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Children’s License Agreement

Children’s Healthcare of Atlanta (“CHOA”) provides free access to certain materials and information, documentation, forms, questionnaires and diagrams relating to the study, prevention, and treatment of concussions via this website and its related pages, including without limitation, for your reference or download (collectively, the “Concussion Program Materials”) as described in this License agreement (“Agreement”). By accessing the Concussion Program Materials, you accept and agree to the terms and conditions of this Agreement.

1. Right to Access and Use. CHOA hereby provides you a fully-paid, nontransferable, nonexclusive, personal right and license to access, download, or otherwise use any Concussion Program Materials solely for the following purposes:

(i) if you are accessing the materials as a parent, you may use the Concussion Program Materials for your personal, non-commercial use to educate yourself and your family on concussion prevention and treatment for a child;

(ii) if you are accessing the materials as an athletics coach or on behalf of a school organization, you may use the Concussion Program Materials to promote concussion safety to your staff, students and athletes and to create appropriate concussion management procedures; and

(iii) if you are a healthcare provider, you may use the Concussion Program Materials for your personal, professional development to enhance your medical knowledge in the field of concussions. You acknowledge the Concussion Program Materials are not to be used as definitive diagnostic tools with any specific patient and your independent medical judgment will be used to treat any patient.

You must maintain all CHOA proprietary notices on the Concussion Program Materials. You may not copy, modify, adapt, reverse engineer or create derivative works of the Concussion Program Materials or remove any copyright or other proprietary rights notices therefrom. Notwithstanding the foregoing, where indicated in the Concussion Program Materials, schools and sports organizations are permitted to co-brand certain of the Concussion Program Materials with CHOA’s prior written consent. Additionally, schools, sports programs and recreational leagues may put their own logo on the Concussion Policy and modify it to meet their needs. CHOA may update, replace or remove some or all of the Concussion Program Materials from time to time, and you should check back with the website to determine if the Concussion Program Materials you downloaded are current.

2. Reservation of Rights. Except for the limited license provided to you in Section 1 of this Agreement, no express or implied license, right, or ownership interest of any kind is granted to you with respect to any of the Concussion Program Materials or any copyrights, trademarks, or other intellectual property rights therein. CHOA reserves all rights not expressly granted in this Agreement.

3. Disclaimer of Medical Advice. The Concussion Program Materials do not constitute specific medical advice and are provided as information resources only. The Concussion Program Materials do not create a patient-physician relationship and should not be used as a substitute for professional advice and treatment from a licensed doctor. In the case of a concern, a medical professional should be consulted. In the event of an emergency, you should call 911 or go to the nearest emergency department immediately. By licensing the Concussion Program Materials, CHOA is not assuming any duty to update the Concussion Program Materials, and you are responsible for reviewing and approving the Concussion Program Materials for your use.

4. No Warranties. While CHOA makes efforts to provide materials that accurately reflect the research and information CHOA is authorized to make available publicly, THE CONCUSSION PROGRAM AND ALL RELATED MATERIALS ARE MADE AVAILABLE TO YOU ON AN “AS IS” BASIS AND CHOA DISCLAIMS ANY AND ALL WARRANTIES, WHETHER EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT.

5. Limitation of Liability. IN NO EVENT WILL CHOA OR ITS AFFILIATES, OR ANY OF THE OFFICERS, DIRECTORS, SHAREHOLDERS, EMPLOYEES, AGENTS OR REPRESENTATIVES OF CHOA OR ITS AFFILIATES, BE LIABLE TO YOU FOR ANY INDIRECT, SPECIAL, INCIDENTAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES OR LOSS OF GOODWILL OR PROFIT IN ANY WAY ARISING FROM OR RELATING TO THIS AGREEMENT OR THE MATERIALS, HEREUNDER, INCLUDING THE FAILURE OF ESSENTIAL PURPOSE, EVEN IF NOTIFIED OF THE POSSIBILITY OR LIKELIHOOD OF SUCH DAMAGES. IN ANY EVENT, THE LIABILITY OF CHOA AND ITS AFFILIATES, AND THE OFFICERS, DIRECTORS, SHAREHOLDERS, EMPLOYEES, AGENTS AND REPRESENTATIVES OF CHOA AND ITS AFFILIATES, FOR ANY DAMAGES WHATSOEVER, SHALL NOT EXCEED ONE HUNDRED DOLLARS.

6. Governing Law. This Agreement shall be construed and governed in accordance with the laws of the State of Georgia of the United States of America, without regard to its rules regarding conflicts of law.

7. General. This Agreement constitutes the entire agreement between the parties regarding its subject matter and supersedes any prior understanding or agreement respecting the subject matter of this Agreement. You irrevocably waive any and all right to trial by jury in any legal proceeding arising out of or relating to this Agreement or Concussion Program Materials. If any provision of this Agreement is held invalid, the remainder of this Agreement will continue in full force and effect.
 
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  • Carson's Story: Specialists Helped Heal Her Knee Injury
Children's Healthcare of Atlanta

Carson’s Story: Sports Medicine Specialists Helped Heal Her Knee Injury

Knee surgery may have slowed Carson Nolan down, but thanks to the sports medicine and orthopedics teams at Children’s, she’s ready to return to gymnastics and compete in floor exercise.

Knee surgery may have slowed Carson Nolan down, but thanks to the sports medicine and orthopedics teams at Children’s, she’s ready to return to gymnastics and compete in floor exercise.

Carson's Return to Gymnastics After Knee Surgery

Gymnastics has been Carson Nolan’s top priority since she was in first grade. But knee surgery recently put a halt to her practices and competitions.

“What I love most about the sport is floor exercise,” said 17-year-old Carson. “It gives me the freedom to express myself through unique choreography and dance elements, and the joy of performing my routine is a feeling I’ll never forget.”

The sport, however, does come with aches and pains, as well as the need for injury prevention education. Since Carson was about 8 years old, she's been in the care of David L. Marshall, MD, a Pediatric Sports Medicine Primary Care Physician and Medical Director of the Sports Medicine Program at Children’s Healthcare of Atlanta.

“He knows the sport well and the kids love him,” said Carson’s mom, Betsy Nolan, whose older daughter Berkley was also treated by Dr. Marshall when she was a young gymnast. “With all the dangerous things they are doing in gymnastics, we know he’ll tell them the right thing to do if they were ever injured or thought they were injured.”

“Having mutual trust between the physician, athlete, parents and coach is vital to optimal care of the young athlete.“–David L. Marshall, MD, Pediatric Sports Medicine Primary Care Physician

Dr. Marshall said it’s been a pleasure caring for Carson and Berkley through the years. “Often, growing athletes are unwilling, or even afraid, to tell their coach, parents or physician the whole story about an injury for fear of being held out of their sport or told they can no longer compete. Having mutual trust between the physician, athlete, parents and coach is vital to the optimal care of the young athlete.”

When Carson began complaining about knee discomfort in May 2018, it only made sense to turn to Dr. Marshall and the sports medicine and orthopedics specialists at Children’s. At first, it was believed to only be a kneecap tracking problem, but the discomfort didn’t go away.

An MRI at Children’s in December 2018 confirmed that Carson did have a kneecap tracking problem, but also revealed a meniscus injury, which is one of many injuries commonly associated with gymnastics.

Michael T. Busch, MD, a Sports Medicine Orthopedic Surgeon and Surgical Director for the Sports Medicine Program at Children’s, said he could perform the surgery then, but there was no guarantee Carson would be able to compete in the spring season.

“Carson agreed to complete that season and to have surgery at the end of her season,” said Betsy.

In late May 2019, Carson had an outpatient surgical procedure to repair a tear in her medial meniscus.

“The tear in her meniscus was problematic and painful for her. It was chronic and relatively stable but would move enough to hurt when she was active in gymnastics,” Dr. Busch explained. “The fragment was repairable, so I used an inside-out technique with several sutures to stabilize the tear.”

“My Children’s physical therapist and surgeon were very cautious and conservative to ensure that I was not rushing my recovery time.”–Carson Nolan, Children’s patient

Carson shared that she was nervous going into surgery, but confident she was in good hands. “Walking back into the operating room and seeing that so many doctors were in the room focusing on my surgery made it clear to me that Children’s treats all of their patients very seriously and with great care.”

Two days after surgery, Carson began sports physical therapy at Children’s at Forsyth in Cumming, Ga., going twice a week. Less than two weeks later, she was walking without her crutches, and about a month later she could walk on her own without a restrictive leg brace.

Carson, a teen athlete, competes in floor exercise at local gymnastics competition

“My physical therapist and surgeon were very cautious and conservative to ensure that I was not rushing my recovery time,” Carson said. “Four months later, I started to slowly work gymnastics practice back into my schedule.”

Carson completed sports physical therapy right before Halloween 2019 and is expected to compete again this year.

“Children’s has the best team of doctors who are understanding of gymnastics and were able to help me map out a plan to work my way back to being 100%,” Carson said. “Their expert advice and physical therapy services have eased my recovery of a hurt hamstring, dislocated kneecap and now a torn meniscus.”

 

David L. Marshall, a Pediatric Sports Medicine Primary Care Physician, is board-certified in pediatrics and sports medicine. His expertise lies in the diagnosis and management of nonsurgical musculoskeletal injuries in growing athletes. Dr. Marshall is Medical Director of the Sports Medicine Program at Children’s Healthcare of Atlanta and an adjunct clinical professor in the Department of Orthopedics at Emory University. He is on the medical advisory board for the Georgia High School Association and is a founding member of the Pediatric Research in Sports Medicine (PRiSM) organization. Currently, he is focused on performance enhancement through the use of video motion and physical therapy.

Michael T. Busch, MD, a Sports Medicine Orthopedic Surgeon, founded the Sports Medicine Program at Children’s Healthcare of Atlanta. He also provides program leadership as the Surgical Director of Sports Medicine and is the Pediatric Orthopaedic Surgery Fellowship Director at Children's. Dr. Busch is actively involved in orthopedic academics, giving numerous talks at a variety of national and international meetings. He was a founding member of the Pediatric Research in Sports Medicine (PRiSM) organization and serves on its board of directors. Dr. Busch is a consulting associate for the Duke University Department of Orthopaedic Surgery.

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    Related Topics

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