Catherine M Nacier, Emil Stefan Vutescu, Michael A Bergen, Matthew S Quinn, J Alex Albright, Aristides I Cruz
OBJECTIVES: This study aims to characterize the association between the timing of MRI ordering and completion for pediatric knee injuries and Social Deprivation Index (SDI), which is a comprehensive, validated, county-level, measure of socioeconomic variation in health outcomes based upon combining geography, income, education, employment, housing, household characteristics, and access to transportation. METHODS: A retrospective chart review was completed of patients 21 years old and younger from our institution with a history of knee sports injury (ligamentous/soft tissue injury, structural abnormality, instability, inflammation) evaluated with MRI between 5/26/2017 and 12/28/2020...
April 15, 2024: Physician and Sportsmedicine
Jandre V Marais, Audrey Jansen van Rensburg, Martin P Schwellnus, Esme Jordaan, Pieter Boer
BACKGROUND: Despite the numerous health benefits of distance running, it is also associated with the development of 'gradual onset running-related injuries' (GORRIs) one of which is Iliotibial Band Syndrome (ITBS). Novel risk factors associated with a history of ITBS (hITBS) have not been described in a large cohort of distance runners. OBJECTIVE: To identify risk factors associated with hITBS in distance runners. DESIGN: Descriptive cross-sectional study...
April 15, 2024: Physician and Sportsmedicine
Kailynn J Yang, Canaan Kerr, Mia V Rumps, Mary Mulcahey
Participation in athletics is essential for the overall well-being of transgender athletes and should be included as part of gender-affirming care. Surveys show physicians and athletic trainers want to provide appropriate care for transgender athletes but lack the proper knowledge and training to do so. Gender Affirming Hormone Therapy (GAHT) is part of gender-affirming care, yet the effects of GAHT on the cardiovascular and musculoskeletal health of transgender athletes is not well-understood. The purpose of this review was to discuss important musculoskeletal and cardiovascular considerations unique to transgender athletes, improve physician understanding in caring for transgender athletes, and highlight preventative measures to reduce the incidence of injury within this population...
April 11, 2024: Physician and Sportsmedicine
Kay van Heeswijk, Loes Janssen, Margot Helena Heijmans, Marc Reinoud Maria Scheltinga
OBJECTIVES: Some young individuals participating in sports activities may encounter lower leg muscle pain and tightness, potentially indicating chronic exertional compartment syndrome (CECS). While muscle pressure measurement is typically recommended for diagnosis, it is invasive and associated with low sensitivity and specificity. Thus, there is a need for novel diagnostic approaches. METHODS: This feasibility study aims to assess whether an ultrasound-guided technique can effectively measure the compressibility of the anterior tibial muscle compartment, focusing on optimal leg positioning and identifying reliable external and internal anatomical landmarks...
April 11, 2024: Physician and Sportsmedicine
Carson H Gardner, Jacob L Kotlier, Amir Fathi, Justin Castonguay, Ashley A Thompson, Ioanna K Bolia, Frank A Petrigliano, Joseph N Liu, Alexander E Weber, Seth C Gamradt
BACKGROUND: Previous research has demonstrated that concussions increase the risk of subsequent lower extremity musculoskeletal injury in athletes. However, the risk of upper extremity injury in athletes' post-concussion is poorly understood. METHODS: All concussed football players within a National Collegiate Athletic Association (NCAA) Division I conference athletic database were identified between 2017 and 2021. After exclusions, each athlete experiencing their first concussion was then retrospectively reviewed for upper extremity injuries in the year prior to their concussion and in the year beginning at 90 days after their concussion...
March 7, 2024: Physician and Sportsmedicine
Ahmed A Alsirhani, Qassim I Muaidi, Shibili Nuhmani, Kristian Thorborg, Mohamed A Husain, Wesam Saleh A Al Attar
INTRODUCTION: Groin injuries are common in soccer players and often involve adductor muscle strains. The Copenhagen Adduction Exercise (CAE) is a targeted intervention whose effectiveness in rehabilitation for these injuries warrants investigation. OBJECTIVE: To investigate the impact of a rehabilitation program, which includes the CAE, on eccentric hip adduction (EHAD) strength, hip joint range of motion (ROM), self-reported disability, and pain among soccer players with adductor-related groin pain...
March 1, 2024: Physician and Sportsmedicine
João Ribeiro, Daniel Caldeira, Hélder Dores
BACKGROUND: Long COVID is a condition where symptoms or complications persist beyond 3 months after COVID-19 infection. Although most athletes experience mild symptoms, those involved in sports with higher cardiovascular demands can develop long COVID, which can negatively impact sports performance. This narrative review aimed to analyze the long COVID in athletes, especially cardiovascular effects; to alert medical and sporting community for the clinical aftermaths of COVID-19, focusing on physical activity; and to discuss the potential return-to-play strategies for these athletes...
February 29, 2024: Physician and Sportsmedicine
Brooke Conway Kleven, Lung-Chang Chien, Daniel L Young, Chad L Cross, Brian Labus, Charles Bernick
OBJECTIVES: Clinical criteria for Traumatic Encephalopathy Syndrome (ccTES) were developed for research purposes to reflect the clinical symptoms of Chronic Traumatic Encephalopathy (CTE). The aims of this study were to 1) determine whether there was an association between the research diagnosis of TES and impaired postural balance among retired professional fighters, and 2) determine RHI exposure thresholds among both TES positive and TES negative groups in retired professional fighters when evaluating for balance impairment...
February 28, 2024: Physician and Sportsmedicine
Kinjal Vasavada, Charles C Lin, Laith M Jazrawi, Jonathan Samuels
BACKGROUND: There are currently no guidelines on peri-arthroscopic management of immunosuppressive (IS) treatment in rheumatic disease patients. PURPOSE: The purpose of this study is to characterize the rheumatic disease patient population undergoing arthroscopy, compare the incidence of postoperative complications among patients who either remained on IS perioperatively, held IS perioperatively or were not on IS at baseline, and compare the incidence of postoperative complication by rheumatic disease type, medication type, and procedure...
February 27, 2024: Physician and Sportsmedicine
Morgan Sisk, Nicholas Medawar, Mark McClure, Brett Cooke, Reily Cannon, David Kufner, Stacey D'Almeida, Achraf Jardaly, Irfan Asif, Amit Momaya, Brent Ponce
OBJECTIVE: Despite robust research endeavors exploring post-play health implications in former NFL players, the impact of former-player status on long-term cardiovascular health has not yet been elucidated. The purpose of this systematic review is to describe the available research on the cardiovascular health in former NFL players. METHODS: Relevant studies were included from the PubMed, Scopus, and Embase databases. Studies were evaluated in accordance with PRISMA guidelines...
February 6, 2024: Physician and Sportsmedicine
Si Heng Sharon Tan, Yiu Tsun Kwan, Joel Zhao Jie Lee, Lincoln Kai Pheng Yeo, Andrew Kean Seng Lim, James Hoipo Hui
PURPOSE: The J-sign is a clinical evaluation tool that assesses for patellar maltracking and is considered positive if lateral translation of the patella in extension, in the pattern of an inverted J is observed. This study aims to determine the association of clinical J-sign with imaging features noted on dynamic kinematic computed tomography (DKCT). METHODS: A retrospective review was conducted by reviewing the clinical records of all patients aged 18 years or younger who had a CT patellar tracking scan done between 1 January 2005 to 31 December 2016 in a single institution...
February 5, 2024: Physician and Sportsmedicine
Joshua Cassinat, Matthew Crowley, Jeffrey Simpson, Benjamin C Service
CONTEXT: The 2019-2020 NBA season was altered significantly by the COVID-19 pandemic with a midseason suspension of games, the NBA 'bubble' tournament, and a shortened offseason. Concerns were raised regarding player conditioning and the potential increased risk of injury due to the schedule changes. The purpose of this study was to determine the impact of the COVID-19 pandemic and associated schedule changes on NBA injuries. It was hypothesized that injury rates would be higher in the year following the pandemic and teams who participated in the bubble would have higher injury rates in the following season than non-bubble teams...
January 26, 2024: Physician and Sportsmedicine
Sergen Devran, Ömer Batın Gözübüyük, Şensu Dinçer, Mehmet Güven Günver, Bülent Bayraktar
OBJECTIVES: We aim to investigate the accuracy of shear-wave elastography (SWE) in diagnosing patellar tendinopathy in female volleyball and basketball players. In addition, we compared different parts of the patellar tendon and investigated the effects of different knee angles on elastography measurements. METHODS: This cross-sectional case-control study evaluated 63 female athletes from professional basketball and volleyball teams (NCT06199583). Patellar tendinopathy diagnoses were made using clinical and ultrasonographic criteria...
January 19, 2024: Physician and Sportsmedicine
Daniel González-Devesa, Jorge García-Rubio, Jose Carlos Diz-Gómez, Carlos Ayán-Pérez
OBJECTIVES: This study aimed to provide information on the training profile and characteristics of injuries sustained by obstacle course racing competitors. METHODS: This research is a nationwide cross-sectional, self-administered online survey conducted in 2023. RESULTS: We analyzed the data collected from 201 obstacle course racing participants (mean age: 33.8 ± 7.1 years; 60.7% men). On average, athletes had 2...
January 10, 2024: Physician and Sportsmedicine
Benjamin D Gross, Avanish Yendluri, Amogh I Iyer, Akshar V Patel, Paul J Cagle
OBJECTIVES: The purpose of this study was to identify the 50 most-cited publications relating to lacrosse since 1990 and conduct a bibliometric analysis of the identified studies. METHODS: Clarivate Analytics Web of Science database was queried to identify all publication titles, abstracts, and keywords for the term 'lacrosse' on 9 June 2023. The resulting articles were sorted by total number of citations. Titles and abstracts were included based on their relevance to lacrosse...
January 4, 2024: Physician and Sportsmedicine
Angelo Petrucci, Dario Guglielmino, Javier Pecci, Helios Pareja-Galeano
PURPOSE: To review the effectiveness of isokinetic training as an alternative method to traditional isotonic resistance training. MATERIALS AND METHODS: Researchers examined data from PubMed, CENTRAL, MEDLINE COMPLETE, and Web of Science until February 2023. A total of 365 entries were obtained from databases, including studies that analyzed the effects of isokinetic vs. isotonic-based rehabilitation in athletes (16-50 years) after a surgical knee intervention...
December 20, 2023: Physician and Sportsmedicine
Amil R Agarwal, R Timothy Kreulen, Abhay Mathur, Jacob Mikula, Teresa Doerre, Savyasachi C Thakkar, Matthew J Best
No abstract text is available yet for this article.
December 6, 2023: Physician and Sportsmedicine
Randa Bascharon, Nitin K Sethi, Ryan Estevez, Mark Gordon, Carlo Guevara, Eric Twohey, Kevin deWeber
The Association of Ringside Physicians (ARP) is committed to the concept of fair competition. It advocates for two equally skilled and matched athletes to keep bouts fair, competitive, entertaining, and, most importantly, safe for all combatants. Numerous studies have proven that transgender women may have a competitive athletic advantage against otherwise matched cis-gender women. Likewise, transgender men may suffer a competitive disadvantage against cis-gender men. These differences - both anatomic and physiologic - persist despite normalization of sex hormone levels and create disparities in competitive abilities that are not compatible with the spirit of fair competition...
December 1, 2023: Physician and Sportsmedicine
Patrick Dolan, Ian Kenny, Liam Glynn, Mark Campbell, Giles D Warrington, Roisin Cahalan, Andrew Harrison, Mark Lyons, Thomas Comyns
OBJECTIVE: The aim of this systematic review was to identify prospectively measured ankle sprain risk factors in field-based team contact sports. METHODS: Eight databases including SPORTDiscus, CINAHL Complete, MEDLINE (EBSCO), Education Source, Web of Science, Scopus, Embase, and Pubmed were searched using specific Boolean terms. A modified-CASP diagnostic test assessed the quality of the included studies. Extensive data extraction included but was not limited to injury definition, protocols for injury diagnosis and recording, and outcomes associated with ankle sprain...
December 2023: Physician and Sportsmedicine
Victoria E Bergstein, Amil R Agarwal, Lorenzo F Solon, Jacob D Mikula, Matthew J Best, Dawn M LaPorte
OBJECTIVES: In American football, hand injuries have been shown to negatively impact performance. The purpose of this study is to characterize the prevalence and severity of hand injuries in National Football League (NFL) players. METHODS: A public online database was utilized to identify hand injuries in NFL players from 2009-2010 to 2019-2020. The primary outcome was to analyze the overall incidence of hand injuries (including wrist, metacarpus, finger, and thumb), injury type by each aforementioned anatomic location, and player position...
November 22, 2023: Physician and Sportsmedicine
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