AANA Fellowship Education - Pediatrics, The Female Athlete and Dermatology Issues-Pediatrics, The Female Athlete and Dermatology Issues (Ringworm, MRSA)

Video Transcription

Video Summary

This webinar (Anna Fellowship Education Series #16) covered key sports medicine topics in pediatrics/adolescent athletes, sex-based considerations in female athletes, and common sports dermatology conditions, emphasizing practical takeaways for fellows and team physicians.<br /><br />In pediatric sports medicine, Dr. Haas highlighted the rapid rise in youth sports injuries driven by early specialization, year-round play, higher competition, and lower baseline fitness. He stressed that children are not “small adults” because growth cartilage (physis, apophysis, articular cartilage) changes injury patterns and management. He reviewed common knee problems including discoid meniscus (avoid total meniscectomy; treat symptomatic cases with saucerization and repair), osteochondritis dissecans (nonoperative management can fail; options include drilling, fixation, MACI, or osteochondral allograft), tibial spine fractures (ACL-equivalent; type 2–3 often need fixation), and pediatric ACL tears (operative reconstruction often preferred to prevent secondary meniscus/chondral damage). He emphasized assessing skeletal/physiologic maturity (hand x-ray, Tanner staging) to choose physeal-respecting techniques (e.g., IT band reconstruction in prepubescent athletes).<br /><br />Dr. Ireland discussed sex-based injury differences: females have more overuse and lower-extremity/spine injuries, higher patellofemoral issues, and elevated ACL risk with “valgus collapse”/poor landing mechanics—many factors are modifiable via neuromuscular training and safer return-to-play timelines. She noted higher contralateral ACL risk in females, hip differences (more pincer/instability patterns), shoulder instability with capsular laxity, increased concussion incidence/severity, and the importance of recognizing RED-S/female athlete triad and safeguarding athletes from abuse (SafeSport).<br /><br />Dr. Muscovsky reviewed dermatology essentials for keeping athletes participating: friction blisters, calluses/corns, contact dermatitis, sun protection, acne/folliculitis, urticaria/anaphylaxis, and contagious infections (impetigo, MRSA, tinea, molluscum, herpes gladiatorum), plus NCAA/high school return-to-play guidelines and the importance of hygiene, early recognition, and appropriate exclusion when needed.

Asset Caption

Cassandra A. Lee, M.D. | Brian M. Haus, M.D. | Mary Lloyd Ireland, M.D. | Shana N. Miskovsky, M.D.

Keywords

pediatric sports medicine

adolescent athlete injuries

youth sports specialization

growth plate physeal injuries

pediatric ACL reconstruction

osteochondritis dissecans knee

tibial spine fracture

female athlete ACL risk

neuromuscular training landing mechanics

RED-S female athlete triad

sports dermatology contagious infections