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Sports Injuries in 65 and Older Significantly Increased Since 2012, Projected to Grow by 123% by 2040

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SAN FRANCISCO, Feb. 12, 2024 /PRNewswire/ — According to new data presented at the 2024 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), sports injuries in seniors have increased significantly from 55,684 in 2012 to 93,221 in 2021 in the United States with significant differences in the types of activities and injuries. The study, “Orthopaedic Sports Injuries in an Aging Population: Currents Trends and Future Projections,” also projected a 123% increase in sports-related orthopaedic injuries in those ages 65 and older from 2021 to 2040 while the number of orthopaedic surgeons is only projected to increase by 7.9% during that same timeframe.

“In practice, we are seeing adults in their eighties and nineties participating in activities that weren’t previously of interest to them, such as pickleball,” said Jay Zaifman, MD, lead author and orthopaedic surgery resident, NYU Grossman School of Medicine. “One of the top findings from our research is a clear potential for disparity between the number of orthopaedic surgeons and the increasing need for treating older adults experiencing sports injuries. There are traditionally different protocols and treatments for this age group. We now need to consider the new higher demands of many of these patients. Taking a patient-centered approach and rethinking our standard of care for more active older adults is crucial.”

Through a retrospective cross-sectional epidemiological study, the researchers looked at sports-related injuries in patients 65 years and older between 2012-2021 in the U.S. Consumer Product Safety Commission’s National Electronic Injury Surveillance System (NEISS) database. The NEISS collects data from 100 hospitals that act as a nationally representative probability sample of all U.S. hospitals with emergency rooms. Population estimates and projections were obtained from the U.S. Census Bureau, collecting projections through 2040. The Physician Compare Database was used to estimate the total number of orthopaedic surgeons in the U.S.

Highlights of the data include:

  • Sports-related injuries in elderly became more common from 2012-2021 – There were an estimated 772,973 total sports-related injuries in seniors from 2012-2021, with a mean age of 73.0 and 45% of patients being female. There was a significant increase in the national incidence of sports-related orthopaedic injuries in the elderly from 134 per 100,000 people in 2012 to 167 per 100,000 people in 2021.
  • 123% increase in sports-related injuries in the elderly by 2040 – It is projected that the total number of sports-related orthopaedic injuries will reach 137,852 by 2040, an increased rate of 4.7 injuries per 100,000 people per year. This shows that older people are getting injured more frequently during sports, they are participating in more sports and/or they are participating in different sports in which they are more likely to get injured.
  • Demand for orthopaedic surgeons may outpace availability – The number of orthopaedic surgeons increased from 21,419 in 2016 to 22,206 in 2023, a 3.7% increase. The researchers projected 23,527 orthopaedic surgeons in 2040, which represents a large disparity based on the increased demand for orthopaedic surgeons.
  • Higher participation in sports by elderly – A significantly higher proportion of injuries was associated with biking and scooters and less were associated with dancing and skiing in those 65 and older in 2021 than in 2012. This corresponds to an increase in the popularity of certain sports like cycling and higher participation rates among older adults.
  • Elbow and upper leg injuries increasing – In 2021, there was a higher proportion of elderly sports-related injuries presenting to the emergency room to the elbow (5.3% vs. 3.2%) and upper leg (4.2% vs. 2.1%) than in 2012.
  • Higher rates of fractures – Fractures, hematomas and avulsions were more common injuries in emergency rooms in 2021 than 2012, while strains/sprains and lacerations were less common.

To account for the impact that the COVID-19 pandemic had on sports-related activities, 2012 was compared to 2019, which showed proportionally less skiing-related injuries and more upper leg and spine injuries than in 2012. Strains/sprains and lacerations were also less common in 2019 than in 2012.

“While we don’t have the data on this, we can extrapolate that it is very unlikely there were actually fewer sprains and strains that occurred in 2021 when compared to 2012,” said Dr. Zaifman. “The patients may be going to their primary care doctor or they’re seeing an outpatient orthopaedic surgeon for these injuries. Perhaps they are more aware that this isn’t an emergent injury, or they’re better educated on the proper location for treatment. It was emergent injuries like fractures that were presenting to the emergency room.”

For information on injury prevention and seniors exercise programs, visit OrthoInfo.org.

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SOURCE American Academy of Orthopaedic Surgeons

Child Health

4 Things Parents and Youth Athletes Should Know About Concussions

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(Family Features) Despite the attention drawn to the topic of concussions over the past decade, it can be difficult to find readily available answers about what parents and young athletes should do after sustaining a concussion.

The Katsuyama family started 2023 without a single concussion, even with quite a few hockey and lacrosse seasons under its belt. That changed when Rylan, 11, received two concussions within five months from sports. One week after Rylan’s second concussion, his brother, Brandon, 13, was illegally checked from behind in a hockey game and sustained his first concussion. After clearing protocol in four weeks, he suffered a second concussion six weeks later.

Both boys endured months of headaches, missed school, dizziness, nausea and the added difficulty of navigating a significant injury peers and adults couldn’t see.

Their father, Brad Katsuyama, co-founder of IEX – a disruptive stock exchange featured in the best-selling book by Michael Lewis, “Flash Boys: A Wall Street Revolt” – sought out expert opinions to guide his family’s decisions and shares some acquired knowledge to help parents and athletes.

1.      Brain injuries should be diagnosed by a concussion specialist.
There is no X-ray, MRI or CT scan that can show the extent of most concussion-related injuries, which makes diagnosing them subjective. Symptoms can also appear days after a hit. For example, Brandon was cleared by the emergency room after his first concussion, but two days later failed every test administered by a doctor specializing in concussions.

2.     Rushing back to play is one of the worst mistakes you can make.
Experts consistently reinforced that coming back from a concussion too soon can significantly increase long-term brain injury risks. There is likely no tournament, playoff game or tryout worth this risk. An example of how to return smartly is Patrice Bergeron of the National Hockey League’s Boston Bruins, who sat out an entire year to properly heal from a concussion.

“Patrice had four more concussions over his career, and each one was less severe than the last,” renowned concussion specialist Dr. Robert Cantu said. “That wouldn’t have happened without recovery from the first one.”

3.       Parents and kids need to be honest about symptoms.
The culture in youth sports praises toughness. Getting your “bell rung” and continuing to play can be viewed as a badge of honor. However, this same mentality can cause athletes to lie to parents, trainers and coaches to get back in the game, which can greatly increase long-term risks. Conversely, the same adults can unduly influence a potentially vulnerable player back on to the field of play. Proper diagnosis requires both adults and athletes to be level-headed and honest in their assessment of concussions.

4.    Every person and every concussion is different.
One person’s history and experience with concussions seldom carries any relevance to the concussions experienced by another. For example, Katsuyama played varsity football, hockey and rugby for four years in high school and football in college.

“For the longest time, my definition of a ‘real’ concussion was blacking out, vomiting or pupils dilating,” Katsuyama said. “My sons had none of those symptoms after their hits, but it turns out the severity of their injuries were far greater than anything I had experienced.”

The Katsuyamas turned to the Concussion Legacy Foundation and the Cantu Concussion Center, in addition to their local concussion specialist, to advise their path forward, which has led them to racquet sports and golf in the near-term and long-term playing no more than one contact sport in a school year. Learn more at concussionfoundation.org.

Photo courtesy of Shutterstock


SOURCE:
Brad Katsuyama

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Milk Hosting EVERY WOMAN’S MARATHON – The Only U.S. Marathon Designed for Women, by Women

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SAVANNAH, Ga. /PRNewswire/ — Acknowledging the historically intimidating and male-centric nature of marathons, Milk, the original performance beverage, proudly announces Every Woman’s Marathon, the only U.S. marathon designed by and for women. Scheduled for November 16, 2024, in Savannah, Georgia, this monumental event marks a new chapter in Milk’s commitment to supporting women – creating not only a race, but a movement.

Amanda Gorman’s Inspirational Mantra to Announce Milk’s Every Woman’s Marathon. Join Team Milk in Savannah, Georgia on November 16, 2024, for the only US Marathon for Women by Women. Milk’s unique nutrient package offers high-quality protein, hydration, and electrolytes, providing critical nutrition for runners’ fuel and recovery.

Most women runners feel endurance races cater to men, and nearly 90% want a more inclusive race experience that celebrates all athletic abilities, ages, and body types1. As a solution to this gap in marathon racing, Milk designed the Every Woman’s Marathon to be inclusive, beginner-friendly, and attuned to the unique needs of women at every stage of their marathon journey.

Every Woman’s Marathon is not just about crossing the finish line; it’s about celebrating female strength and empowering every woman’s journey through the transformative power of community. Understanding that every woman has their own reason for running, Milk tapped acclaimed poet Amanda Gorman to create an inspirational mantra designed as a call to action for all women to join the movement. Narrated and penned by Gorman, the mantra highlights women of all sizes, backgrounds, races, and abilities, and why they run.

To help conceptualize Every Woman’s Marathon, Milk enlisted an advisory board comprised of five accomplished female runners, first female marathon finisher Kathrine Switzer, para-triathlon champion Danielle McLaughlin, Olympic Medalist Deena Kastor, trailblazer Alison Mariella Désir and Two-time Olympian and 2018 Boston Marathon Champion Des Linden, who collaborated to create an inclusive experience for women from registration to the finish line. Transcending the traditional race format, this marathon promises participants a comprehensive wellness weekend in the picturesque city of Savannah. The two-day event will include enriching activities such as cooking and yoga classes, live performances, and insightful panels. With thoughtful programming that prioritizes women and families, the event will also feature designated areas for nursing, pumping, play zones, and more, ensuring a welcoming and inclusive experience for all participants.

Beyond providing specialized training advice and nutrition plans tailored for women, backed by the expertise of the advisory board, Milk is further demonstrating its commitment to social impact by donating up to $1 million to charity organizations in support of women and girls across the US. Milk is proud to announce a donation of $100,000 to each of the five Every Woman’s Marathon charity partners, 261 FearlessBlack Girls RUN!Girls on the RunGirl Scouts of Historic Georgia, and St. Jude Children’s Research Hospital®. Milk is also helping runners amplify the impact by matching Every Woman’s Marathon registration costs in donations to the charity partners, up to $100,000 each.

“Milk has a centuries-old legacy of fueling performance and aiding recovery and can help runners go the distance with its unique nutritional package,” says MilkPEP CEO Yin Woon Rani. “We proudly recognize and champion the unique needs of women, and this marathon, crafted for and by women, will redefine the traditional marathon experience. Together, let’s make Every Woman’s Marathon not just a race but a celebration of women’s empowerment, resilience, and the unstoppable spirit of every woman.”

“Words and representation have the power to inspire change and unite,” says poet Amanda Gorman. “I am proud to partner with Milk on this mantra that speaks to the strength and resilience of women, and I encourage all women to take on this 26.2-mile challenge together.”

In addition to providing women with support, inspiration, and community, Milk also provides the essential nutrition runners seek. Milk’s unique nutrient package offers high-quality protein, hydration, and electrolytes, providing critical nutrition for runners’ fuel and recovery.

Starting January 23, 2024, women of all backgrounds and abilities can sign up for Every Woman’s Marathon to join the most inspiring female tribute of the year at EveryWomansMarathon.com. Signing up costs $65, with current Team Milk members enjoying an even further reduced price. Learn more at EveryWomansMarathon.com or @EveryWomansMarathon across social media.

About the Milk Processor Education Program

The Milk Processor Education Program (MilkPEP), Washington, D.C., is funded by the nation’s milk companies and is dedicated to educating consumers and increasing the consumption of fluid milk. For more information, visit MilkPEP.org.

1Interviews of 1205 runners (880 female, 325 male) in September 2023 on behalf of MilkPEP.

SOURCE MilkPEP

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Lifestyle

Treatment Options to Help Overcome Knee Pain for Sports Enthusiasts

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Treatment Options to Help Overcome Knee Pain for Sports Enthusiasts

(Family Features) Millions of people experience chronic pain, with knee pain among the most common. Athletes and active adults know the impact activities like running and skiing can have on their knees, but when chronic knee pain makes it difficult to do those activities, or even day-to-day tasks like walking up the stairs, people may often face challenges.

According to the journal “Cartilage,” unlike other tissues, cartilage does not repair itself and, without proper treatment, can worsen over time and become more difficult to treat. However, options like FDA-approved knee cartilage repair surgery MACI (autologous cultured chondrocytes on porcine collagen membrane) uses a patient’s cells to help repair cartilage defects and may help alleviate knee pain.

“Sports-related pain should be evaluated quickly, especially when it’s difficult to put weight on the knee, swelling occurs or there is restricted range of motion,” said Dr. Alexander Meininger, orthopedic surgeon and MACI consultant.

Justin Keys, a former patient of Meininger and avid skier, knows that the long-term outcomes of knee cartilage surgery can be worth the short-term sacrifices. After several injuries, including an ACL injury, Keys struggled with most activities except walking on flat, paved surfaces. After consulting with Meininger, Keys chose knee cartilage repair to help get back to his active lifestyle.

Keys considered whether to manage the injury as-is or choose MACI and undergo rehabilitation to potentially get back to his favorite activities in the future. He knew he could no longer use short-term relief methods and had to address his pain with a treatment to help provide lasting relief.

For athletes like Keys who want to fix knee pain, it’s important to consider these steps:

Discuss Options with Your Doctor
Patients should talk to their doctors and undergo an MRI to help assess the internal structures of the knee.Meininger recommends patients and their doctors discuss options forlong-term knee restoration health, preserving function for future decades and recognizing the short-term sacrifice.

Set Yourself Up for Success
Experts like Meininger suggest patients take steps ahead of surgery to help their recovery.

“The important thing is to be as fit as possible and use the preseason months to undergo surgery and rehab,” Meininger said.

Patients can take steps to prep their home for recovery, which may include:

  • Bringing necessities down from hard-to-reach shelves
  • Moving furniture to ensure clear pathways
  • Installing shower safety handles to minimize potential falls

The Road to Rehab and Recovery
Rehabilitation takes time and everyone’s experience is unique. It can be as much of a mental challenge as it is physical. Committing to a physical therapy regime, staying hydrated and eating well are important aspects to support recovery. Patients should talk to their doctors with questions and before starting any exercises.

IMPORTANT SAFETY INFORMATION
Do not use if you are allergic to antibiotics such as gentamicin or materials from cow or pig; have severe osteoarthritis of the knee, other severe inflammatory conditions, infections or inflammation in the bone joint and other surrounding tissue or blood clotting conditions; had knee surgery in the past 6 months, not including surgery for obtaining a cartilage biopsy or a surgical procedure to prepare your knee for a MACI implant; or cannot follow a rehabilitation program post-surgery.

MACI is used for the repair of symptomatic cartilage damage of the adult knee. Conditions that existed before your surgery, including meniscus tears, joint or ligament instability or alignment problems should be evaluated and treated before or at the same time as the MACI implant. MACI is not recommended if you are pregnant. MACI has not been studied in patients younger than 18 or over 55 years of age. Common side effects include joint pain, tendonitis, back pain, joint swelling and joint effusion. More serious side effects include joint pain, cartilage or meniscus injury, treatment failure and osteoarthritis. See Full Prescribing Information for more information.

Find more information by visiting MACI.com.

*Testimonials by MACI patient and paid Vericel consultant

Photos courtesy of Shutterstock


SOURCE:
MACI

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