Kyle K Obana, David P Trofa, Christopher S Ahmad, William N Levine, Charles A Popkin
Surfer's neurapraxia is a rare surfing injury of the saphenous nerve secondary to persistent compression of the saphenous nerve along the medial thigh by the surfboard when paddling prone and while sitting upright on the board waiting for a wave. Symptoms may be nonspecific and consist of pain in the medial thigh with or without radiation along the saphenous nerve distribution (medial leg, medial ankle, medial arch of the foot). The saphenous nerve tension test can be utilized to reproduce the symptoms of surfer's neurapraxia...
July 8, 2024: Physician and Sportsmedicine
Samuel J Stellpflug, Andrew Stolbach, Joe Ghorayeb, Erik Magraken, Eric Twohey, Jeff Lapoint, Kevin deWeber
and ARP Position StatementBased on the available body of scientific evidence and with the goals of promoting safety of combat sports athletes and striving for the advancement of clean sport, the Association of Ringside Physicians recommends the following regarding cannabis:●Use of marijuana or synthetic cannabinoids by combat sports athletes is discouraged due to unproven benefits and many known adverse effects. Acute use can impair cognition and complex motor function, which likely leads to reduced performance in combat sports...
July 1, 2024: Physician and Sportsmedicine
Patience M Matshepo Boshielo, Audrey Jansen van Rensburg, Carel Viljoen, Tanita Botha, Christina E Elizabeth de Villiers, Dimakatso Ramagole, Limbikani Seyani, Dina C Christa Janse van Rensburg
OBJECTIVES: Trail running is a popular off-road sport involving running in natural environments over various terrains, often in remote locations. This study aims to investigate the epidemiology and risk factors of injuries and illnesses, i.e. medical encounters, on race day among trail runners in a high-altitude ultra trail race. METHODS: This descriptive cross-sectional study on an ultra trail race (38 km, 65 km and 100 km) in South Africa, included participants 18 years or older...
June 24, 2024: Physician and Sportsmedicine
Samuel J Stellpflug, Kirsten A Dalrymple, Daniel Stone, Samuel Southgate, David Bachman, Robert C LeFevere, Jaan Hasan, Michael D Zwank
PURPOSE: Vascular neck compression techniques, referred to as 'chokes' in combat sports, reduce cerebral perfusion, causing loss of consciousness or voluntary submission by the choked athlete. Despite these chokes happening millions of times yearly around the world, there is scant research on long-term effects. This pilot study evaluated whether repeated choking in submission grappling impacts the carotid intima media thickness (CIMT) and brain injury biomarkers (NFL, hGFAP, t-Tau, UCH-L1)...
June 10, 2024: Physician and Sportsmedicine
Nathan P Smith, Robert A Gallo
OBJECTIVES: The purpose of this study is to examine NCAA Division I volleyball players' return to play rates and performance statistics compared to pre-injury levels following ACL injury. METHODS: Female volleyball players that sustained ACL injuries from 2008-2020 and competed in one of seven collegiate conferences ( n  = 99) were identified via an internet search algorithm. Players were categorized by position, academic year, and playing time pre- and post-injury...
May 6, 2024: Physician and Sportsmedicine
Davide Bianchi, Nitin K Sethi, George Velasco, Uneeb A Qureshi, Kevin deWeber
Older Fighters are defined as combat sports athletes older than 35 years, based on heightened medical risks and historical classification. Age-related changes to the neurological, cardiopulmonary, endocrinological, thermoregulatory, osmoregulatory, and musculoskeletal systems increase these athletes' risks for injury and may prolong their recovery. These age-related risks warrant special considerations for competition, licensure, prefight medical clearance, in-fight supervision, post-fight examination, and counseling regarding training practices and retirement from combat sports...
May 6, 2024: Physician and Sportsmedicine
Erik Schiffner, Falk Hilsmann, Felix Lakomek, Christoph Beyersdorf, Joachim Windolf, David Latz
OBJECTIVE: Mixed Martial Arts (MMA) is a relatively young combat sport. In contrast to classic boxing, MMA combines techniques of grappling and striking. However, characteristic long-term effects of MMA on the wrist are discussed controversially. Aim of this study was to elucidate characteristic degenerative changes of the wrist from MMA fighters in comparison to classic boxers. METHODS: In this study, eleven professional MMA fighters and ten professional boxers with chronic wrist pain were examined and compared...
May 3, 2024: Physician and Sportsmedicine
Yasuaki Mizoguchi, Kenta Suzuki, Naoki Shimada, Hiroyuki Naka, Toby Hall, Kiyokazu Akasaka
OBJECTIVES: This study aimed to determine the prevalence of knee pain among high school volleyball attackers, identify associated factors, and explore the relationship between knee pain and lower back pain (LBP). METHODS: A cross-sectional study involving 82 high school volleyball attackers (15-17 years) used questionnaires, interviews, and field-based assessments to collect data on demographics, volleyball-specific factors, flexibility, and jumping ability...
April 26, 2024: Physician and Sportsmedicine
Hebert Nunes Flores, Augusto Camillo Tamujo, Tiago Cetolin, João Breno Ribeiro-Alvares, Marcos Amaral Noronha, Bruno Manfredini Baroni, Alessandro Haupenthal
OBJECTIVE: To investigate the association of a novel post-match muscle pain map, named Muscle Pain Code (MPC), with the risk of subsequent time-loss muscle injury in a cohort of professional football (soccer) players. METHODS: The MPC classifies pain in four codes: code 0, ' no pain ;' code 1, ' generalized muscle pain ;' code 2, ' diffused site muscle pain ;' and code 3, ' specific site muscle pain .' Over four consecutive seasons, MPC was collected on the second post-match day and players were followed for occurrence of time-loss muscle injury over the next five days...
April 23, 2024: Physician and Sportsmedicine
Kyle K Obana, Christian Law, Michael A Mastroianni, Abed Abdelaziz, Frank J Alexander, Christopher S Ahmad, David P Trofa
OBJECTIVES: This study investigates the most common online patient questions pertaining to posterior cruciate ligament (PCL) injuries and the quality of the websites providing information. METHODS: Four PCL search queries were entered into the Google Web Search. Questions under the 'People also ask' tab were expanded in order and 100 results for each query were included (400 total). Questions were categorized based on Rothwell's Classification of Questions (Fact, Policy, Value)...
April 23, 2024: Physician and Sportsmedicine
Jeremy Roberts, Julie C Wilson, Mark E Halstead, Shane M Miller, Jonathan A Santana, Tamara C Valovich McLeod, Tracy L Zaslow, Christina L Master, Matthew F Grady, Traci R Snedden, Matthew L Fazekas, Rachel A Coel, David R Howell
OBJECTIVE: To understand factors associated with missed academic time after concussion to improve support for patients. Our goal was to assess patient-specific predictors of total school time lost after pediatric/adolescent concussion. STUDY DESIGN: We performed a prospective cohort study of children and adolescents (8-18 years of age) seen within 14 days of concussion from seven pediatric medical centers across the United States. We collected outcomes via the Concussion Learning Assessment & School Survey (CLASS) and constructed a multivariable predictive model evaluating patient factors associated with school time loss...
April 22, 2024: Physician and Sportsmedicine
Michael Prock, David Michael O'Sullivan, Stephen Tiernan
BACKGROUND: Return to play (RTP) protocols are an important part of recovery management following a sport related concussion (SRC) and can prevent athletes from returning to competition too early and thereby avoid prolonged recovery times. To assist sporting organizations in the development of RTP guidelines, the Concussion in Sports Group (CISG) provides scientific based recommendations for the management of SRC in its consensus statement on concussion in sport. OBJECTIVES: This study investigates commonalities and differences among current RTP protocols of international sporting organizations and examines the implementation of the most recent CISG recommendations...
April 22, 2024: Physician and Sportsmedicine
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 21, 2024: Physician and Sportsmedicine
Víctor M Peña-Martínez, Carlos Acosta-Olivo, Luis E Simental-Mendía, Adriana Sánchez-García, Tannaz Jamialahmadi, Amirhossein Sahebkar, Félix Vilchez-Cavazos, Mario Simental-Mendía
OBJECTIVES: Corticosteroid injections have been typically used for the management of plantar fasciitis with apparently good clinical outcomes; however, there is no information of the effect of corticosteroids on the thickness of the plantar fascia which is typically altered in this pathology. We aimed determine whether treatment with corticosteroid injections induces plantar fascia thickness changes in plantar fasciitis. METHODS: MEDLINE, Embase, Web of Science, and Scopus databases were searched for randomized controlled trials (RCT) reporting the use of corticosteroid injection to treat plantar fasciitis to July 2022...
June 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
Adda Oudjedi, Abdelghani Allali, Aissa Bekli, Mohamed Lounis, Helmi Ben Saad, Mohamed Boukoufa
OBJECTIVES: Many types of COVID19 vaccines are administered globally, yet there is not much evidence regarding their side effects among athletes. This study evaluated the selfreported postvaccination side effects of inactivated virus, adenoviral vector, and mRNA COVID19 vaccines among Algerian athletes. METHODS: A cross-sectional survey-based study was carried out in Algeria between March 01 and 4 April 2022. The study used a validated questionnaire with twenty-five multiple-choice items covering the participants' anamnestic characteristics, post-vaccination side effects (their onset and duration), post-vaccination medical care, and risk factors...
April 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
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