Novel Use of Botulinum Toxin in Long-Standing Adductor-Related Groin Pain: A Case Series
Background: Adductor-related groin pain (ARGP) is the most common groin injury in athletes. If conservative treatment fails, then adductor tenotomy to relieve tension can be considered. The use of botulinum toxin A (BoNT-A) has shown good results in other musculoskeletal pathologies. Objective: Assess the effectiveness of BoNT-A injections in ARGP in cases where usual treatment has failed. Design: Retrospective cohort study. Setting: Orthopedic Medicine and Rehabilitation Unit, University of Bordeaux. Participants: Fifty patients treated by BoNT-A injection in ARGP after failure of medical a...
Source: Clinical Journal of Sport Medicine - November 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Efficacy of Ultrasound-Guided Glenohumeral Joint Injections of Leukocyte-Poor Platelet-Rich Plasma Versus Hyaluronic Acid in the Treatment of Glenohumeral Osteoarthritis: A Randomized, Double-Blind Controlled Trial
Objective: To compare the efficacy of ultrasound-guided hyaluronic acid (HA) versus leukocyte-poor platelet-rich plasma (LP-PRP) injection in the treatment of glenohumeral osteoarthritis. Design: Double-blind randomized controlled trial. Setting: Academic institution. Patients: Seventy patients with chronic glenohumeral osteoarthritis were randomly assigned to receive a single injection of HA (n = 36) or LP-PRP (n = 34). Interventions: Leukocyte-poor platelet-rich plasma was processed using Harvest/TerumoBCT Clear PRP kits. Ultrasound-guided injections of 6 mL HA or 6 mL LP-PRP into the glen...
Source: Clinical Journal of Sport Medicine - November 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Post–COVID-19 Neurological Syndrome and Concussion
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - November 1, 2022 Category: Sports Medicine Tags: Editorial Source Type: research

Overuse Injury to Proximal Phalanx in Throwing Athlete (Little Leaguer's Finger): A Case Report
Abstract: The young, overhead throwing athlete is prone to overuse injuries because of their variable skeletal maturity and often improper technique. An overuse injury to the digit(s) in the overhead throwing athlete, Little Leaguer's Finger, has never been discussed in the literature to our knowledge. We present a case of a 14-year-old man with atraumatic pain, swelling, and edema to his dominant pitching index finger after throwing greater than 90 pitches in one setting. Initial workup of the patient, including an MRI, ruled out an infectious process, and it was determined that there was a stress epiphysitis within t...
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Occipital Neuralgia May Be a Possible Limitation on the Utility of the Buffalo Treadmill Test for Concussion Assessments: 2 Case Reports
Abstract: Two female athletes presented to clinic following a head injury and exhibited signs of concussion. Both athletes experienced exacerbation of symptoms secondary to dysautonomia related to concussion injury on the Buffalo Concussion Treadmill Test (BCTT). On repeat evaluation, both athletes exhibited neck pain with symptoms immediately provoked by palpation of the occipital nerves. After a third occipital nerve block, both athletes had complete resolution of symptoms and subsequently tolerated BCTT to the maximum rate of perceived exertion with no provoked symptoms. The athletes were cleared for return to sport...
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Ultrasound Diagnosis of a Pseudotumor Secondary to a Partial Thickness Distal Biceps Tear Resulting in Pronator Syndrome: A Case Report
Abstract: A 53-year-old right-handed female weightlifter presented to our clinic for evaluation of left elbow pain and intermittent numbness in her first 3 digits. She reported an elbow injury while weight lifting and carrying heavy planters 6 months earlier. A magnetic resonance imaging obtained previously was interpreted as bicipital-radial bursitis, and she had previously undergone a comprehensive nonoperative management program for her pain and numbness. A diagnostic ultrasound performed in clinic revealed distal biceps tendinopathy, bicipital-radial bursitis, and “pseudotumor,” which was dynamically compressed...
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Double Major for Slashing: Management of Blunt Popliteal Fossa Trauma in Ice Hockey in the Setting of Popliteal Artery Entrapment Syndrome
We present a unique case that highlights a blunt popliteal artery injury in a young player with an underlying type 2 PAES. We discuss the initial diagnosis and endovascular/vascular surgical treatment, followed by the delayed management of the popliteal artery injury. We also provide considerations for popliteal fossa blunt trauma and need for future protection of the popliteal fossa for athletes. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Little or No Differences in Hip Morphology Between Professional Dancers and Controls: A Systematic Review
Conclusions: The bony hip morphology of professional dancers is similar to that of other athletes and age-matched controls, which is in contrast to the authors' clinical experience. We presume that the abnormal morphology we have seen at the clinic is only present in symptomatic dancers who require total hip arthroplasty (THA) and is not a general characteristic of all dancers. Further studies should compare the hip morphology of dancers undergoing THA with matched nondancers. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: General Review Source Type: research

Evidence to Eliminate Double-Leg Conditions From the Modified Balance Error Scoring System and Balance Error Scoring System
Conclusion: Although our results do suggest statistically significant differences between the BESS and BESS-R test versions, they do not represent clinically meaningful differences. The greatest mean difference between all test versions was (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Electrocardiographic Findings in Professional Male Athletes
Objective: To generate granular normative electrocardiogram (ECG) data and characterize the variation by ethnicity and sport played. Design: Cross-sectional study; ECGs were collected from preseason screening programs from 2012 to 2019 and interpreted in accordance with athlete-specific guidelines. Setting: Of the professional athletes based in Vancouver, the North Shore Heart Centre performs the annual preparticipation ECG screening. Participants: Seven hundred fifty-three professional male athletes competing in hockey, football, lacrosse, skiing, and snowboarding. Interventions: Independen...
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Analysis of Injuries in Competitive Equestrian Events
Conclusions: Equestrian sports have an overall injury rate of 780 per 100 000 athlete exposures in the certified competition setting. Hunter–jumper and 3-day eventing have an increased injury rate compared with nonjumping disciplines. These data should help equestrian event clinicians to anticipate the types of injuries and help outpatient clinicians make preparticipation medical eligibility and assist in counseling for equestrian sports. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

The Role of Age, Sex, Body Mass Index, and Sport Type on the Dynamic Exertion Test in Healthy Athletes: A Cross-Sectional Study
Background: The dynamic exertion test (EXiT) was developed to help inform return to play after sport-related concussion, but some factors may threaten the internal validity of EXiT and affect clinical interpretation. Objective: To compare age, sex, BMI, and sport types across EXiT physiological [pre-EXiT and post-EXiT percentage of maximum heart rate (HR %max) and blood pressure (BP)], performance (change-of-direction task completion time and committed errors), and clinical [symptoms and rating of perceived exertion (RPE)] outcomes among healthy adolescents and adults. Study design: Cross-sectional. Me...
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

The Relationships Between 25-Hydroxyvitamin D and Echocardiographic Parameters in Female Basketball Players
Conclusions: Our findings suggest the importance of female basketball players maintaining 25(OH)D concentration, given its possible physiological benefits on cardiac structure and function. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Cardiac Remodeling in Elite Aquatic Sport Athletes
Objective: To characterize and compare the sport-specific cardiac structure of elite swimmers (SW), water polo players (WP), and artistic swimmers (AS). Design: A cross-sectional assessment of elite aquatic athletes' hearts. Setting: The athletes' village at the 2019 FINA World Championships. Participants: Ninety athletes from swimming (SW) (20 M/17 F), water polo (WP) (21 M/9 F), and artistic swimming (AS) (23 F). Assessment and Main Outcome Measures: An echocardiographic assessment of cardiac structure was performed on noncompetition days. Results: Male SW displayed primarily eccent...
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Concussions and Injuries in Sledge Hockey: Grassroots to Elite Participation
Conclusions: Concussions and upper extremity injuries were the most common sledge hockey injuries reported, with body checking being the most common mechanism. This research will inform development of prevention strategies in sledge hockey. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research