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https://www.readbyqxmd.com/read/28536215/sesamoid-osteonecrosis-treated-with-radial-extracorporeal-shock-wave-therapy
#1
Dawn Thompson, Nikos Malliaropoulos, Nat Padhiar
Sesamoid osteonecrosis is a disabling condition resulting in severe forefoot pain, for which there are limited treatment options. We present a 52-year-old man with 1-year history of pain, aggravated by walking and playing tennis. On examination, pain was localised to plantar aspect of the first metatarsophalangeal joint. Imaging revealed evolving end-stage avascular necrosis of lateral sesamoid with early secondary degenerative changes. Previous exhaustive conservative treatment had been unsuccessful in alleviating his pain...
May 22, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28521519/improving-primary-care-provider-practices-in-youth-concussion-management
#2
Kristy B Arbogast, Allison E Curry, Kristina B Metzger, Ronni S Kessler, Jeneita M Bell, Juliet Haarbauer-Krupa, Mark R Zonfrillo, Matthew J Breiding, Christina L Master
Primary care providers are increasingly providing youth concussion care but report insufficient time and training, limiting adoption of best practices. We implemented a primary care-based intervention including an electronic health record-based clinical decision support tool ("SmartSet") and in-person training. We evaluated consequent improvement in 2 key concussion management practices: (1) performance of a vestibular oculomotor examination and (2) discussion of return-to-learn/return-to-play (RTL/RTP) guidelines...
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28516234/assessing-long-term-return-to-play-after-hip-arthroscopy-in-football-players-evaluating-risk-factors-for-good-prognosis
#3
D Barastegui, R Seijas, P Alvarez-Diaz, E Rivera, E Alentorn-Geli, G Steinbacher, X Cuscó, R Cugat
PURPOSE: Groin pain is the third most common disease in football players and has often been associated with hip pathology such as femoroacetabular impingement and labral lesions. Hip arthroscopy offers possibilities of function restoration via minimally invasive procedures. The aim of this study is to evaluate professional football player's injuries and their return to play after hip arthroscopy for FAI and labral injuries. METHODS: Patients that underwent hip arthroscopy between 2009 and 2014 were selected retrospectively...
May 17, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28515977/establishing-normative-change-values-in-visual-acuity-loss-during-the-dynamic-visual-acuity-test
#4
Chris Marquez, Monica Lininger, Scot Raab
BACKGROUND: Baseline visual acuity (VA) loss from static to dynamic head conditions assessed using the Dynamic Visual Acuity Testing (DVAT) have not been established in NCAA football players. DVAT assesses the Vestibulo-Ocular Reflex (VOR) which is measured in Logarithm of the Minimum Angle of Resolution (logMAR). Decreased VA beyond baseline measures may detect VOR impairment and impact treatment protocols and assist in return to play decisions post-concussion. HYPOTHESIS/PURPOSE: To establish normative VA mean scores during a static head posture as well as dynamically during the DVAT with a head speed of 150 deg/s in the pitch (vertical) and yaw (horizontal) planes rotating 20 degrees in each direction...
April 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28510477/performance-based-outcomes-after-anterior-cruciate-ligament-reconstruction-in-professional-athletes-differ-between-sports
#5
Harry T Mai, Danielle S Chun, Andrew D Schneider, Brandon J Erickson, Ryan D Freshman, Benjamin Kester, Nikhil N Verma, Wellington K Hsu
BACKGROUND: Excellent outcomes have been reported for anterior cruciate ligament (ACL) reconstruction (ACLR) in professional athletes in a number of different sports. However, no study has directly compared these outcomes between sports. PURPOSE: To determine if differences in performance-based outcomes exist after ACLR between professional athletes of each sport. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: National Football League (NFL), National Basketball Association (NBA), National Hockey League (NHL), and Major League Baseball (MLB) athletes undergoing primary ACLR for an acute rupture were identified through an established protocol of injury reports and public archives...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28506094/a-preliminary-study-of-youth-sport-concussions-parents-health-literacy-and-knowledge-of-return-to-play-protocol-criteria
#6
Robert W Turner, Jeffery W Lucas, Lewis H Margolis, Brian N Corwell
PRIMARY OBJECTIVE: To preliminarily explore parents' health literacy and knowledge of youth sport league rules involving concussion education and training, and return-to-play protocols. RESEARCH DESIGN AND METHODS: This study was guided by the Knowledge, Attitude and Practice (KAP) model of health knowledge to examine parents' concussion literacy, and understanding of concussion education and training, and return-to-play protocols in youth sports. The mixed-method design involved 119 participants; that included in-person (n=8) and telephone (n=4) interviews, and web-based surveys administered through Mechanical Turk via Qualtrics (n=98)...
May 16, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28500080/displaced-middle-third-clavicle-fracture-management-in-sport-still-a-challenge-in-2018-should-you-call-the-surgeon-to-speed-return-to-play
#7
EDITORIAL
Greg A Robertson, Alexander M Wood, Christopher W Oliver
No abstract text is available yet for this article.
May 12, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28498226/anterior-cruciate-ligament-injury-return-to-play-function-and-long-term-considerations
#8
Fernando Sepúlveda, Luis Sánchez, Eduardo Amy, William Micheo
Anterior cruciate ligament tears are common and affect young individuals who participate in jumping and pivoting sports. After injury many individuals undergo ligament reconstruction (ACLR) but do not return to play, suffer recurrent injury and osteoarthritis. Outcome studies show that after ACLR, 81% of individuals return to sports, 65% return to their preinjury level and 55% return to competitive sports. Systematic reviews place the risk of ipsilateral retears at 5.8% and contralateral injuries at 11.8%, with recent reports of over 20% failure rate...
May 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28481383/amount-of-minutes-played-does-not-contribute-to-anterior-cruciate-ligament-injury-in-national-basketball-association-athletes
#9
Kelechi R Okoroha, Kojo Marfo, Fabien Meta, Robert Matar, Ramsy Shehab, Terry Thompson, Vasilios Moutzouros, Eric C Makhni
There is limited information on the potential risk factors for sustaining an anterior cruciate ligament (ACL) tear in National Basketball Association (NBA) athletes. This study evaluated 83 NBA players who sustained an ACL injury between 1984 and 2015 to determine the influence of minutes played on injury risk. Minutes played in the injury game, during the season, and over their career were assessed, along with the ability to return to play, player efficiency rating, and playing time after return. Athletes in the NBA played significantly fewer minutes before sustaining an ACL injury (17...
May 8, 2017: Orthopedics
https://www.readbyqxmd.com/read/28480575/comprehensive-headache-experience-in-collegiate-student-athletes-an-initial-report-from-the-ncaa-headache-task-force
#10
Tad Seifert, Alicia Sufrinko, Robert Cowan, W Scott Black, Dave Watson, Bill Edwards, Scott Livingston, Keith Webster, David Akers, Mathew Lively, Anthony P Kontos
BACKGROUND: The prevalence of primary headache disorders in the general population provides a unique challenge in the evaluation of headache occurring in the context of sport. Despite a wealth of studies exploring the epidemiology of headache in the layperson, little is known about the prevalence and nature of headaches in collegiate student-athletes. These scenarios are challenging in the return to play context, as it is often unclear whether an athlete has an exacerbation of a primary headache disorder, new onset headache unrelated to trauma, or has suffered a concussive injury...
May 7, 2017: Headache
https://www.readbyqxmd.com/read/28476439/misunderstandings-of-concussion-within-a-youth-rugby-population
#11
Philip E Kearney, James See
OBJECTIVES: The recognition and management of concussion has become a major health concern within rugby union. Identifying misconceptions and attitudes regarding concussion is valuable for informing player education. Therefore, the purpose of this study was to explore the knowledge of, and attitudes towards, concussion in subgroups of youth rugby players. DESIGN: Cross-sectional survey. METHODS: Information sheets and consent forms were distributed at training sessions for multiple teams at each of three schools and three clubs...
April 21, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28474965/the-effect-of-subcritical-bone-loss-and-exposure-on-recurrent-instability-after-arthroscopic-bankart-repair-in-intercollegiate-american-football
#12
Jonathan F Dickens, Brett D Owens, Kenneth L Cameron, Thomas M DeBerardino, Brendan D Masini, Karen Y Peck, Steven J Svoboda
BACKGROUND: There is no consensus on the optimal method of stabilization (arthroscopic or open) in collision athletes with anterior shoulder instability. PURPOSE: To examine the effect of "subcritical" bone loss and football-specific exposure on the rate of recurrent shoulder instability after arthroscopic stabilization in an intercollegiate American football population. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Fifty intercollegiate football players underwent primary arthroscopic stabilization for anterior shoulder instability and returned to football for at least a single season...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28467122/return-to-play-and-decreased-performance-after-anterior-cruciate-ligament-reconstruction-in-national-football-league-defensive-players
#13
Connor R Read, Kyle T Aune, E Lyle Cain, Glenn S Fleisig
BACKGROUND: Anterior cruciate ligament (ACL) injuries occur commonly in football. Recent work has reported ACL reconstruction (ACLR) as one of several orthopaedic procedures with unfavorable outcomes for professional athletes. The performance impact to defensive players after surgery has not been quantified. PURPOSE: To quantify the effect of ACLR on the performance of defensive players by comparing them to a cohort of matched controls as well as to measure the effect of ACLR on athletes' career length in the National Football League (NFL)...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28463928/can-we-improve-the-value-of-acl-reconstruction-by-studying-the-rates-of-return-to-play-and-satisfaction-commentary-on-an-article-by-benedict-u-nwachukwu-md-mba-et-al-return-to-play-and-patient-satisfaction-after-acl-reconstruction-study-with-minimum-2-year
#14
https://www.readbyqxmd.com/read/28463915/return-to-play-and-patient-satisfaction-after-acl-reconstruction-study-with-minimum-2-year-follow-up
#15
Benedict U Nwachukwu, Pramod B Voleti, Patricia Berkanish, Brenda Chang, Matthew R Cohn, Riley J Williams, Answorth A Allen
BACKGROUND: Return to play and patient satisfaction after anterior cruciate ligament reconstruction (ACLR) have been inconsistently studied. The purposes of this study were to (1) investigate rates and predictors of return to play after ACLR, (2) evaluate patient satisfaction after ACLR, and (3) analyze the relationship between return to play and satisfaction with the result of ACLR. METHODS: Eligible patients were active athletes included in an institutional ACL registry who had undergone ACLR and had been followed for a minimum of 2 years...
May 3, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28451617/return-to-sport-for-skeletally-immature-athletes-after-acl-reconstruction-preventing-a-second-injury-using-a-quality-of-movement-assessment-and-quantitative-measures-to-address-modifiable-risk-factors
#16
Jessica Graziano, Theresa Chiaia, Polly de Mille, Danyal H Nawabi, Daniel W Green, Frank A Cordasco
BACKGROUND: Reinjury rates after anterior cruciate ligament reconstruction (ACLR) are highest among young athletes, who consequently suffer from low rates of return to play. Historically, quantitative measures have been used to determine readiness to return to sport; however, they do not assess modifiable risk factors related to the quality of movement. PURPOSE: To determine the effectiveness of a criteria-based rehabilitation progression and return-to-sport criteria on efficient return to activity and prevention of second injury in young athletes post-ACLR...
April 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28451611/return-to-play-after-revision-anterior-cruciate-ligament-reconstruction-in-national-football-league-players
#17
Kelechi R Okoroha, Omar Kadri, Robert A Keller, Nathan Marshall, Zlatan Cizmic, Vasilios Moutzouros
BACKGROUND: National Football League (NFL) players who undergo anterior cruciate ligament (ACL) reconstruction have been shown to have a lower return to play (RTP) than previously expected. However, RTP in the NFL after revision ACL reconstruction (RACLR) is not well defined. PURPOSE/HYPOTHESIS: The purpose of this study is to determine the RTP of NFL players after RACLR and evaluate factors that predict RTP. Our hypothesis was that more experienced and established players would be more likely to RTP after RACLR...
April 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28449611/return-to-play-and-performance-after-anterior-cruciate-ligament-reconstruction-in-the-national-basketball-association-surgeon-case-series-and-literature-review
#18
Benedict U Nwachukwu, Shawn G Anthony, Kenneth M Lin, Tim Wang, David W Altchek, Answorth A Allen
OBJECTIVES: To investigate return to play (RTP) and functional performance after anterior cruciate ligament reconstruction (ACLR) in National Basketball Association (NBA) players and to perform a systematic review of the literature to understand RTP after ACLR in professional basketball. METHODS: NBA players undergoing ACLR between 2008 and 2014 by two surgeons were identified. RTP and performance were assessed based on a review of publically available statistics...
May 8, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28448428/therapeutic-ultrasound-in-navicular-stress-injuries-in-elite-track-and-field-athletes
#19
Nikolaos Malliaropoulos, Dimosthenis Alaseirlis, George Konstantinidis, Agapi Papalada, Ioannis Tsifountoudis, Kosmas Petras, Nicola Maffulli
OBJECTIVE: To ascertain whether therapeutic ultrasound (TUS) can be used to assess the progression of conservative management in navicular stress injuries. DESIGN: This is a prospective, clinical case series. Level of evidence IV. SETTING: All participants were examined and followed up in a private Sports Injury Clinic. PARTICIPANTS: Ten elite track and field athletes with severe dorsal midfoot pain over the navicular bone participated in this study...
May 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28430553/sport-concussion-management-using-facebook-a-feasibility-study-of-an-innovative-adjunct-icon
#20
Osman Hassan Ahmed, Anthony G Schneiders, Paul R McCrory, S John Sullivan
CONTEXT:   Sport concussion is currently the focus of much international attention. Innovative methods to assist athletic trainers in facilitating management after this injury need to be investigated. OBJECTIVE:   To investigate the feasibility of using a Facebook concussion-management program termed iCon (interactive concussion management) to facilitate the safe return to play (RTP) of young persons after sport concussion. DESIGN:   Observational study...
April 2017: Journal of Athletic Training
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