Publications by authors named "L Geertsema"

Knee cartilage lesions are frequent in football players, but evidence for surgical treatment is lacking. The aim of this International Cartilage Regeneration & Joint Preservation Society, Fédération Internationale de Football Association, and Aspetar (ICRS-FIFA-Aspetar) consensus was to develop specific expert-based, patient-specific practical recommendations on the appropriateness of non-surgical or surgical treatments for symptomatic knee cartilage lesions in competitive football players. The RAND/UCLA appropriateness method was used, and 17 voting experts provided recommendations on the appropriateness of surgical treatment in 96 different clinical scenarios defined on 6 variables: cartilage injury onset, lesion location, defect size, bone involvement, player symptom level and preference towards higher priority of a quick return to play or long-term results.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of injury history variables, clinical tests, and clinical suspicion in diagnosing complete discontinuity of lateral ankle ligaments in both acute (0-2 days post-injury) and delayed (5-8 days post-injury) settings.
  • A total of 117 acute ankle injuries were screened, with 43 included; 53% of these injuries showed complete ligament discontinuity, and certain tests demonstrated high sensitivity and specificity metrics.
  • Clinical evaluation in the acute setting was effective in excluding severe injuries based on signs like lateral swelling, while the accuracy of clinical tests improved in the delayed evaluation, indicating the importance of timing in assessment.
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We used injury spotters and video footage review to establish the frequency of head impacts, their characteristics, and the subsequent medical assessment during the FIFA Arab Cup 2021. Six defined video signs of potential concussion based on an international consensus were used. A total of 88 head impacts were observed, with a median of 2 (IQR 1.

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Purpose: To determine the diagnostic value of injury history, physical examination, six syndesmosis tests and overall clinical suspicion for syndesmosis injury.

Methods: All athletes (> 18 yrs) with an acute ankle injury presenting within 7 days post-injury were assessed for eligibility. Acute ankle injuries were excluded if imaging studies demonstrated a frank fracture or 3 T MRI could not be acquired within 10 days post-injury.

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