Publications by authors named "Michael Austen"
Article Synopsis
- The global sports medicine community is interested in understanding if repetitive head impacts (RHI) lead to chronic traumatic encephalopathy (CTE) and its related clinical syndromes.
- A 2022 article claimed to provide definitive proof of causality between RHI and CTE using the Bradford Hill criteria, sparking significant media attention.
- However, the authors of this counterpoint argue that the evidence is insufficient to support those claims and stress the need for precise definitions, consistent measurements, and well-designed studies before establishing any causal links.
Aim: To test the clinical validity and financial implications of the proposed Choosing Wisely statement: "Using ultrasound as a screening test for shoulder instability is inappropriate in people under 30 years of age, unless there is clinical suspicion of a rotator cuff tear."
Method: A retrospective chart review from a specialist shoulder surgeon's practice over a two-year period recorded 124 patients under the age of 30 referred with shoulder instability. Of these, forty-one had already had ultrasound scans performed prior to specialist review.