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https://www.readbyqxmd.com/read/28915360/risk-factors-for-reoperation-and-performance-based-outcomes-after-operative-fixation-of-foot-fractures-in-the-professional-athlete-a-cross-sport-analysis
#1
Sameer Singh, Kevin Larkin, Anish Kadakia, Wellington Hsu
BACKGROUND: Professional athletes are predisposed to fractures of the foot due to large stresses placed on the lower extremity. These players are concerned with efficiently returning to play at a high level. Return-to-play rates after operative treatment have been previously reported, yet performance outcomes after such treatment are generally unknown in this population. HYPOTHESIS: Overall, professional athletes sustaining a foot fracture would return to play at high rates with little impact on post-operative performance or league participation...
September 1, 2017: Sports Health
https://www.readbyqxmd.com/read/28913817/return-to-play-in-2017-and-the-role-of-shared-decision-making-in-patients-with-inherited-and-acquired-channelopathies-and-cardiomyopathies
#2
REVIEW
Kia Afshar, T Jared Bunch
Shared decision-making is based upon a physician-patient encounter in which there is adequate education using aids if needed, a mutual discussion of how to assist the patient in weighing risks and benefits, and a supportive environment that allows the patient to deliberate on the clinical decision and make their own choice. This decision-making paradigm centers on the principles of autonomy and self-determination. Physical activity is a critical part of healthy lifestyle choices that helps lower risk of cardiovascular disease or the progression of it...
September 14, 2017: Current Treatment Options in Cardiovascular Medicine
https://www.readbyqxmd.com/read/28903949/intramuscular-tendon-involvement-on-mri-has-limited-value-for-predicting-time-to-return-to-play-following-acute-hamstring-injury
#3
Anne D van der Made, Emad Almusa, Rod Whiteley, Bruce Hamilton, Cristiano Eirale, Frank van Hellemondt, Johannes L Tol
BACKGROUND: Hamstring injury with intramuscular tendon involvement is regarded as a serious injury with a delay in return to play (RTP) of more than 50 days and reinjury rates up to 63%. However, this reputation is based on retrospective case series with high risk of bias. OBJECTIVE: Determine whether intramuscular tendon involvement is associated with delayed RTP and elevated rates of reinjury. METHODS: MRI of male athletes with an acute hamstring injury was obtained within 5 days of injury...
September 13, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28902761/care-of-water-polo-players
#4
Jennifer D Stromberg
Water polo is a team sport that combines swimming with overhead throwing and wrestling. This places water polo players at risk for a unique group of illnesses and injuries. In addition to the medical problems and injuries seen in competitive swimmers, water polo players are at risk for a variety of traumatic injuries, including concussions, eye injuries, tympanic membrane perforation, fractures, dislocations, and lacerations. Repetitive overhead throwing also places these athletes at risk for related injuries, such as shoulder problems, including rotator cuff strain and impingement, and elbow problems, such as ulnar collateral ligament injuries, posteromedial impingement, and osteochondritis dissecans of the radial capitellum...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28902755/treatment-of-acute-carpal-bone-fractures
#5
Chad Hulsopple, Jesse Deluca, Christopher Jonas
Carpal bone fractures are common hand fractures that can be complicated by concomitant damage to surrounding structures, chronic comorbidities, or delays in diagnosis. This article provides an overview of wrist anatomy, an expedited review of the athlete's presenting condition, and a systematic approach to the evaluation of the wrist. Recommended treatment plans are based on a review of the literature and an evidence-based approach to imaging studies. It is imperative that sports medicine providers be aware of current literature for carpal bone fractures and collaborate with other medical subspecialties and the athlete to provide recommendations for a safe return to play...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28902754/wrist-pain-in-gymnasts-a-review-of-common-overuse-wrist-pathology-in-the-gymnastics-athlete
#6
Holly J Benjamin, Sean C Engel, Debra Chudzik
Injury rates among gymnasts are among the highest of any sport at the high school and collegiate level per athletic exposure. The wrist has increased injury risk due to repetitive physical stresses predisposing it to acute injury, overuse, and degenerative damage. This article will review the most common overuse wrist injuries seen in gymnasts. Prompt evaluation and management is necessary to avoid the negative sequelae that can often accompany these injuries. Little is known about effective sport-specific injury prevention strategies, but general guidelines for overuse injury prevention including limiting excessive loading of the wrist, maintaining wrist joint flexibility, an emphasis on proper technique, and incorporating wrist and general core strengthening seem beneficial...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28900575/energy-system-development-and-load-management-through-the-rehabilitation-and-return-to-play-process
#7
Scot Morrison, Patrick Ward, Gregory R duManoir
Return-to-play from injury is a complex process involving many factors including the balancing of tissue healing rates with the development of biomotor abilities. This process requires interprofessional cooperation to ensure success. An often-overlooked aspect of return-to-play is the development and maintenance of sports specific conditioning while monitoring training load to ensure that the athlete's training stimulus over the rehabilitation period is appropriate to facilitate a successful return to play...
August 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28900059/neuroimaging-of-sports-concussions
#8
Teresa G Odle
Concussions resulting from sports activities have received attention in recent years, and failure to prevent head injury has undergone scrutiny. Although many factors contribute to sports concussion incidence, determining when an athlete can return to play is crucial to minimizing long-term effects of concussion. To date, neuroimaging plays a limited role in concussion evaluation, but conventional and advanced neuroimaging techniques are contributing to the body of research on their future use in evaluation...
July 2017: Radiologic Technology
https://www.readbyqxmd.com/read/28894685/return-to-play-in-elite-contact-athletes-after-anterior-cervical-discectomy-and-fusion-a-meta-analysis
#9
Steven J McAnany, Samuel Overley, Steven Andelman, Diana C Patterson, Samuel K Cho, Sheeraz Qureshi, Wellington K Hsu, Andrew C Hecht
STUDY DESIGN: Systematic literature review and meta-analysis of studies published in English language. OBJECTIVE: Return to play after anterior cervical discectomy and fusion (ACDF) in contact athletes remains a controversial topic with no consensus opinion in the literature. Additional information is needed to properly advise and treat this population of patients. This study is a meta-analysis assessing return to competitive contact sports after undergoing an ACDF...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28884093/hamstring-injuries-update-article
#10
Lucio Ernlund, Lucas de Almeida Vieira
Hamstring (HS) muscle injuries are the most common injury in sports. They are correlated to long rehabilitations and have a great tendency to recur. The HS consist of the long head of the biceps femoris, semitendinosus, and semimembranosus. The patient's clinical presentation depends on the characteristics of the lesion, which may vary from strain to avulsions of the proximal insertion. The most recognized risk factor is a previous injury. Magnetic resonance imaging is the method of choice for the injury diagnosis and classification...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28872354/video-and-clinical-screening-of-national-rugby-league-players-suspected-of-sustaining-concussion
#11
Andrew J Gardner, Magdalena Wojtowicz, Douglas P Terry, Christopher R Levi, Ross Zafonte DO, Grant L Iverson
PRIMARY OBJECTIVE: This study reviewed the available sideline Sport Concussion Assessment Tool-Third Edition (SCAT3) performance of players who were removed from play using the 'concussion interchange rule' (CIR), the available video footage of these incidences, and associated return to play and concussion diagnosis decisions. RESEARCH DESIGN: Descriptive, observational case series. METHODS AND PROCEDURES: Data were collected from all NRL players who used the CIR during the 2014 season...
September 5, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28865574/can-competitive-athletes-return-to-high-level-play-after-osteochondral-allograft-transplantation-of-the-knee
#12
Mark A McCarthy, Maximilian A Meyer, Alexander E Weber, David M Levy, Annemarie K Tilton, Adam B Yanke, Brian J Cole
PURPOSE: To investigate functional outcomes among competitive athletes undergoing osteochondral allograft (OCA) transplantation of the knee, including rates of return to play (RTP), and factors preventing RTP. METHODS: A retrospective review identified all competitive athletes (high school, intercollegiate, professional) undergoing isolated femoral condyle OCA from 2004 to 2013. Patient-reported outcome (PRO) questionnaires (Lysholm, International Knee Documentation Committee [IKDC], Knee Injury and Osteoarthritis Outcome Score [KOOS], Western Ontario and McMasters Universities Arthritis Index [WOMAC], 12-Item Short Form Health Survey [SF-12], Tegner, and Marx) and custom RTP surveys were administered...
September 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28856168/functional-outcomes-of-achilles-tendon-minimally-invasive-repair-using-4-and-6-strand-nonabsorbable-suture-a-cohort-comparison-study
#13
Michael R Carmont, Jennifer A Zellers, Annelie Brorsson, Nicklas Olsson, Katarina Nilsson-Helander, Jon Karlsson, Karin Grävare Silbernagel
BACKGROUND: The aim of management of Achilles tendon rupture is to reduce tendon lengthening and maximize function while reducing the rerupture rate and minimizing other complications. PURPOSE: To determine changes in Achilles tendon resting angle (ATRA), heel-rise height, patient-reported outcomes, return to play, and occurrence of complications after minimally invasive repair of Achilles tendon ruptures using nonabsorbable sutures. STUDY DESIGN: Cohort study; Level of evidence, 3...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28844776/return-to-play-and-complications-after-hook-of-the-hamate-fracture-surgery
#14
Anchal Bansal, Douglas Carlan, John Moley, Heather Goodson, Charles A Goldfarb
PURPOSE: The purpose of this study was to evaluate the efficacy of hook of the hamate excision for fracture in a large cohort of patients to better understand recovery time and complications. METHODS: We retrospectively reviewed the medical records of patients treated with surgical excision for hook of the hamate fractures at 2 different centers. We collected information on demographics, clinical presentation, and postoperative complications. Continuous outcome variables included time to surgery, return to play, and return to activity...
August 25, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28844725/sprint-mechanics-return-to-competition-follow-up-after-hamstring-injury-on-a-professional-soccer-player-a-case-study-with-an-inertial-sensor-unit-based-methodological-approach
#15
Igor Setuain, Pablo Lecumberri, Mikel Izquierdo
BACKGROUND: The present research aimed to describe an inertial unit (IU)-based sprint mechanics evaluation model for assessing players' readiness to return to competition after suffering a grade I hamstring injury. METHODS: A professional male football player (age 19years; height 177cm; weight 70kg, midfielder, Spanish, 3° Division) with a grade 1 biceps femoris injury was evaluated at pre-season, at return to play after injury and at the end of the competitive season...
August 20, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28841573/pediatric-providers-attitudes-and-practices-regarding-concussion-diagnosis-and-management
#16
Khalida Itriyeva, Ronald Feinstein, Linda Carmine
Background Concussions, a form of mild traumatic brain injury, are a current "hot topic" in sports and medicine, with current research focusing on diagnosis, treatment, and the long-term effects of repeated concussions on development of chronic traumatic encephalopathy. Concussions represent 8.9% of all high school athletic injuries, and pediatricians see many of these patients in their practices, however evolving guidelines and recommendations have resulted in varying practices among providers. Objective To assess how local pediatricians in New York Chapter 2 of the American Academy of Pediatrics (AAP) diagnose and treat concussion patients, and to evaluate the need for continuing education in this area...
August 25, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28839132/neuroimaging-of-sport-concussion-persistent-alterations-in-brain-structure-and-function-at-medical-clearance
#17
Nathan W Churchill, Michael G Hutchison, Doug Richards, General Leung, Simon J Graham, Tom A Schweizer
The medical decision of return to play (RTP) after a sport concussion is largely based on symptom status following a graded exercise protocol. However, it is currently unknown how objective markers of brain structure and function relate to clinical recovery. The goal of this study was to determine whether differences in brain structure and function at acute injury remain present at RTP. In this longitudinal study, 54 active varsity athletes were scanned using magnetic resonance imaging (MRI), including 27 with recent concussion, imaged at both acute injury and medical clearance, along with 27 matched controls...
August 24, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28838286/self-reported-history-of-seizure-and-baseline-neurocognitive-test-performance-in-student-athletes-an-initial-investigation
#18
Brian H Zalneraitis, Alec J Pawlukiewicz, Aaron M Yengo-Kahn, Gary S Solomon
OBJECTIVES: Baseline neurocognitive assessment data can be critical in return to play (RTP) decision-making following a sport-related concussion (SRC). The literature indicates that many modifying factors of SRC have been studied empirically; however, there has been little investigation into the effect of a self-reported history of seizure(s) on baseline neurocognitive test data. The objective of this investigation was to determine whether a self-reported history of seizure(s) is associated with differences in baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) performance...
August 25, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28827315/pain-in-elite-athletes-neurophysiological-biomechanical-and-psychosocial-considerations-a-narrative-review
#19
REVIEW
Brian Hainline, Judith A Turner, J P Caneiro, Mike Stewart, G Lorimer Moseley
Pain is a common problem among elite athletes and is frequently associated with sport injury. Both injury and pain interfere with peak performance. Pain management should be based on the physiological, anatomical and psychosocial influences on the individual's pain and is not equivalent to injury management, which focuses on musculoskeletal recovery and return-to-play. This narrative review provides a foundation for understanding the differing causes and types of pain in elite athletes, thereby serving as a springboard for comprehensive pain management...
September 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28817410/fatty-infiltrate-of-the-lumbar-multifidus-muscles-predicts-return-to-play-in-young-athletes-with-extension-based-low-back-pain
#20
John Winslow, Andrew Getzin, Hilary Greenberger, Walter Silbert
OBJECTIVE: To evaluate the predictive value of fatty infiltrate of the lumbar multifidus muscles (LMM) for return to play in young athletes with extension-based low back pain (EB LBP). DESIGN: Retrospective cohort study. SETTING: Hospital-based sports medicine practice. PATIENTS: Sixty-two athletes, 61.3% female, and 38.7% male, mean age 14.8 years, with a primary complaint of EB LBP who underwent magnetic resonance imaging (MRI); 46...
August 16, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
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