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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Question for the Doctor's Post above: You mention that the highest percentage you treat are hand, etc., while the highest percentage you refer are head injuries.  This seems logical since i don't know how many patients with head injuries would normally first see an ortho surgeon.  Please correct me if i am wrong.  What is the % of head injury referrals for lax injuries versus hand/soft tissue that you proceed to treat?  I am not quarreling with anything you say which seems reasonable and it makes sense that the more participants in lax the higher the raw number of injuries versus football which may both be in decline as well as in a reinvention mode in terms of avoiding head injuries and taking seriously those that occur (versus "got his bell rung" mentality).

Just trying to probe a little more because you have first-hand experience.  Thanks for your input.

PS -  I recognize this interrupts the Madlax-VLC battle.  IMO this makes the sport look childish and feeds the perception of the sport by others as non-serious.   [/quote]

Our practice group has numerous specialists including neck and spine specialists, and we see a number of patients that are referred by or to other specialist groups. To clarify, I introduce no clinical data or conclusions here but there are researchers at Hopkins, GW and other regional university hospitals which do specialize in head trauma. Hence, we would refer a head trauma case to one of those specialist groups. I treat a lot of hand bone and tissue cases for lacrosse and note there are increased trends we have observed for head trauma for youth and high school aged participants, but that the research in this field for size or age deltas among participants is scarce thus far. If I were giving advice, I would advise parents to be cautious about what is commonly termed as playing u[b]p into higher age participant categories[/b] because of the size and strength variances.[/quote]

Thanks for the information. Unfortunately many of us are not playing our kids up,[b] other parents are playing their kids down[/b].

The lacrosse leagues categorize kids by graduation year in HS not their age so a [b]2018 graduate could have been born 9/1/2000-8/31/2002[/b]. There could be a full TWO year difference in age. The schools that encourage this have many fall hold backs, making them up to 2 years older than a regular senior and 3 years older than a junior. I agree that Freshman should not play Varsity contact sports unless they went through an early puberty or are held back themselves (most are). But even if a child is a normal size they are forced to compete against kids that should already be in college or not play the sport. [/quote]

I am not sure where you are getting your numbers from. A 2018 graduate could be born from 9/1/1999 to 8/31/2000.  There may be  parents who held there 6/1/99 to 8/31/99 which would be 2017 graduates to 2018. but that is not 2 years.

a 8/31/2002 kid would be 16 when they graduate HS. I have not yet seen any kid on my child's lacrosse teams that is that young nor had any kids who arre 13 entering HS.[/quote]

sorry typo

[b]2020 [/b]graduate could have been born 9/1/2000-8/31/2002

for

2018 they could be born[b] 9/1/1999 to 8/31/2001[/b]

Actually multiple kids are entering HS as 13 year olds in the past because MoCo cut off use to be December 31st. They changed that about 2005 so many September, November, December kids were going to HS as 13 year olds. But most are not starting this year.
[/quote]

Where so you keep coming up with iyour ls 2 year spread? Following MoCo, the "official spread is 9/1/99 till 8/31/2000 for a 2018 graduate. Where is someone born in 2001 entering HS? Some 2018 kids could be born earlier than 9/1/99. but this 2 year spread you are talking about is ridiculous.[/quote]

You are NOT aware that parents hold their children back 1 year to gain size and speed advantage in sports. So a normal parent will enroll their child in K when they are 5 by September 1st. But many parents will wait until they are 6, which is allowed. This was put in place because some kids are not emotionally or academically ready for K.

At Mater Dei many kids will repeat a grade when they enroll. So they go to 6th grade at their home school then they go to 6th grade again at MD... or many just go to MD for 8th grade, they go to 8th grade at their home school and then repeat 8th grade at MD. Then go to HS a year later than they should have.

L[b]andon had 6 kids (who already attended 8th grade somewhere else) repeat 8th grade at Landon this year. [/b]So the kids that were born in September are almost 2 years older than kids born in the summer that did not hold their kids back.

http://deadspin.com/why-rich-lacrosse-parents-are-making-their-kids-repeat-1570381983

Kids in MoCo could actually be born October 1999 and be sophomores because of the change in the enrollment age in 2005. A hold back in a private school born October 1999 could still be in 8th grade. But this is unusual because the cutoff use to be December and MoCo moved the cutoff back to September but they did it gradually.[/quote]

Very well aware about Landon as DS was a recent graduate. You are talking about 6 kids of around a class of 75. Typically, you will find that the age range goes from June 1 of one year till about the end of May for the following year. Kids with Birthdays June 1 or later will be in the younger class. Some parents will push their kids to be in the older class but not many. In all our years there, there was one kid  2 years older than his class. He wasn't held for athletics. The spread between the oldest and youngest kid was 16 months. By junior year it made absolutely no difference in the size or the athelticism of the youngest kid. The kids that were good athletes were good athletes. [/quote]

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