Challenges and Opportunities for Injury Reduction and Performance Development in Elite Youth Team Sport Schools: A Practice-Based Opinion.

Performance enhancement and injury risk reduction are crucial for youth elite athletes. The pursuit of both these goals remains challenging in team sports as individual needs must be balanced with collective training goals. Despite the available evidence on screening, maturation, monitoring, and staff involvement, the optimal approach for enhancing performance while reducing injury risk in young athletes has yet to be defined, and integrating evidence into clinical settings remains a significant challenge. This clinical commentary aims to share the decision-making process regarding performance enhancement and injury reduction in volleyball players within a youth elite sports school, considering maturation and a context of limited budgets for the use of advanced monitoring tools. A youth elite sports school offers a structured environment that allows young athletes, aged 12-18, to combine education with a sport-specific elite athletic development program supervised by a multidisciplinary team. The authors address challenges related to preparticipation screening, maturation differentiation, low-budget monitoring, and communication. Based on literature, the daily experiences and project outcomes, opportunities for an integrated approach are identified which offer scalable, evidence-informed solutions to optimize performance development. # Level of Evidence 5.