authors and are not to be construed as official or reflecting the views of the Navy Medical Department or the U.S. Navy service at large.


show all references

1. Schnitzer PG. Prevention of unintentional childhood injuries. Am Fam Physician. 2006;74:1864–9....

2. Adirim TA, Cheng TL. Overview of injuries in the young athlete. Sports Med. 2003;33:75–81.

3. Kann L, Kinchen SA, Williams BI, Ross JG, Lowry R, Grunbaum JA, et al., for the State and Local YRBSS Coordinators Youth Risk Behavior Surveillance System. Youth risk behavioral surveillance—United States, 1999. MMWR CDC Surveill Summ. 2000;49:1–32.

4. Stanitski CL. Pediatric and adolescent sports injuries. Clin Sports Med. 1997;16:613–33.

5. Intensive training and sports specialization in young athletes. American Academy of Pediatrics. Committee on Sports Medicine and Fitness. Pediatrics. 2000;106:154–7.

6. The prevention of sport injuries of children and adolescents. Med Sci Sports Exerc. 1993;25:S1–7.

Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.

Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the AAFP permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.

This series is coordinated by Kenny Lin, MD, MPH, Associate Deputy Editor for AFP Online.



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