title: [When sports no longer is a game ... the clinical aspects of competitive sports in children].
abstract: Physical and psychic vulnerability in children performing competitive sports may turn an accidental injury into a starting-point for chronic pain. This pain may give rise to serious physical and social restraints. The case histories of two fourteen years old girls are presented. Both patients suffered from overburdening. This phenomenon had not been recognized, or was not explicitly stated at least. Probably, too high expectations from medical help by parents and child played a crucial role. Expectations were twofold: the chronic pain should fit a specific defect caused by the injury, or it should be due to a (serious) disease. Both types of expectations led to disappointments, repeated diagnostic procedures and ineffective therapies. A comprehensive assessment without delay by a multidisciplinary pediatric team is recommended.
authors.affiliation: Universiteitskliniek voor Kinderen en jeugdigen Het Wilhelmina Kinderziekenhuis, Utrecht.
authors.forename: G
authors.initials: G
authors.lastname: Sinnema
authors.forename: E R
authors.initials: ER
authors.lastname: de Graeff-Meeder
authors.forename: W
authors.initials: W
authors.lastname: Keessen
mesh_terms: D000293:Adolescent; D019567:Back Injuries; D003163:Competitive Behavior; D005260:Female; D006173:Gymnastics / Q000293:injuries*; D006214:Hallux / Q000293:injuries; D006801:Humans; D011602:Psychophysiologic Disorders / Q000523:psychology*; D013315:Stress, Psychological; D013550:Swimming / Q000293:injuries*
vernacular_title: Als sport (al lang) geen spel meer is ... de klinische keerzijde van wedstrijdsport bij kinderen.