Evidence map›Paper›PMID 37648217›Full record

ArticleJournal of athletic training2024

Injury Patterns in Highly Specialized Youth Athletes: A Comparison of 2 Pathways to Specialization.

Patrick F Murday, Daniel E McLoughlin, Jacob T Wild, Soyang Kwon, Jamie Burgess, Cynthia R LaBella

Open access · diamondAbstract read
In one paragraph

Article in Journal of athletic training, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Patrick F MurdayFeinberg School of Medicine, Northwestern University, Chicago, IL.
Daniel E McLoughlinFeinberg School of Medicine, Northwestern University, Chicago, IL.
Jacob T WildDivision of Orthopaedics and Sports Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, IL.
Soyang KwonMary Ann & J. Milburn Smith Child Health Outcomes, Research and Evaluation Center, Ann & Robert H. Lurie Children's Hospital of Chicago, IL.
Jamie BurgessDivision of Orthopaedics and Sports Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, IL.
Cynthia R LaBellaFeinberg School of Medicine, Northwestern University, Chicago, IL.
Lurie Children's Hospital · USNorthwestern University · USLurie Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextSport specialization, commonly defined as intensive year-round training in a single sport to the exclusion of other sports, has been associated with an increased risk for overuse injury. Two pathways to becoming highly specialized are recognized: (1) having only ever played 1 sport (exclusive highly specialized) and (2) quitting other sports to focus on a single sport (evolved highly specialized). Understanding the differences in injury patterns between these groups of highly specialized athletes will inform the development of injury-prevention strategies.

objectiveTo compare the distribution of injury types (acute, overuse, serious overuse) among evolved highly specialized athletes, exclusive highly specialized athletes, and low-moderately specialized athletes.

designCross-sectional study.

settingTertiary care pediatric sports medicine clinic between January 2015 and April 2019. PATIENTS OR OTHER

participantsA total of 1171 patients (age = 12.01-17.83 years, 59.8% female) who played ≥1 organized sports, presented with a sport-related injury, and completed a sports participation survey. MAIN OUTCOME MEASURE(S): Distribution of injury types (acute, overuse, serious overuse).

resultsThe percentage of injuries due to overuse was similar between the exclusive and evolved highly specialized athletes (59.2% versus 53.9%; P = .28). Compared with low-moderately specialized athletes, exclusive and evolved highly specialized athletes had a higher percentage of overuse injuries (45.3% versus 59.2% and 53.9%, respectively; P = .001). Multivariate analysis of the highly specialized groups revealed sport type to be a significant predictor of a higher percentage of injuries due to overuse, with individual-sport athletes having increased odds of sustaining an overuse injury compared with team-sport athletes (odds ratio = 1.95; 95% CI = 1.17, 3.24).

conclusionsThe distribution of injury types was similar between evolved and exclusive highly specialized youth athletes, with both groups having a higher percentage of injuries due to overuse compared with low-moderately specialized athletes. Among highly specialized athletes, playing an individual sport was associated with a higher proportion of overuse injuries compared with playing a team sport.

Indexed as

Athletic InjuriesCumulative Trauma DisordersAdolescentAthletesChildCross-Sectional StudiesFemaleHumansMaleRisk Factorsevolved high specializationexclusive high specializationoveruse injuriespediatric athletessport specialization

Identifiers

PMID37648217
PMCPMC10895393
OpenAlexW4386278486

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.