Arthroscopic Primary Repair for Partial Proximal Anterior Cruciate Ligament Tear in Military Personnel
Objective: To evaluate the short-term clinical outcomes of arthroscopic primary repair for partial proximal anterior cruciate ligament (ACL) tear in a young, active duty military population. Design: Retrospective cohort study. Setting: A national tertiary-level medical and academic institution. Patients: Nineteen active duty military patients with partial proximal ACL tears and excellent tissue quality were included and 18 were finally analyzed. Interventions: All patients underwent arthroscopic primary repair using a suture anchor technique between March 2014 and June 2016. Main Outcome ...
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Prognosis of Incomplete Avulsion of the Proximal Hamstring Tendon Is Determined by the Avulsion Location of the Proximal Hamstring Tendon Footprint
Conclusions: Incomplete avulsion of the proximal hamstring tendon was observed in 13.6% of hamstring injuries. Return to play, subjective outcomes, and success rate of avoiding surgery were significantly poorer with avulsion of the proximal part of the CJ footprint. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Distribution of Head Acceleration Events Varies by Position and Play Type in North American Football
Conclusions: Changing the stance of players on the offensive line and reducing the number of full-contact practices will lower HAEs. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Test Order Does Not Affect Vestibular/Ocular Motor Screening Item Scores in High School Athletes
Conclusions: There were no significant differences on VOMS items between FIXED and RANDOM groups for repeated measures. The testing order of VOMS items does not affect VOMS scores in nonconcussed high school athletes. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Establishing Test–Retest Reliability and Reliable Change for the King–Devick Test in High School Athletes
Objective: To establish test–retest reliability in nonconcussed high school athletes and compare absolute change, reliable change indices (RCIs), and minimal detectable change (MDC) methods for classifying impairment after sport-related concussion. Design: Prospective, repeated measures. Setting: High schools from the Midwest and Central regions of the United States. Participants: A convenience sample of 772 nonconcussed high school athletes (n = 546 men) completed preseason K–D testing. In addition, 69 athletes completed a second postseason K–D test, and 54 athletes sustained a concussion an...
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Sex Differences and Reporting of SCAT-5 Concussion Symptoms in Adolescent Athletes
Conclusions: Closer examination of specific symptoms with attention to patients' current levels of anxiety and depression symptoms may better inform medical and athletic staff to anticipate and address symptoms that may present greater challenges for adolescent girls than boys. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Normative and Psychometric Characteristics of the Health and Behavior Inventory Among Children With Mild Orthopedic Injury Presenting to the Emergency Department: Implications for Assessing Postconcussive Symptoms Using the Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)
Conclusions: The HBI demonstrates acceptable normative and psychometric characteristics. Modest parent–child agreement highlights the importance of multiple informants when assessing postconcussive symptoms. The results will facilitate the use of the HBI in research and clinical practice. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Sport Motivation as a Possible Indicator of Concussion Reporting Intentions Among Young Athletes
Objective: To assess the relationship between sport motivation and intentions to report concussion symptoms among young adult athletes. Design: Cross-sectional study (level of evidence: 3). Subjects: One thousand three hundred five young adult athletes of various sports and levels of competitiveness from the Survey Sampling International panel. Methods: Data were collected through an online survey. Ordinary least squares regression was used to examine the relationship between motivation and reporting intentions controlling for competitiveness and perceived risk of injury. Results: Athletes w...
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Practical Management: Prescribing Subsymptom Threshold Aerobic Exercise for Sport-Related Concussion in the Outpatient Setting
This article presents 3 methods of exercise prescription for patients with SRC. The first requires a graded exertion test plus a home-based exercise program requiring a heart rate (HR) monitor. The second requires a graded exertion test but no HR monitor for home-based exercise. The third requires solely an HR monitor to safely progress through the home-based exercise prescription. Patients are encouraged to keep a symptom and exercise diary and return for re-evaluation every 1 to 2 weeks. Delayed recovery should prompt the clinician to evaluate for other potential symptom generators (eg, cervical, vestibular, oculomotor, ...
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Practical Management Source Type: research

The Victorian Institute of Sport Assessment Scale for Patellar Tendinopathy (VISA-P): A Reliability Generalization Meta-analysis
Conclusions: The reliability of VISA-P for assessing the severity of patellar tendinopathies requires greater evaluation with more scientific evidence before it can be implemented in clinical practice. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Critical Review Source Type: research

“Shared Decision-Making” in Athletes With Known Cardiac Disease: Interpretation and Implementation in the Real World
Conclusions: This study highlights the need to educate and improve communication between AT, sports medicine physicians, and sports cardiologists if shared decision-making strategies are to become widely implemented. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Brief Report Source Type: research

Video Analysis of Acute Injuries in Elite Field Hockey
Conclusions: Video analysis revealed data on injury incidence within the same range of previous reports in elite field hockey. Its advantages, such as slow motion and repetitive play of injury scenes, could contribute valuable information if incorporated into the injury recording process. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Static and Dynamic Cognitive Performance in Youth and Collegiate Athletes With Concussion
Objective: To determine if individuals with a concussion demonstrate altered cognitive performance while standing still or while walking relative to uninjured controls. Design: Cross-sectional. Setting: Sports-medicine clinic. Participants: Youth and collegiate athletes diagnosed with a concussion, assessed within 10 days of injury, and a group of uninjured control subjects. Independent Variables: Concussion and control groups. Main Outcome Measures: Participants stood still for 30 seconds while completing a cognitive task (spelling words backward, serial subtraction, or reverse month...
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Middle School Children With Attention-Deficit/Hyperactivity Disorder Have a Greater Concussion History
Conclusions: Attention-deficit/hyperactivity disorder is associated with a greater prevalence of previous concussion in middle school children. Further research is needed to understand the risk of sustaining concussion for young athletes with ADHD, as well as short- and long-term outcomes of concussion among young athletes with ADHD. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Acute Effects of Concussion in Youth With Pre-existing Migraines
Objective: To examine associations between pre-existing migraines and postconcussion symptoms and cognitive performance acutely (within 72 hours) after a suspected concussion. Design: Nested case–control study. Setting: High schools in Maine, USA. Participants: From a sample of 39 161 adolescent athletes who underwent baseline preseason testing, 633 were assessed within 3 days of a suspected concussion. Of these, 59 reported a history of treatment for migraines at baseline (9.3%). These athletes were individually matched to 2 athletes who had a suspected concussion but denied preinjury migraine...
Source: Clinical Journal of Sport Medicine - September 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research