Spine Injury Prevention
Spinal injury and back pain are a common problem facing patients seeking medical care including athletes, which can lead to significant disability, medical costs, and impaired performance for these patients. Rehabilitation including core muscle stabilization, Kinesio taping, and flexibility have been shown to help with treatment and prevention. Critical factors such as equipment, technique, and rule changes can also be an important part of spine injury prevention. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: David Hryvniak, Chelsea D. Frost Source Type: research
On-Field Management of Suspected Spinal Cord Injury
Acute spinal cord injuries in athletes are rare. However, on-field management of such injuries requires a well-planned approach from a team of well-trained medical staff. Athletes wearing protective gear should be handled with care; a primary survey should be conducted to rule out life-threatening injury while concomitantly immobilizing the spine. Treatment with steroids or hypothermia have not been shown to be beneficial, ultimately time to surgery provides the athlete with the best chance of a good outcome. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Michael Markowitz, Barrett Woods Source Type: research
Transient Quadriparesis and Cervical Neuropraxia in Elite Athletes
This article reviews the pertin ent available data/criteria and offer an algorithm for return-to-play considerations. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Wellington K. Hsu Source Type: research
Lumbosacral Spondylolysis and Spondylolisthesis
Repetitive stress on the lumbosacral spine during sporting activity places the athletic patient at risk of developing symptomatic pars defect. Clinical history, physical examination, and diagnostic imaging are important to distinguish spondylolysis from other causes of lower back pain. Early pars stress reaction can be identified with advanced imaging, before the development of cortical fracture or vertebral slip progression to spondylolisthesis. Conservative management is first-line for low-grade injury with surgical intervention indicated for refractory symptoms, severe spondylolisthesis, or considerable neurologic defic...
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Christopher C. Chung, Adam L. Shimer Source Type: research
Axial Low Back Pain in Elite Athletes
Back pain in sport is a common complaint and seen by athletes, trainers, and treating physicians. Although there are a multitude of pain generators, mechanical sources are most common. Certain sports can lead to increased mechanical and axial loading, such as competitive weightlifting and football. Common mechanical causes of pain include disk herniation and spondylolysis. Patients typically respond to early identification and conservative treatment. In others, surgical intervention is required to provide stability and prevent long-term sequelae. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Andrew Z. Mo, Joseph P. Gjolaj Source Type: research
Cervical Disc Herniations, Radiculopathy, and Myelopathy
The key to successful treatment of elite athletes is optimizing the medical care at every step: injury prevention and sport-specific training; comprehensive history and physical examination; high-quality and complete diagnostic studies; accurate diagnosis; control and completion of rehabilitation program; minimally invasive, safe, and effective surgeries; risk assessment for return to sport; guided and gradual return to sport; and continued rehabilitation and exercise program after return to sport. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Robert G. Watkins, Robert G. Watkins Source Type: research
Spinal Deformities in the Adolescent Athlete
Idiopathic scoliosis will be noted in 2% to 3% of typically developing athletes. Sports physicals are an opportunity to screen for spinal deformity and to promote healthy involvement in activities. Bracing is effective at limiting further progression if a curve progresses beyond 20 °. If spinal fusion is performed, most surgeons allow return to noncontact and contact sports by 6 to 12 months. There are many other conditions associated with scoliosis that require a more nuanced approach and assessment of the entire patient. Patients with Down syndrome should be examined for m yelopathy before participation and a lateral r...
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Keith R. Bachmann Source Type: research
Lumbar Disk Herniations and Radiculopathy in Athletes
Lumbar disk herniation is the most common surgical condition of the spine. High-level athletes participate in activities that place extreme loads on the intervertebral disks. These repetitive loads may lead to an elevated risk for degenerative disk disease, which in turn predisposes to disk herniations. Treatment algorithms for athletes with disk herniations are similar to those in the nonathletic population; however, success in the athletic population is often measured in the ability to return to play. Both nonoperative and operative treatment show a high success rate in return to play in athletes treated for disk herniat...
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Paul R. Gause, Ryan J. Godinsky, Keven S. Burns, Edward J. Dohring Source Type: research
Return to Play for Cervical and Lumbar Spine Conditions
This article highlights some of the most common cervical spine pathologies (stinger/burners, strain, stenosis/cord neuropraxia, disc herniation, and fracture/instability) and lumbar spine pathologies (strain, disc degeneration, disc herniation, fracture, spondylolysis/spondylolisthesis, and scoliosis) encountered in sports and reviews the associated return to play guidelines and expectations for each condition. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: George W. Fryhofer, Harvey E. Smith Source Type: research
Spinal Care in the Aging Athlete
This article covers various spine pathologies that aging athletes experience and ideal treatment of this population to allow safe return to activity. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Pramod N. Kamalapathy, Hamid Hassanzadeh Source Type: research
Not Just Shoulders and Knees: An Athlete Has a Spine too!
Welcome to this issue of Clinic in Sports Medicine focused solely on the axial skeleton and its care in the athlete-patient. Although commonly overlooked in sports circles, spine-related injuries, pain, and limitations remain a commonly encountered complaint among the athletes that you care for. Furthermore, spine remains an area that most general orthopedists and sports medicine specialists are less than comfortable diagnosing and managing. We hope that this work will provide an athlete-focused framework from foundational basics to contemporary surgical techniques all written with the Clinic in Sports Medicine readership ...
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Adam L. Shimer, Francis H. Shen Tags: Preface Source Type: research
Sports Medicine Is not Spineless!
We try to be all-inclusive and comprehensive in our coverage of topics in Clinics in Sports Medicine. Although my practice does not include spine, spine is certainly a part of a sports medicine practice. At our institution, we are lucky to have not one but two “sports spine” specialists, each covering a Division I college that we care for…and they both get a lot of referrals from those training rooms. These two surgeons, Drs Frank Shen and Adam Shimer, agreed to put together a treatise on the care of spine problems in athletes so that even if you do n’t actually practice sports spine, you will know when and how urg...
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Mark D. Miller Tags: Foreword Source Type: research
Sports Spine
CLINICS IN SPORTS MEDICINE (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Authors: Adam L. Shimer, Francis H. Shen Source Type: research
Copyright
ELSEVIER (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Source Type: research
Contributors
MARK D. MILLER, MD (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 27, 2021 Category: Sports Medicine Source Type: research
