Decision-Making in Sport During a Pandemic
Conclusions: The incorporation of ethical considerations into risk assessment and management when making complex decisions, which incorporate high levels of uncertainty, will assist sporting organizations have positive outcomes. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - November 1, 2021 Category: Sports Medicine Tags: General Review Source Type: research

Can Adults Recognize Concussion Symptoms? A Critical Review of Empirical Research Using the Rosenbaum Concussion Knowledge and Attitudes Survey
Objective: The correct identification of concussion symptoms is vital for mild traumatic brain injury recognition, diagnosis, and injury management. Numerous surveys of symptom recognition have been conducted, including with athletes at-risk for injury. This critical, methodologically focused review aimed to: (1) discover which concussion symptoms are recognized, and (2) provide recommendations for future research. Data Sources: A quasi-systematic literature search was conducted to identify studies that used the Rosenbaum Concussion Knowledge and Attitudes Survey. Study Selection: Eighty-five publications...
Source: Clinical Journal of Sport Medicine - November 1, 2021 Category: Sports Medicine Tags: Critical Review Source Type: research

Multiple Treatment Comparisons for Large and Massive Rotator Cuff Tears: A Network Meta-analysis
Conclusions: Latissimus dorsi transfer seems to be most effective for management of large and mRCTs, although some heterogeneity was observed in this network meta-analysis of full text reports. The choice of the operating technique depends on the patient's general health status and his expectations. When a decision has been reached to perform surgery, a repair, even if partial, should be attempted. Procedures involving biologic augmentation (eg, PRP) seem to convey no additional benefit while introducing more risk. Debridement alone should be avoided. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - November 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Masters Athlete Screening Study (MASS): Insights Into the Psychological Impact of Cardiovascular Preparticipation Screening
Conclusions: The majority of masters athletes diagnosed with CVD through PPS do not experience significant levels of psychological distress. Athletes diagnosed with more severe types of CVD should be monitored for psychological distress. Support should be provided through a multidisciplinary and individualized approach. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - November 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Professional Athletes Have Poorer Sleep Quality and Sleep Hygiene Compared With an Age-Matched Cohort
Conclusions: Professional athletes reported poorer sleep quality and sleep hygiene compared with an age-matched cohort, and difficulty falling asleep following competition. It is likely this is due to the stress of competition, training, and traveling. Because sleep plays an important role in postexercise recovery and has an impact on injury and athletic performance, it is important to have strategies to support better sleep quality and sleep hygiene in athletes. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - November 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Influence of Sleep Dysfunction on Concussion Assessment Outcomes Among Adolescent Athletes After Concussion and Healthy Controls
Conclusion: Sleep dysfunction after concussion is related to worse neurocognitive performance and higher concussion symptom reporting. This study extended findings to suggest vestibular symptomology is worse among athletes with SD after injury compared to injured athletes without SD. Similar performances on concussion assessments for the SRC only and SD only groups suggest SD may appear similar to clinical presentation of concussion, even at baseline in the absence of SRC. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - November 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Sleep Problems and Melatonin Prescription After Concussion Among Youth Athletes
Objectives: To examine the effect of sleep disturbances on concussion symptom recovery and to examine the effect of melatonin prescription on symptom improvement among concussed adolescents with sleep problems. Design: Longitudinal test–retest. Setting: Sports medicine clinic. Participants: Patients aged 8 to 18 years, diagnosed with a concussion, evaluated within 14 days after injury, and evaluated again 15 to 35 days after injury. Independent Variables: We grouped patients based on whether they reported sleep disturbances within 14 days of injury. Main Outcome Measures: Outcome me...
Source: Clinical Journal of Sport Medicine - November 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Playing High School Football Is Not Associated With an Increased Risk for Suicidality in Early Adulthood
Conclusions: Young men who played high school football are not at an increased risk for suicide ideation during both their early 20s and late 20s. By contrast, those who experienced mental health problems in high school were much more likely to experience suicide ideation during their 20s. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - November 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

2021 AMSSM Oral Research Poster Presentations
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Abstracts Source Type: research

In Response to: Incidence of Symptomatic Pulmonary Embolus and Deep Vein Thrombosis After Knee Arthroscopy in the Pediatric and Adolescent Population
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Letter to the Editor Source Type: research

Exertional and CrossFit-Induced Rhabdomyolysis
This report describes a case of exercise-induced rhabdomyolysis caused by a CrossFit workout. A 31-year-old female presented with 2 days of bilateral upper extremity pain and soreness, which began 2 days after she completed a CrossFit workout. Workup revealed an elevated creatine phosphokinase (CPK) of 18 441 U/L, consistent with exercise-induced rhabdomyolysis, and elevated liver function tests and elevated D-dimer, although her renal function was normal. She was hospitalized for 2 days and treated with IV fluids. This case report demonstrates that CrossFit exercises can lead to rhabdomyolysis, highlighting a condition ...
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Case Report Source Type: research

To Be or Not to Be (A Morton's/Interdigital Neuroma): That Is the Question—A Case Series of Lateral Forefoot Pain Localized to the Proper Digital Nerve of the Fifth Toe
We present 2 cases where the initial history and examination were similar to a Morton's/interdigital neuroma. In both cases, however, diagnostic ultrasound revealed symptomatic snapping of the proper digital nerve of the fifth toe. The anatomy of the proper digital nerve of the fifth toe may predispose it to a snapping phenomenon. Clinical awareness of this atypical cause of forefoot pain can help guide the diagnosis and treatment in those patients with persistent and refractory lateral forefoot pain and paresthesias. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Case Report Source Type: research

Factors Associated With Half- and Full-Marathon Race-Related Injuries: A 3-Year Review
Conclusions: Previous running injuries, undertraining, and inexperience increased race-related injury risk; women had higher risk than men. Decreased risk of injury was associated with training loads of greater than 23 miles/week for half marathoners and 40 miles/week for full marathoners. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Assessment of Isometric Knee Flexor Strength Using Hand-Held Dynamometry in High-Level Rugby Players Is Intertester Reliable
Conclusions: In strong high-level rugby players, hand-held dynamometry for isometric knee flexor strength assessment in prone 0/15 degrees and supine 90/90 degrees position is intertester reliable. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Correlations of Single-Leg Performance Tests to Patient-Reported Outcomes After Primary Anterior Cruciate Ligament Reconstruction
Conclusions: Single-leg step-down test performance demonstrated stronger relationships to patient-reported knee function than the YB-A. Furthermore, the SLSD symmetry was strongly correlated with fear of movement. The SLSD provides a robust method for clinicians to assess dynamic knee function and may aid in identifying patients who could benefit from intervention to reduce fear of movement or reinjury. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research