Pediatric / Adolescent Sports Medicine

Cartilage and ligament damage, broken bones, and tendonitis have always been the bane of college and professional athletes, sidelining them from practice, tournaments and even entire seasons of play. These types of injuries are becoming more prevalent in younger children too.

According to the National Youth Sports Safety Foundation, approximately 30 million children and adolescents participate in athletics annually. Each year, high school athletes account for nearly two million injuries and nearly twice as many children under the age of 14 receive medical treatment for sports-related injuries.

The game has changed dramatically in youth sports. The neighborhood pick-up match has given way to organized teams with rigorous schedules. Children are starting to play sports at a much younger age than their parents did, frequently focusing on a single sport before hitting puberty.

With an increase in travel teams, recreational leagues and summer clinics, single-season sports have morphed into year-round commitments. This shift has put our young athletes at risk for injuries and created a need for a Pediatric and Adolescent Sports Medicine subspecialty.

Understanding the Difference

Children are not small adults; therefore the child athlete is not a little adult athlete. Young athletes are at risk for specific injuries as their bodies are still growing and changing, and cannot always be treated with the same techniques used in adults.

Dr. Khayyal's Orthopedic Surgery office  understands the difference and uses a wide range of surgical and non-surgical treatment options that are specific to these types of injuries in the developing athlete.

Types of Conditions Treated:


  • ACL tears (in children with open and closed growth plates)
  • Other ligament injuries (PCL, MCL, PLC, LCL)
  • Meniscal tears and discoid meniscus
  • Osteochondral fractures
  • Osteochondritis dissecans (OCD)
  • Patella dislocations and instability
  • Anterior knee pain
  • Osgood-Schlatter disease
  • Fractures


  • Dislocations
  • Multidirectional instability
  • SLAP tears
  • Labral injuries
  • AC separations
  • Little Leaguer’s shoulder
  • Rotator cuff injuries
  • Fractures

 Elbow/ Wrist/ Hand

  • Little Leaguer’s elbow
  • Osteochondritis dissecans
  • Ulnar collateral injuries
  • Apophyseal injuries
  • TFCC tears
  • Tendonitis
  • Dislocations
  • Fractures


  • Labral tears
  • Femoroacetabular Impingement (FAI)
  • Snapping hip
  • Avulsion injuries
  • Instability
  • Sprains/strains
  • Tendonitis
  • Dislocations
  • Fractures

Lower Leg / Ankle / Foot

  • Exertional compartment syndrome
  • Shin splints and stress fractures
  • Osteochondritis Dissecans (OCD)
  • Achilles and peroneal tendon injuries
  • Os trigonium
  • Ankle sprains
  • Ankle instability
  • Dislocations
  • Fractures

During your first appointment with Dr. Khayyal's Orthopedic Surgery office , you should expect a skilled interaction and an orthopedic physical examination. Once the problem has been identified, he will begin treatment. He often provides patient education materials and utilizes unique teaching techniques to help the whole family fully understand the injury and the expected course of treatment.