“…Evidence for injury incidence and the long-term effects of participating in sports in the pediatric population are limited ( 17 , 18 , 87 , 88 ). A musculoskeletal assessment is recommended to examine joints ( 89 , 90 ), physical function (flexibility, posture, gait, muscle strength, joint laxity), and regional abnormalities (spine, upper extremity, lower extremity) ( 55 , 62 , 91 ). Of the conditions identified during the PPE, 14% required follow-up before clearance for participation ( 92 , 93 ).…”