The Impacts of COVID-19 on Mental Health and Training in US Professional Endurance Athletes
We examined how professional athletes are affected by COVID-19. Our primary aim was to assess changes in mental health that occurred after COVID-19 restrictions, and our secondary aim was to assess changes in exercise volume and intensity. Design: Cross-sectional study. Setting: United States. Participants: Strava professional endurance athletes. Assessment of Risk Factors: Participants completed a survey, and a subset of participants consented to have their activity data analyzed. The survey included questions on COVID-19 symptoms, exercise, and mental health, as measured by a modified Patient ...
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

COVID-19–Positive Testing in Minnesota High School Fall and Winter Sports: A Guide for Sports Risk
Conclusion: Athletes competing in outdoor individual sports have less risk of a COVID-19–positive test compared with age-matched individuals in the community and indoor sports participants either wearing or not wearing masks during competition. Unmasked athletes in close proximity have the highest positive test rates, and unenforced masking is not associated with lower positive testing rates. More study is needed to understand mask effectiveness. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Reported COVID-19 Incidence in Indoor Winter Sports Among US High-School Athletes
Conclusions: In this nationwide survey of US high-school athletic directors regarding indoor winter sports, reported COVID-19 incidence was lower in noncontact sports but unrelated to school instructional delivery method. This information may help guide decision-making regarding high-school sport participation during the COVID-19 pandemic. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Surgical Management of Chronic Exertional Compartment Syndrome of the Lower Extremity: Outcome Analysis and Return to Sport
Objective: To evaluate patient-reported outcomes and return to sport after open fasciotomy for lower extremity chronic exertional compartment syndrome (CECS). Design: Retrospective case series. Setting: Foot and ankle specialty service at a large multisite academic medical center. Patients: All patients undergoing lower extremity fasciotomy for CECS from 2009 to 2017 by one surgeon were eligible. Patients that underwent a fasciotomy for trauma, infection, or an acute pathologic process were excluded. Fifty-nine patients that underwent 63 procedures were included. The average age was 26.6 years, and...
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

The Utility of the King-Devick Test in Evaluating Professional Ice Hockey Players With Suspected Concussion
Conclusions: The KD is useful in differentiating concussed and not concussed athletes acutely, but the KD does not seem to add additional diagnostic value over and above the SCAT-5. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Non-shoulder Injuries in Swimming: A Systematic Review
Objective: The shoulder is the most common injury in swimming, followed by the knee and spine. The repetitive nature of swimming training may predispose a swimmer to injury. Several risk factors have been previously identified, but the level of evidence and level of certainty that these risk factors predispose a swimmer to injury risk has yet to be evaluated critically in a systematic review. Design: Systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data Sources: Data were obtained through PubMed, Cochrane, and Google ...
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: Critical Review Source Type: research

A Review of Legal, Ethical, and Governance Issues for Team Doctors
Conclusions: Doctors must be aware of range of important legal and ethical issues that arise in the team setting. Medical integrity crises have inspired governance reforms, such as policy development, appointment of chief medical officers, medical staff reporting to integrity departments, and sanctions of teams that breach medical integrity requirements. Sporting organizations must continue to implement and strengthen frameworks reinforcing doctors' seniority in the medical area. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: General Review Source Type: research

Overview of Traumatic Brain Injury in American Football Athletes
Conclusion: Traumatic brain injuries are frequent in professional collision athletes, and more severe injuries can have devastating and lasting consequences. Although sport-related concussions are well studied in professional American football, there is limited literature on the epidemiology and management of severe traumatic brain injuries. This article reviews the epidemiology, as well as the current practices in sideline evaluation, acute management, and surgical treatment of concussions and severe traumatic brain injury in professional collision athletes. Return-to-play decisions should be based on individual patie...
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: General Review Source Type: research

Is It Time for a Lockdown on Sugar?
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2022 Category: Sports Medicine Tags: Editorial Source Type: research

2022 AMSSM Case Podium Presentations
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Abstracts Source Type: research

Frozen Shoulder Related to Influenza Vaccine Administration
We present the case of a 46-year-old woman who presented clinically with frozen shoulder that was progressively worse and temporally related to her yearly influenza vaccination. The patient failed conservative management, and 7 months postvaccination, the patient underwent shoulder manipulation under anesthesia with good results. Vaccination-related shoulder dysfunction after high-deltoid intramuscular penetration and infiltration into the subdeltoid/subacromial bursa can cause a severe local inflammatory response that clinically may present as frozen shoulder. A case report and review of the literature on suspected frozen...
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Botulinum Toxin A for Chronic Exertional Compartment Syndrome Evaluated With Shear Wave Elastography: A Case Report
Abstract: This case presentation offers supportive evidence that shear wave elastography may provide an alternative method of diagnosis of chronic exertional compartment syndrome (CECS). A 39-year-old female runner presented with bilateral anterior shin pain on exertion. She initially underwent compartmental pressure testing confirming the diagnosis of CECS but declined fasciotomy. When her symptoms recurred, she was referred for botulinum toxin therapy. Shear wave muscle elastography was performed in the bilateral anterior and lateral compartments following symptom provocation treadmill testing and compared with 2 con...
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Chronic Medial Collateral Ligament Sprain Treated With Percutaneous Ultrasonic Debridement: A Case Report
Abstract: The medial collateral ligament (MCL) is the most commonly injured ligament of the knee. Most grade I and II injuries respond to conservative management, but symptoms persist in some patients. In these cases, treatment options are limited. Percutaneous ultrasonic debridement is increasingly being used for tendinopathy and fasciopathy refractory to conservative management, but this has not been reported as a treatment for ligament injury. Here, we present a case of a chronic grade II MCL sprain successfully treated with percutaneous ultrasonic debridement. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Osteitis Pubis Treated With Platelet-Rich Plasma: A Case Report
Abstract: Osteitis pubis is a common source of groin pain in athletes participating in sports requiring kicking, twisting, and pivoting movements. Athletes will present with progressive pain or discomfort in the pubic area or groin. There is usually point tenderness over the pubic symphysis and pain localizing to the adductor or rectus abdominis tendons. Conservative management often includes activity modification, oral medications, progressive rehabilitation, therapeutic ultrasound, steroid injections, and prolotherapy. Osteitis pubis can be refractory to conservative management and can keep an athlete sidelined for a...
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Is Increased Kicking Leg Iliopsoas Muscle Tightness a Predictive Factor for Developing Spondylolysis in Adolescent Male Soccer Players?
Conclusions: Development of extension-based lumbar pain from an asymptomatic stress reaction of the pedicle among adolescent male soccer players was associated with increased iliopsoas muscle tightness of the kicking leg relative to that of the supporting leg. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research