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With increasing numbers of young athletes participating in sports activities across the United States, the issues of sports participation, sports safety, and specific return-to-play decisions have become more common in the pediatric office. Athletic patients and their families are turning increasingly toward the pediatrician for guidance and safe decision-making regarding sports participation and injury prevention.

This article examines specific issues that pediatricians and pediatric residents in training should encounter during the practice of general pediatric medicine. These issues include concussion, cervical spine injury, and ankle injury. Case-based teaching examples are used to illustrate teaching points.

A 15-year-old soccer player comes to her pediatrician for follow-up 1 day after suffering a head injury during a soccer game. She sustained a head-to-head collision with another player and quickly developed a headache. She tried to continue playing but was having difficulty remembering her position...

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