@article{ref1,
title="Epidemiology of surgical treatment of adolescent sports injuries in the United States: analysis of the MarketScan Commercial Claims and Encounters Database",
journal="Arthroscopy, sports medicine, and rehabilitation",
year="2019",
author="Bonazza, Nicholas and Smuin, Dallas M. and Sterling, Nicholas and Ba, Djibril and Liu, Guodong and Leslie, Douglas L. and Hennrikus, William and Dhawan, Aman",
volume="1",
number="1",
pages="e59-e65",
abstract="PURPOSE: To determine whether there is increasing surgical management of adolescent sports injuries and whether the average age of surgical patients is decreasing. <br><br>METHODS: The Truven Health MarketScan Database was searched from 2008 to 2014 for patients 10 to 19 years of age using the <i>International Classification of Disease, 9th Revision</i> codes and Current Procedure Terminology, 4th Edition, codes for operative treatment for the following conditions: anterior cruciate ligament (ACL) injuries, knee collateral ligament (KCL) injuries, meniscal injuries, Osgood-Schlatter syndrome, and elbow ulnar collateral ligament injuries. Patients identified were characterized by sex, age, year of injury, and type of residence (urban vs rural) based on metropolitan statistical areas. <br><br>RESULTS: A total of 516,892 patients sustained 1 of the identified injuries, and 133,541 (25.8%) patients underwent a related surgery. KCL and meniscal injuries demonstrated a consistent increase in the rate of surgical intervention (<i>P</i> <.0001). Average age of surgical intervention did not increase or decrease overall for any diagnosis. Female adolescents were more likely to undergo surgery for KCL injuries (adjusted odds ratio [aOR] 1.7, 95% confidence interval [CI] 1.58-1.79, <i>P</i> <.0001), Osgood-Schlatter syndrome (aOR 1.8, 95% CI 1.38-2.39, <i>P</i> <.0001), and ACL injuries (aOR 1.5, 95% CI 1.45-1.52, <i>P</i> <.0001), whereas male adolescents were more likely to undergo surgery for meniscal injuries (aOR 1.3, 95% CI 1.24-1.30, <i>P</i> <.0001) and ulnar collateral ligament injuries (aOR 1.1, 95% CI 1.06-1.23, <i>P</i> <.0005). Patients in rural areas were more likely to undergo surgical intervention for ACL and meniscal injuries (<i>P</i> <.0001) and KCL injuries (<i>P</i> =.02). <br><br>CONCLUSIONS: We found that surgical treatment of 5 common sports injuries remains stable, with only KCL injuries and meniscal injuries showing an increase in surgical incidence. Average age of surgical intervention did not change significantly over the 7-year time span for any diagnosis. LEVEL OF EVIDENCE: Level IV, Cross Sectional Study.<br><br>© 2019 by the Arthroscopy Association of North America. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="2666-061X",
doi="10.1016/j.asmr.2019.07.004",
url="http://dx.doi.org/10.1016/j.asmr.2019.07.004"
}