Publications by authors named "Mackenzie Herzog"

Article Synopsis
  • Hamstring strain injuries (HSIs) are common in NFL players, particularly affecting positions like wide receivers and defensive backs, with the biceps femoris being the most frequently injured muscle.
  • A study analyzed 180 acute HSIs from the 2018-2019 NFL season to explore the relationship between player characteristics, clinical exams, and MRI findings regarding injury severity and time missed from games.
  • Findings indicated that nearly half of the injuries were moderate (BAMIC grade 2), with specific locations on the biceps femoris and semimembranosus being the most affected, and MRI detected abnormalities in the sciatic nerve in some cases.
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Article Synopsis
  • The study aimed to determine if NFL players with concussions have a higher risk of injury upon returning to the game compared to non-concussed players and those with upper body injuries.
  • The analysis involved a retrospective cohort study using data from 2015-2021 and employed Cox proportional hazards models to adjust for various factors like past injuries and player position.
  • Results showed no significant difference in injury risk between concussed players and their non-concussed counterparts, suggesting that other factors, like deconditioning due to time missed, could be influencing injury rates for returning players.
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Article Synopsis
  • The study examines basketball-related injuries in NBA players from the 2013-2014 to 2018-2019 seasons to understand injury trends and impacts over time.
  • Analysis of injuries using the NBA Injury and Illness Database showed that annual injury incidence ranged from 1550 to 1892, with a significant proportion leading to missed games.
  • Results indicated that preseason games had the highest injury rates, while playoff games had the lowest, and most injuries were acute and often resulted from contact with other players.
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Article Synopsis
  • Studies indicate that high ankle sprains in NFL players usually come with additional injuries, challenging the idea that they can be assessed in isolation.
  • The research found that only 13% of these injuries were isolated syndesmosis injuries, often occurring along with other ligament damage or fractures.
  • Recovery times varied significantly based on injury severity, with fractures and complete tears leading to much longer recovery periods, highlighting the importance of considering associated injuries when evaluating return to participation.
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Article Synopsis
  • Transient traumatic neuropraxia, known as "stingers" or "burners," is a common injury in football affecting the brachial plexus or cervical nerve roots, often occurring during gameplay.
  • A study analyzed NFL injury data from the 2015-2019 seasons, revealing that stingers were more prevalent during regular season games compared to preseason, with running backs and linebackers experiencing the highest rates.
  • Of the 691 stingers recorded, most players (76.41%) did not miss any significant game time, with those who did missing an average of 4.79 days due to the injury.
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Article Synopsis
  • The study investigates shoulder instability injuries among NFL athletes, emphasizing cases that did not lead to missed playtime, as prior research mainly focused on more severe injuries like dislocations.
  • Out of 546 recorded shoulder instability injuries from 2015 to 2019, 162 were categorized as non-missed time, predominantly being subluxations and occurring mostly during games.
  • The findings highlight that non-missed time injuries were most frequent in defensive secondary players and offensive linemen, with an overall incidence rate peaking during postseason games.
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Article Synopsis
  • ACL tears are common injuries in NFL players, with a long recovery time and often associated with other injuries detected through MRI.
  • A study reviewed 191 MRI scans of ACL injuries between 2015-2019, finding that 94.8% had bone bruises, 89% had additional knee injuries (including meniscal tears in 70% of cases), and 71% showed other ligament damage.
  • Most ACL injuries in this study were non-contact (79%), but contact injuries were more likely to involve concurrent injuries like MCL tears.
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Article Synopsis
  • Lower extremity (LEX) strains, including hamstring and calf strains, are common injuries in professional football, leading to significant time lost from participation.
  • A descriptive epidemiology study was conducted analyzing LEX strains among NFL players from 2015-2019, revealing that 26.7% of players experienced these injuries, primarily during preseason practices and regular season games.
  • The majority of LEX strains were hamstring related, with defensive secondary players being the most affected, and punt plays showing the highest injury rates compared to other play types.
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  • The study aimed to assess the impact of concussions on NFL players from 2015 to 2020, focusing on days and games missed, injury burden, and return-to-full-participation (RTFP) time.
  • Annually, an average of 3,639 player-days and 255 games were missed due to concussions, with players missing a median of 9 days before returning, showing slight variations by position.
  • The results indicated that 59% of players missed at least one game post-concussion, and none returned on the same day of injury, highlighting the need for further research into concussions that lead to longer recovery times.
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Background: Sport-related concussion (SRC) prevention and management is a focus of the National Football League (NFL). While most prior reports evaluated sport-related concussion incidence, few have studied same-year repeat concussions. This study aimed to evaluate the frequency of same-year repeat concussions in the NFL.

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Background: There is a paucity of literature regarding injury incidence, mechanism, and return to play in National Football League (NFL) players who have sustained traumatic posterior hip instability.

Purpose: To describe the incidence of traumatic posterior hip instability and the rate of return to play in NFL players across 18 seasons.

Study Design: Descriptive epidemiology study.

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Article Synopsis
  • The study investigates the causes of ACL injuries in professional American football players, aiming to understand how factors like player position and body mass index (BMI) influence these injuries.
  • In a review of ACL tears from NFL games between 2014 to 2019, it was found that only 30% of injuries were due to direct contact with the injured leg, with significant variations based on player position.
  • Players with a higher BMI were more likely to experience direct contact injuries, and the timing of the injury within the game also influenced whether it resulted from direct contact, with the third quarter showing the highest likelihood.
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Article Synopsis
  • The study analyzes shoulder instability injuries among NFL players from 2012 to 2017, identifying a total of 403 missed-time injuries across 355 players, with a predominance during games and caused mainly by contact.* ! -
  • Most of these injuries were classified as subluxations (70%) compared to dislocations (30%), with anterior dislocations being the most common, and dislocations resulting in longer recovery times (47 days median) compared to subluxations (13 days median).* ! -
  • The defensive secondary position had the highest total injuries, but quarterbacks exhibited the greatest injury rate during games, highlighting a need for better understanding and prevention strategies for shoulder instability in elite football athletes.* !
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Article Synopsis
  • The study aimed to evaluate the relationship between fluoroquinolone antibiotic use and tendon injuries among adolescents aged 12-18 years.
  • It analyzed health data from 2000 to 2018, focusing on tendon ruptures and tendinitis occurring within 90 days of using fluoroquinolones compared to other antibiotics.
  • Results indicated that the risk of tendon rupture was minimal, with rare occurrences, while the risk of tendinitis was slightly higher, suggesting that the potential risks of fluoroquinolone treatment should be weighed against more common side effects.
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Article Synopsis
  • Anterior cruciate ligament (ACL) tears are prevalent among NFL players, significantly impacting their performance and health, yet detailed statistics on these injuries have been limited.
  • A study analyzing NFL injury data from 2015-2019 found a total of 314 ACL injuries, averaging 62 per year, with a 1.9% injury risk per season.
  • Injuries were most frequent during games, especially in preseason, particularly among players with less than 3 years of experience and those in special teams positions.
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Article Synopsis
  • * An analysis was conducted using data from nearly 3 million women aged 13-45 who either started low-dose OCs or received an IUD, tracking ACL injuries over time.
  • * Results showed no significant difference in ACL injury risk between OC users and IUD users, indicating that any previous claims of OCs providing a protective effect may have been influenced by biases in earlier studies.
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Article Synopsis
  • Evidence-based research is crucial in sports medicine, focusing on reducing injury risk and improving care for injured athletes.
  • For research to effectively impact injury reduction and treatment outcomes, it needs to adhere to high standards of rigor and quality.
  • Recent trends raise concerns about evidence quality, particularly regarding the use of athletic performance metrics and publicly available data in injury research.
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  • The study aimed to compare the outcomes of primary arthroscopic hip labral reconstruction in patients aged 40 and older to those who underwent labral repair, along with a comparison to younger patients (aged 30-39) who also had reconstruction.
  • It included data from 363 hips across 343 patients, with an average follow-up of 4.2 years, focusing on metrics like the modified Harris Hip Score and pain levels to determine the effectiveness and failure rates of the procedures.
  • Results indicated that hips in the repair group aged 40 and older had a significantly higher failure rate than those in the reconstruction group of the same age; however, the improvement in hip function scores was notably better for both reconstruction groups compared to the
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Article Synopsis
  • Ankle sprains are a common injury in basketball, particularly among NBA players, but detailed statistics on their occurrence are scarce.
  • A study covering the 2013-14 to 2016-17 NBA seasons found that 25.8% of players experienced an ankle sprain, primarily during games and generally due to contact injuries.
  • While over half of these sprains didn't cause any missed games, those that did resulted in an average of 2 games lost, contributing to a significant overall number of missed player-games.
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Article Synopsis
  • The study aimed to assess how long adolescents miss school after undergoing 10 common orthopedic surgeries.
  • It involved 206 patients aged 5 to 19 who were contacted post-surgery to track their return to school and the number of days missed.
  • Results showed the average time to return was 13 days, with females missing slightly more days than males and scoliosis fusion patients missing the most school days overall.
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Article Synopsis
  • The text reviews literature on the occurrence of acute ankle sprains in the U.S., focusing on incidence rates and their implications for physically active individuals.
  • It highlights the commonality and high recurrence rates of ankle sprains, linking them to chronic ankle instability (CAI) and long-term issues like osteoarthritis.
  • The findings aim to aid healthcare providers in recognizing the incidence of ankle sprains, understanding their long-term impacts, and utilizing injury prevention strategies.
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  • The study focuses on ACL reconstruction in adolescents, specifically using hamstring tendon autografts, and examines how upsizing these grafts may affect the likelihood of graft failure.
  • A retrospective analysis of 354 patients aged 19 and younger found that different graft constructs had varying diameters and failure rates, with an overall graft rupture rate of 14%.
  • Results indicated that patients with allograft-augmented grafts (6-STGAllo) had a significantly higher likelihood of graft rupture compared to those with the 4-strand graft (4-STG), suggesting upsizing may not always reduce failure risk.*
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Article Synopsis
  • The NBA has created a centralized electronic medical record system for all player health data, which is used by all 30 teams to standardize records on injuries, illnesses, and participation in games and practices.
  • This system links additional data from external sources, enhancing the information available for assessing injury trends and developing prevention programs.
  • The article aims to explain how this injury database is set up, detailing data collection, external linkages, and efforts to improve data quality and reporter training.
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Article Synopsis
  • A descriptive study was conducted to analyze the incidence of anterior cruciate ligament (ACL) reconstruction surgeries in the U.S. from 2002 to 2014 using a large insurance database.
  • The study found that the overall rate of ACL reconstruction increased by 22% during this period, particularly among adolescents aged 13 to 17, where the rates for isolated surgeries and those combined with meniscal procedures rose significantly.
  • Interestingly, while rates of isolated ACL reconstruction were similar for both genders, males had higher rates when it came to surgeries involving the meniscus.
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Article Synopsis
  • The role of statistics and analytics in sports is becoming increasingly important, particularly in understanding sports injuries and performance.
  • The review outlines various research designs for assessing injury risk factors, injury surveillance, and common measures used to evaluate injury risk and association.
  • It aims to equip sports medicine clinicians with knowledge about current research methodologies and guidelines for designing effective sports injury research studies.
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