Prevalence of Elevated Blood Pressure and Risk Factors for Hypertension in College Athletes
Objective:
To compare the prevalence and risk factors for hypertension (HTN) in college athletes using the new (≥130/80 mm Hg) versus prior (≥140/90 mm Hg) US hypertension guidelines.
Design:
Retrospective cohort study.
Setting:
Eleven Pacific-12 Conference institutions.
Participants:
Of the 8602 athletes enrolled in the primary study, 4977 (57.9%) met inclusion criteria. Athletes were included in the study if age (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Insertional Calcific Tendinopathy of the Achilles Tendon and Dysmetabolic Diseases: An Epidemiological Survey
Conclusion:
Insertional calcific tendinopathy of the Achilles tendon is common, but few patients are symptomatic. The incidence of ICT increases with age and is significantly higher in patients with diabetes mellitus and hypothyroidism. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Medical Encounters in a 90-km Ultramarathon Running Event: A 6-year Study in 103 131 Race Starters—SAFER XVII
Conclusion:
The incidence of MEs in the 90-km Comrades Marathon was one of the highest incidences of MEs reported in an endurance running event (1 in 52 starters and 1 in 556 starters for serious/life-threatening MEs). Preventative measures to reduce MEs are needed, and further investigations into the risk factors associated with MEs could assist in managing the risk and better prepare athletes, race organizers, and medical directors. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Age-Group Differences and Annual Variation in Return-To-Play Practices After Sport-Related Concussion
Conclusion:
Similar postinjury and RTP management practices were observed at the high school and collegiate levels after SRCs. Symptom duration and time from injury to unrestricted RTP were comparable, although high school athletes may have longer SFWPs. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Concussion Baseline Retesting Is Necessary When Initial Scores Are Low
Objective:
To determine whether (1) initial baseline scores are significantly better for those who have valid (initial valid) versus invalid scores (initial invalid) on their concussion baseline testing, (2) retesting results in significantly improved baseline scores, and (3) there is a significant difference in scores between those who have valid scores on their initial attempt and those who retook baseline tests (retest valid).
Design:
Prospective, repeated-measures.
Setting:
Two years of collegiate preparticipation concussion baseline testing.
Participants:
Five hundred forty-seven male and fema...
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Medical Diagnoses in a University Athlete Training Room Clinic
Conclusions:
Approximately two-thirds of athletes were evaluated annually with an average of 2 encounters per athlete per year. Upper respiratory infection represented the most common individual diagnosis. The results reported in this study may be useful in directing future care and research of university athletes. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Calcaneal Bone Bruise After Surgery for Insertional Achilles Tendinopathy
Conclusions:
We describe 8 athletes who developed painful CBB following routine EPCC for insertional Achilles tendinopathy after having increased their level of activities too soon after the index procedure. In these patients, the diagnosis of postoperative CBB can be formulated by MRI and more cautious rehabilitation implemented. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Pelvic Region Avulsion Fractures in Adolescent Athletes: A Series of 242 Cases
Conclusions:
Pelvic avulsion fractures are a rare injury in adolescent athletes. Males are twice as likely to experience these injuries and are older at presentation compared to females. Conservative management leads to successful outcomes in most cases. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Identification of Knee Effusions With Ultrasound: A Comparison of Three Methods
Objectives:
To determine whether simple methods can improve identification of suprapatellar joint fluid during sonographic evaluation of the knee.
Design:
Prospective cohort study.
Setting:
Outpatient orthopaedic clinic.
Patients:
Fifty-two patients were sequentially recruited from an orthopaedic clinic.
Interventions:
Bilateral sonographic evaluation of the suprapatellar recess with static scanning, parapatellar pressure, or patient-initiated quadriceps contraction.
Main Outcome Measures:
Identification of fluid in the suprapatellar recess.
Results:
Fifty-two patients (104 kne...
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Three Sessions of Radial Extracorporeal Shockwave Therapy Gives No Additional Benefit Over “Minimal-Dose” Radial Extracorporeal Shockwave Therapy for Patients With Chronic Greater Trochanteric Pain Syndrome: A Double-Blinded, Randomized, Controlled Trial
Conclusion:
There were no time × group interaction effects seen between the groups at any time point, indicating that in the 3 sessions, the “recommended-dose” rESWT had no measurable benefit compared with “minimal dose” rESWT in this group of patients with GTPS. The underlying reason remains unclear; it may be that rESWT is ineffective in the treatment of patients with chronic GTPS, that “minimal dose” rESWT is sufficient for a therapeutic effect, or that a greater number of treatment sessions are required for maximal benefit. These issues need to be considered in further research. (Source: Clinical Journ...
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
COVID Vaccination in Athletes and Updated Interim Guidance on the Preparticipation Physical Examination During the SARS-Cov-2 Pandemic
Abstract:
The American Medical Society for Sports Medicine (AMSSM) convened an expert panel to address the current evidence, knowledge gaps, and recommendations surrounding the COVID vaccination in athletes during the SARS-CoV-2 pandemic. The group held a series of meetings beginning in July 2021 and reviewed the available literature while using an iterative process and expert consensus to finalize this guidance statement. This document is intended to provide clinicians with suggestions on how to incorporate the COVID vaccination during the preparticipation physical examination for athletes in all levels of training an...
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Position Statement Source Type: research
Practical Management: Telehealth Examination for Sport-Related Concussion in the Outpatient Setting
This article presents the telehealth version of the Buffalo Concussion Physical Examination (BCPE) (Tele-BCPE). It is a brief, focused telehealth PE for use in the outpatient setting by sports medicine physicians, pediatricians, neurologists, and primary care physicians. It is derived from the BCPE and includes general considerations for providers performing telehealth services and instructions for adapting traditional clinical tests for virtual use. The Tele-BCPE includes an orthostatic intolerance screen, examination of the cranial nerves, and tests of the oculomotor, vestibular, and cervical systems. It is meant to be u...
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Practical Management Source Type: research
Female Athlete Hip Injuries: A Narrative Review
Conclusions:
Given unique anatomic and functional considerations, the growing population of female athletes worldwide warrants specialized care and consideration. Potential predisposition to specific hip injuries should be taken into consideration during diagnostic evaluation of hip pain in the female athlete. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: General Review Source Type: research
Concussion Knowledge and Reporting Behaviors Among Collegiate Athletes
Objective:
The purpose of the current study was to explore knowledge surrounding sport-related concussions (SRCs) and the impact on reporting behaviors in collegiate athletes, including sex differences.
Design:
Cross-sectional.
Setting:
Institutional.
Participants:
Participants were 986 collegiate athletes (607 men), aged 19.7 years (SD = 1.4) from 6 institutions, who completed a survey, including items on personal/sport demographics and SRC knowledge and reporting behaviors.
Interventions:
Athletes were given a short (15-minute) survey to complete during team meetings and preparticipation p...
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
Sleep Insufficiency and Baseline Preseason Concussion-Like Symptom Reporting in Youth Athletes
Objective:
To examine the association between insufficient sleep and baseline symptom reporting in healthy student athletes.
Design:
Cross-sectional cohort study.
Setting:
Preseason testing for student athletes.
Participants:
Student athletes (n = 19 529) aged 13 to 19 years who completed the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), including the number of hours slept the night before, and denied having developmental/health conditions, a concussion in the past 6 months, and a previous history of 2 or more concussions.
Independent Variables:
Total hours of sleep ...
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research
