Jorge E Gómez

Baylor College of Medicine | BCM · Department of Pediatrics

Introduction: Motor vehicle collisions are the leading cause of death in adolescents. A concussion is a common injury sustained by adolescents and may impair their driving abilities during the acute phase of recovery. Healthcare providers do not consistently perform counseling of adolescents regarding driving after a concussion. This quality impro...

Background Clinical characteristics of uncomplicated bone bruises (ie, not associated with a ligament rupture, meniscal tear, or fracture of the knee) in young athletes have scarcely been reported. Purpose To identify mechanisms of injury, characterize bone bruise patterns, and identify clinical factors relating to recovery in young patients suffe...

With more than 30 million US children and teenagers participating in both recreational and team sports, the adolescent physician is faced with many medical, parental and community questions and concerns regarding diagnosis, treatment and prevention of youth sports injuries. This issue provides the adolescent physician with comprehensive, practical...

The incidence of sports related concussion appears to be increasing, raising alarm over long-term consequences of these head injuries on cognitive function in youth. The American Academy of Neurology (AAN) has recently revised its position statement on concussion in sports, reflecting the burgeoning scientific evidence on its epidemiology, neurophy...

This Policy Statement was retired April 2016 The current epidemic of inactivity and the associated epidemic of obesity are being driven by multiple factors (societal, technologic, industrial, commercial, financial) and must be addressed likewise on several fronts. Foremost among these are the expansion of school physical education, dissuading child...

Children and adolescents are often involved in sports in which weight loss or weight gain is perceived as an advantage. This policy statement describes unhealthy weight-control practices that may be harmful to the health and/or performance of athletes. Healthy methods of weight loss and weight gain are discussed, and physicians are given resources...

Performance-enhancing substances include dietary supplements, prescription medications, and illicit drugs. Virtually no data are available on the efficacy and safety in children and adolescents of widely used performance-enhancing substances. This statement is intended to provide a generalized but functional definition of performance-enhancing subs...

In this issue of the ARCHIVES, Elliott et al¹ present results from a randomized trial of a peer-led intervention for high school female athletes to reduce behaviors associated with abnormal weight loss practices, behaviors that are a significant cause of morbidity and mortality in adolescents. Unhealthy weight loss behaviors were indirectly targete...

Previous studies have shown poor correlation between subjective assessments of neighborhood safety and physical activity. This study was performed to model relationships between adolescents' outdoor physical activity and objectively measured violent crime densities, along with other key environmental variables. Participants' physical activity was m...

Background. Previous studies have shown poor correlation between subjective assessments of neighborhood safety and physical activity. This study was performed to model relationships between adolescents' outdoor physical activity and objectively measured violent crime densities, along with other key environmental variables.Methods. Participants' phy...

The American Academy of Pediatrics and American Academy of Ophthalmology strongly recommend protective eyewear for all participants in sports in which there is risk of eye injury. Protective eyewear should be mandatory for athletes who are functionally 1-eyed and for athletes whose ophthalmologists recommend eye protection after eye surgery or trau...

This article provides an overview of common upper extremity injuries in youth sports, including injuries to the shoulder, elbow, and wrist. Pain in the shoulder and elbow is common among youngsters who participate in throwing sports, raquet sports, and swimming, while wrist pain is common among young gymnasts. Acute trauma to the shoulder and elbow...

Use of performance-enhancing substances is widespread among adolescents. Anabolic steroids, creatine, and androstenedione are currently among the most used ergogenic substances. In the past 10 years, the amount of data regarding these substances from well-designed clinical trials has increased dramatically. Anabolic steroids remain difficult to stu...

The author provides an overview of medical conditions in young athletes that may require emergency evaluation and treatment, including keys to diagnosing them, principles of emergency treatment, and guidelines for prevention.

This Clinical Report was revised. See https://doi.org/10.1542/peds.2019-0997 Participation in organized sports provides an opportunity for young people to increase their physical activity and develop physical and social skills. However, when the demands and expectations of organized sports exceed the maturation and readiness of the participant, the...

Pediatricians are often asked to give advice on the safety and efficacy of strength training programs for children and adolescents. This review, a revision of a previous American Academy of Pediatrics policy statement, defines relevant terminology and provides current information on risks and benefits of strength training for children and adolescen...

Pediatricians are often asked to give advice on the safety and efficacy of strength training programs for children and adolescents. This review, a revision of a previous American Academy of Pediatrics policy statement, defines relevant terminology and provides current information on risks and benefits of strength training for children and adolescen...

Participation in organized sports provides an opportunity for young people to increase their physical activity and develop physical and social skills. However, when the demands and expectations of organized sports exceed the maturation and readiness of the participant, the positive aspects of participation can be negated. The nature of parental or...

This Policy Statement was retired July 2018 Children and adolescents with medical conditions present special issues with respect to participation in athletic activities. The pediatrician can play an important role in determining whether a child with a health condition should participate in certain sports by assessing the child's health status, sugg...

Children and adolescents with medical conditions present special issues with respect to participation in athletic activities. The pediatrician can play an important role in determining whether a child with a health condition should participate in certain sports by assessing the child's health status, suggesting appropriate equipment or modification...

This statement updates the 1994 American Academy of Pediatrics policy statement on baseball and softball injuries in children. Current studies on acute, overuse, and catastrophic injuries are reviewed with emphasis on the causes and mechanisms of injury. This information serves as a basis for recommending safe training practices and the appropriate...

To determine the proportion of US high schools using sports preparticipation evaluation (PPE) forms containing the 3 elements of the medical history currently recommended for screening young athletes for heart disease, including questions about exercise-related symptoms, previous diagnosis of heart murmur or high blood pressure, and family history...

Objective: To determine the proportion of US high schools using sports preparticipation evaluation (PPE) forms containing the 3 elements of the medical history currently recommended for screening young athletes for heart disease, including questions about exercise related symptoms, previous diagnosis of heart murmur or high blood pressure, and fami...

To learn if Mexican-American children from low income neighborhoods have excess diabetes risk factors. The study involved 173 Mexican-American children aged 9 years. This is the age before type 2 diabetes usually develops in youths and where the disparity in body fat between Mexican-American and non-Hispanic white children is evident. The study als...

To determine whether associations exist between body fatness and injury rates in high school football linemen. Prospective, injury surveillance study during a 2-week preseason and 10-week regular season. 10 public high schools in Texas. Two hundred fifteen varsity and junior varsity high school football linemen. Injury rates (injuries per 1000 hour...

A case of bilateral groin pain of sudden onset in a 14-yr-old boy is presented. The patient reported sudden onset of pain in both inguinal regions during a 100-m dash. He presented a week later to the clinic where physical examination revealed a shuffling gait, bilateral hip flexion contractures, limited active and passive hip extension, and bilate...

This study was conducted to assess the probability of success with which middle-school-age soccer players could correctly localize lower leg pain to sites of common overuse injuries, using a graphic self-report instrument. Subjects included 98 middle-school soccer players, ages 12 to 15 years. Players' self-reports of leg pain were compared with th...

Pseudothrombophlebitis syndrome is the occurrence of calf pain and swelling caused by extrinsic compression of the popliteal vessels by an enlarging Baker's cyst or by calf inflammation that occurs as the result of a ruptured Baker's cyst. Few cases of pseudothrombophlebitis syndrome have been reported in patients less than 18 years of age, and nea...

To determine the sensitivity and specificity of the 2-minute, 12-step, orthopedic screening examination. Prospective, single-blind study. National Collegiate Athletic Association Division 1 athletics program. Two hundred fifty-nine male and female varsity athletes. The athletes were screened by five primary care physicians who were "blind" to each...

• Objective. —To determine the sensitivity and specificity of the 2-minute, 12-step, orthopedic screening examination. Design. —Prospective, single-blind study. Setting. —National Collegiate Athletic Association Division 1 athletics program. Participants. —Two hundred fifty-nine male and female varsity athletes. Interventions. —The athletes we...

Rheological and compositional properties of pathological synovial fluids were measured and compared in order to reveal differences between disease states. The cases include degenerative joint disease, rheumatoid arthritis, mixed connective tissue disease, and pseudogout. Using an oscillatory flow capillary instrument, measurements were made of both...

This chapter is intended to help primary care physicians and other providers of health care to adolescents to become more knowledgeable about the management of soft tissue injuries. Discussion includes the pathophysiology of injury, the assessment of the degree of injury, and the rationale for the RICE (rest, ice, compression, and elevation) method...