Muscle-tendon injuries in young athletes.

The pediatric athlete with open physeal plates is more susceptible to growth plate injuries and avulsion fractures rather than ligament and muscle-tendon injuries that most often occur in adults. In general, the pediatric athlete is able to return to full activity quicker than the adult athlete because of a more rapid healing response. There has been a recent interest in the study of the pathophysiology of muscle-tendon injuries and treatment strategies based on these studies have changed. Laboratory studies have several implications regarding the prevention of muscle-tendon injuries. Clinical studies to confirm their efficacy are needed. Complications of re-injury include more serious injury and conditions such as myositis ossificans. Injury prevention has focused on the use of protective equipment and an emphasis on stretching and strengthening programs.