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Jin-Young Park, Hyun-Yul Yoo, Seok Won Chung, Seung-Jun Lee, Na Ra Kim, Se-Young Ki, Kyung-Soo Oh
BACKGROUND: Little is known about the clinical characteristics and surgical outcomes of valgus extension overload syndrome (VEOS) in adolescent athletes. We evaluated posteromedial compartment pathology, including combined lesions, and reported the surgical outcomes in adolescent baseball players. METHODS: We retrospectively reviewed the medical records of 13 male adolescent baseball players (mean age, 15.4 years) who underwent arthroscopic olecranon tip resection (nā€‰=ā€‰9) or staged operations (arthroscopic olecranon tip resection, followed by medial collateral ligament reconstruction 2 weeks later; nā€‰=ā€‰4)...
October 17, 2016: Journal of Shoulder and Elbow Surgery
Svetlana A Dambinova, Joseph C Maroon, Alicia M Sufrinko, John David Mullins, Eugenia V Alexandrova, Alexander A Potapov
Concussion is a complex, heterogeneous process affecting the brain. Accurate assessment and diagnosis and appropriate management of concussion are essential to ensure that athletes do not prematurely return to play or others to work or active military duty, risking re-injury. To date, clinical diagnosis relies primarily on evaluating subjects for functional impairment using instruments that include neurocognitive testing, subjective symptom report, and neurobehavioral assessments, such as balance and vestibular-ocular reflex testing...
2016: Frontiers in Neurology
Harry T Mai, Robert J Burgmeier, Sean M Mitchell, Andrew C Hecht, Joseph C Maroon, Gordon W Nuber, Wellington K Hsu
STUDY DESIGN: Retrospective cohort study OBJECTIVE.: To determine if the level of a cervical disc herniation (CDH) procedure will uniquely impact performance-based outcomes in elite athletes of the National Football League (NFL). SUMMARY OF BACKGROUND DATA: Comparative assessments of post-surgical outcomes in NFL athletes with CDH at different levels are unknown. Further, the surgical decision making for these types of injuries in professional football athletes remains controversial...
September 30, 2016: Spine
Lauren V Fortington, Dara M Twomey, Caroline F Finch
BACKGROUND: Head injuries, particularly concussion, are a major cause of concern in many sports, particularly the football codes, driving a need to better understand injury mechanisms and potential methods of prevention. The aim of this study was to describe the mechanisms and follow up care of concussion injuries sustained in adult male community Australian football to identify target areas for prevention and management. METHODS: Secondary analysis of injury data collected in a cluster randomised controlled trial in community Australian football across two states of Australia in 2007 and 2008...
December 2015: Injury Epidemiology
A J Gardner, R M N Kohler, C R Levi, G L Iverson
A new concussion interchange rule (CIR) was introduced in 2014 for the National Rugby League and National Youth Competition (NYC). The CIR allows a player suspected of having sustained a concussion to be removed from play and assessed without an interchange being tallied against the player's team. Participants included all NYC players who used the CIR during the 2014 season. 2 raters completed video analysis of 131 (of a total of 156 reported) uses of the CIR, describing injury characteristics, situational factors, and concussion signs...
October 13, 2016: International Journal of Sports Medicine
Andrew R Hsu, Robert B Anderson
Physicians need to be aware of a variety of foot and ankle injuries that commonly occur in American football, including turf toe, Jones fractures, Lisfranc injuries, syndesmotic and deltoid disruption, and Achilles ruptures. These injuries are often complex and require early individual tailoring of treatment and rehabilitation protocols. Successful management and return to play requires early diagnosis, a thorough work-up, and prompt surgical intervention when warranted with meticulous attention to restoration of normal foot and ankle anatomy...
September 2016: American Journal of Orthopedics
Jillian E Sylvester, Luke N Belval, Douglas J Casa, Francis G O'Connor
Football is recognized as a leading contributor to sports injury secondary to the contact collision nature of the endeavor. While direct deaths from head and spine injury remain a significant contributor to the number of catastrophic injuries, indirect deaths (systemic failure) predominate. Exertional heat stroke has emerged as one of the leading indirect causes of death in high school and collegiate football. This review details for the team physician the unique challenge of exercising in the heat to the football player, and the prevention, diagnosis, management, and return-to-play issues pertinent to exertional heat illnesses...
September 2016: American Journal of Orthopedics
Tarek M Hegazi, Jeffrey A Belair, Eoghan J McCarthy, Johannes B Roedl, William B Morrison
Injuries of the hip and surrounding structures represent a complex and commonly encountered scenario in athletes, with improper diagnosis serving as a cause of delayed return to play or progression to a more serious injury. As such, radiologists play an essential role in guiding management of athletic injuries. Familiarity with hip anatomy and the advantages and limitations of various imaging modalities is of paramount importance for accurate and timely diagnosis. Magnetic resonance (MR) imaging is often the modality of choice for evaluating many of the injuries discussed, although preliminary evaluation with conventional radiography and use of other imaging modalities such as ultrasonography (US), computed tomography, and bone scintigraphy may be supplementary or preferred in certain situations...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Ian Shrier, Andreas Serner, Arnlaug Wangensteen, Russell J Steele, Adam Weir
OBJECTIVES: Different individuals may make different return to play (RTP) decisions due to different risk assessments or risk tolerances. Our objectives were to determine the feasibility of eliciting reinjury risk assessments with Bayesian methods, and risk tolerance with questionnaires, from clinicians and athletes in a real-world RTP setting. DESIGN: Feasibility study with a descriptive prospective case-series. METHODS: We recruited the athlete, sport physician and physiotherapist caring for an athlete ("triplet") within on-going groin and hamstring injury studies...
September 28, 2016: Journal of Science and Medicine in Sport
Nicola Relph, Lee Herrington
BACKGROUND: Following an ACL injury, reconstruction (ACL-R) and rehabilitation, athletes may return to play with a proprioceptive deficit. However, literature is lacking to support this hypothesis in elite athletic groups who have returned to international levels of performance. It is possible the potentially heightened proprioceptive ability evidenced in athletes may negate a deficit following injury. The purpose of this study was to consider the effects of ACL injury, reconstruction and rehabilitation on knee joint position sense (JPS) on a group of elite athletes who had returned to international performance...
October 3, 2016: Knee
Sarah Stone, Bobby Lee, J Craig Garrison, Damond Blueitt, Kalyssa Creed
BACKGROUND: Recently, female sports participation has increased, and there is a tendency for women to experience more symptoms and variable presentation after sport-related concussion (SRC). The purpose of this study was to determine whether sex differences exist in time to begin a return-to-play (RTP) progression after an initial SRC. HYPOTHESIS: After initial SRC, female athletes (11-20 years old) would take longer to begin an RTP progression compared with age-matched male athletes...
October 3, 2016: Sports Health
Emily A Kraus, Brian Kim, Aurelia Nattiv, Adam Tenforde, Michelle Barrack, Megan Deakins-Roche, Andrea Kussman, Sonal Singh, John Morkos, Michael Fredericson
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Jo Gibson, Jim Kerss, Chris Morgan, Peter Brownson
BACKGROUND: Advances in arthroscopic surgery have resulted in biomechanically stronger repairs that might allow for accelerated rehabilitation protocols and hence faster return to play. Evidence for such regimes in the shoulder, particularly in elite athletes, is lacking. METHODS: This prospective single surgeon (PB) series included 34 professional footballers undergoing an accelerated rehabilitation programme following arthroscopic soft tissue stabilization subsequent to traumatic anterior shoulder dislocation...
October 2016: Shoulder & Elbow
Harold M Olson, Michael J Tunning, Ronnie J Boesch
OBJECTIVE: The purpose of this study is to describe the chiropractic management of a student athlete with postconcussion syndrome. CLINICAL FEATURES: A 14-year-old male hockey player presented to a chiropractic clinic with postconcussion symptoms 13 days after his initial injury. He experienced an occipital headache with a pain rating of 8/10, upset stomach, blurry vision, nausea, dizziness, balance problems, a "foggy feeling," difficulty with concentration, difficulty with memory, fatigue, confusion, drowsiness, and irritability...
September 2016: Journal of Chiropractic Medicine
F Patterson Owings, James H Calandruccio, Benjamin M Mauck
Hand injuries account for up to 15% of sports injuries and are common in contact sports and in sports with a high risk of falling. Appropriate management requires knowledge of the type of injury, demands of the sport and position, competitive level of the athlete, future athletic demands and expectations, and the role of rehabilitation and protective splints for return to play. Management of the athlete requires aggressive and expedient diagnostic intervention and treatment. This article describes ligamentous injuries to the thumb, including thumb carpometacarpal dislocations, thumb metacarpophalangeal dislocations, collateral ligament injuries and interphalangeal dislocations, their evaluation, treatment and outcomes...
October 2016: Orthopedic Clinics of North America
Alan McCall, Colin Lewin, Gary O'Driscoll, Erik Witvrouw, Clare Ardern
No abstract text is available yet for this article.
September 15, 2016: British Journal of Sports Medicine
William L Wang, Aaron V Mares
Bilateral epidural hematoma is a rare complication of blunt head trauma. We present an unusual case of a division I collegiate football athlete who suffered a bilateral epidural hematoma with parietal skull fracture after falling down a flight of stairs. In our case, we highlight the initial presentation to rehabilitation up until eventual return-to-play 4 months later.
August 24, 2016: Journal of Sport Rehabilitation
Dean Ritchie, Will G Hopkins, Martin Buchheit, Justin Cordy, Jonathan D Bartlett
PURPOSE: Training volume, intensity and distribution are important factors during periods of return to play. The aim of this study was to quantify the effect of injury on training load (TL) before and after return to play (RTP) in professional Australian Rules Football. METHODS: Perceived training load (RPE-TL) for 44 players was obtained for all indoor & outdoor training sessions, while field-based training was monitored via GPS (total distance, high-speed running, mean speed)...
September 15, 2016: International Journal of Sports Physiology and Performance
Karolina J Urban, Lily Riggs, Greg D Wells, Michelle Keightley, Jen-Kai Chen, Alain Ptito, Philippe Fait, Tim Taha, Katia J Sinopoli
Mild traumatic brain injury (mTBI) is common in youth, especially in those who participate in sport. Recent investigations from our group have shown that asymptomatic children and adolescents with mTBI continue to exhibit alterations in neural activity and cognitive performance compared with those without a history of mTBI. This is an intriguing finding, given that current return-to-learn and return-to-play protocols rely predominately on subjective symptom reports, which may not be sensitive enough to detect subtle injury-related changes...
October 13, 2016: Journal of Neurotrauma
Dean Cordingley, Richard Girardin, Karen Reimer, Lesley Ritchie, Jeff Leiter, Kelly Russell, Michael J Ellis
OBJECTIVE The objectives of this study were 2-fold: 1) to evaluate the safety, tolerability, and clinical use of graded aerobic treadmill testing in pediatric patients with sports-related concussion (SRC), and 2) to evaluate the clinical outcomes of treatment with a submaximal aerobic exercise program in patients with physiological post-concussion disorder (PCD). METHODS The authors conducted a retrospective chart review of pediatric patients (age < 20 years) with SRC who were referred to a multidisciplinary pediatric concussion program and underwent graded aerobic treadmill testing between October 9, 2014, and February 11, 2016...
September 13, 2016: Journal of Neurosurgery. Pediatrics
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