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=== Overuse injuries === Overuse injuries can be defined as injuries that result from a mechanism of repetitive and cumulative micro-trauma, that exceeds tissue repair capacity.<ref name=":03">{{Cite journal |last1=Aicale |first1=R. |last2=Tarantino |first2=D. |last3=Maffulli |first3=N. |date=December 2018 |title=Overuse injuries in sport: a comprehensive overview |journal=Journal of Orthopaedic Surgery and Research |language=en |volume=13 |issue=1 |page=309 |doi=10.1186/s13018-018-1017-5 |doi-access=free |pmid=30518382 |pmc=6282309 |issn=1749-799X}}</ref> Overuse injuries can be divided into three primary categories, tendinopathy, stress reaction and stress fractures, and Juvenile Osteochondritis Dissecans. Tendinopathy is the result of accumulative micro-trauma and degenerative changes to the tissue that can predispose to pain and even rupture with activity. Tendinopathy progresses in stages from tendinitis which is inflammatory driven, to later tendinosis which is primarily degenerative. The lack of inflammation in this later stage is in fact what hinders the bodies ability to heal the injury. Stress reaction and stress fractures occur due to accumulative trauma to bone that leads to a imbalance between bone cleavage and replacement leaving the bone prone to micro-damage (stress reactions) and stress fractures. A common cause for both these types of injuries are increase in training frequency and can be associated with poor technique, or other external factors like training on hard surfaces or long distance sports.<ref name=":3">{{Cite journal |last1=Soligard |first1=Torbjørn |last2=Schwellnus |first2=Martin |last3=Alonso |first3=Juan-Manuel |last4=Bahr |first4=Roald |last5=Clarsen |first5=Ben |last6=Dijkstra |first6=H Paul |last7=Gabbett |first7=Tim |last8=Gleeson |first8=Michael |last9=Hägglund |first9=Martin |last10=Hutchinson |first10=Mark R |last11=Janse van Rensburg |first11=Christa |last12=Khan |first12=Karim M |last13=Meeusen |first13=Romain |last14=Orchard |first14=John W |last15=Pluim |first15=Babette M |date=September 2016 |title=How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury |url=https://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2016-096581 |journal=British Journal of Sports Medicine |language=en |volume=50 |issue=17 |pages=1030–1041 |doi=10.1136/bjsports-2016-096581 |pmid=27535989 |issn=0306-3674|hdl=2263/57024 |hdl-access=free }}</ref> Finally, the rapid changes in physical growth in children leave them prone to overuse injuries, especially Juvenile Osteochonditis Dissecans, in which the bone-cartilage interface is affected.<ref>Sharadze, D., et al. “THE INCIDENCE OF SPORTS INJURIES AMONG SCHOOL-AGED CHILDREN AND ADOLESCENTS.” ''Georgian Medical News'', no. 343, 2023, pp. 193–98.</ref> This disease is driven primarily by repetitive micro-trauma sustained while training and can lead to pain in the affected joints. The disease predominately affects athletes undergoing rapid periods of growth, therefore as the athlete's bodies continues to mature, the disease tends to self-resolve.<ref name=":03" />
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