Sports Medicine Services

Sports Medicine Services

The Texas Scottish Rite Hospital for Children Center for Excellence in Sports Medicine assesses and treats acute and chronic sports-related injuries, including growth plate injuries, in young athletes. Our providers offer both operative and non-operative treatment options, including minimally invasive surgical techniques with advanced arthroscopic surgery.

Shoulder Injuries 

The shoulder joint is known as a ball and socket joint. This type of joint allows extreme motions for throwing and overhead sports, like baseball and volleyball, but also increases the risk of injury to the joint.  Injuries can occur from single, forceful events, like a fall  or collision with an outstretched arm. Repetitive motions can lead to different problems in the bones and soft tissues of the shoulder. These changes can lead to permanent changes in the shape of the bones. Most overuse shoulder problems in young athletes are believed to be preventable.  In many cases, early rest and treatment leads to recovery without surgery.

  • “Little Leaguer’s” shoulder
  • Thrower’s shoulder
  • Shoulder instability & dislocation
  • Glenoid labrum tears
  • Shoulder impingement
  • Shoulder or acromioclavicular (AC) separation
  • Burner or stinger
  • Collarbone fracture


Elbow Injuries 

The elbow is a hinge joint.  It also allows rotation which makes the hand very functional. Elbow injuries in young athletes are on the rise. This is partly due to moving to year-round training and competition. Overuse injuries occur in baseball and other throwing sports, as well as gymnastics. Early recognition of signs and symptoms can prevent problems and even career-changing injuries. In youth sports, preventing problems, particularly those requiring surgery, is a priority.

  • “Little Leaguer’s” elbow (medial epicondyle apophysitis)
  • Avulsion fracture of the medial epicondyle
  • Olecranon apophysitis
  • Ulnar collateral ligament (UCL) tear
  • Cartilage conditions such as osteochondritis dissecans (OCD)
  • Elbow impingement
  • Elbow fractures and dislocations


Hip Injuries 

The hip is a ball and socket joint. The soft tissues in the hip are very important because the bones do not stay together well without them. This also means there are lots of tissues that can become injured with different motions. Dancers, gymnasts, soccer and ice hockey players move their hips in extreme motions over and over again. The resulting problems can become progressively worse over time. Early recognition of signs and symptoms of hip problems can often result in very successful outcomes without surgery.

  • Femoral acetabular impingement (FAI)
  • Labral tears
  • Snapping hip
  • Hip and groin strains
  • Overuse hip conditions (such as those seen in dancers and gymnasts)
  • Pelvic apophysitis
  • Pelvic avulsion fractures


Knee Injuries 

Knee injuries and prevention of knee injuries in youth sports are hot topics. Young athletes have unique risk factors for knee injuries and these also require unique treatment considerations. All growing bones have sensitive spots, called growth centers.  These are filled with cartilage, until the bone takes its final shape.  Some growth centers are at risk of injury from running and jumping. Others, the ones that help our legs grow symmetrically and straight, are at risk of being damaged from fractures or during surgeries for major ligament injuries. In these cases, a pediatric orthopedic surgeon has the expertise to make a plan for treatment and monitoring for the best outcomes.

  • Anterior cruciate ligament (ACL) tears
  • Posterior cruciate ligament (PCL) tears
  • Collateral ligament  tears
  • Meniscus tears
  • Discoid meniscus
  • Cartilage conditions such as osteochondritis dissecans (OCD)
  • Knee cap instability and dislocations
  • Growth plate fractures
  • Tibial spine fractures
  • Osgood-Schlatter disease
  • Sinding-Larsen-Johansson (SLJ) syndrome


Ankle Injuries 

Young athletes are more likely to break a bone than to have an ankle sprain. Unlike fractures, subtle injuries to the bone or the soft tissue covering the bones may be difficult to diagnose. Symptoms that don’t get better with rest may need a thorough evaluation by a pediatric specialist. Recognizing and responding to symptoms of ankle instability or pain with repetitive activity can help keep young athletes on the field. The risk of ankle injury can be reduced with good training, proper shoes and field maintenance.   

  • Ankle instability
  • Ankle sprain
  • Ankle fractures 
  • Stress fractures of the foot and ankle 
  • Cartilage conditions such as osteochondritis dissecans (OCD)
  • Sever’s disease


Sports Concussions

A concussion is a brain injury that disrupts normal brain function. It is usually caused by a sudden blow to the head or body that causes the brain to shake, damaging cells and creating chemical changes in the brain. An athlete does not have to be knocked out or have memory loss to have suffered a concussion. In fact, most athletes who suffer a sports-related concussion do not lose consciousness. Read more