R I Ballard | PubMed Health

PubMed1998

The preparticipation athletic evaluation.

Each year, Louisiana physicians are called upon to carry out mandatory preparticipation evaluations on more than 70,000 high school athletes and 3,000 college athletes. There have been changes in the guidelines for these evaluations in the state over the last few years. Also, recent state legislation has offered protection for the physicians providing them. This article outlines these changes and provides basic guidelines for the preparticipation evaluation.

Adolescent↗

PubMedDate not supplied

Internal fixation versus traction and casting of adolescent femoral shaft fractures.

We compared the results of traction plus subsequent casting with rigid internal fixation in a large series of adolescent femoral shaft fractures. Of 90 patients with 96 femoral shaft fractures, 49 (52 fractures) underwent rigid internal fixation, whereas 41 (44 fractures) underwent traction and subsequent casting until healing occurred. The traction and casting group had a mean hospital stay of 26 days. The operative group had a mean hospital stay of 9 days and had fewer complications than the nonoperative group. Adolescent femoral shaft fractures can be operatively treated with excellent results and a decreased complication rate. Operation results in shorter hospitalization, which has psychological, social, educational, and economic advantages over conservative treatment.

Adolescent↗