Determining the criteria for an injured athlete's return to competition can be a confusing scenario when all the individuals involved are brought in. These may include the athlete, parents, guardians, coaches, family physician, the athletic trainer, and others. Providing a foundation from which all can understand the reasoning is key. It must be understood that the primary responsibility is to cause no harm to the athlete, while enabling him or her to participate at the highest level possible. This article discusses the importance of establishing guidelines, athletes' behavioral responses to RTP decisions, testing procedures, and the level of sport and intangible factors related to RTP criteria.
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http://dx.doi.org/10.1016/j.csm.2009.09.008 | DOI Listing |
Am J Sports Med
January 2025
Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA.
Background: Ruptures of the distal biceps tendon (DBT) can affect the range of motion and strength of the elbow, raising concerns for patients seeking to restore normal function and engage in their regular activities, particularly returning to previous levels of sport participation.
Purpose: To characterize and assess the rate and timing of return to sport (RTS) after DBT repair.
Study Design: Systematic review; Level of evidence, 4.
Am J Sports Med
January 2025
Department of Orthopedic Surgery, Boston Medical Center, Boston, Massachusetts, USA.
Background: Anterior cruciate ligament (ACL) tears are frequent injuries in athletes that often require surgical reconstruction so that patients may return to their previous levels of performance. While existing data on patient-reported outcomes are similar between bone-patellar tendon-bone (BTB) and hamstring tendon (HT) autografts, the literature regarding return to sport (RTS), return to previous levels of sport activity, and graft failure rate remains limited.
Purpose: To compare rates of RTS, return to previous activity levels, and graft retears among athletes undergoing primary ACL reconstruction using a BTB versus HT autograft.
Arthroscopy
January 2025
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center. Electronic address:
Purpose: The purpose of this study was to evaluate sex-based disparities in outcomes following surgery for anterior shoulder instability and to assess the quality of the current literature on this topic.
Methods: Following PRISMA guidelines, a June 2023 database search (PubMed, Web of Science, Embase, Cinahl) identified level I-III clinical studies on anterior shoulder instability (Jan 2003-May 2023). Eligible studies included male and female outcomes after anterior shoulder stabilization.
Sports Med
January 2025
Indiana Alzheimer's Disease Research Center, Indiana University School of Medicine, Indianapolis, IN, USA.
Background: Identification of genetic alleles associated with both Alzheimer's disease (AD) and concussion severity/recovery could help explain the association between concussion and elevated dementia risk. However, there has been little investigation into whether AD risk genes associate with concussion severity/recovery, and the limited findings are mixed.
Objective: We used AD polygenic risk scores (PRS) and APOE genotypes to investigate any such associations in the NCAA-DoD Grand Alliance CARE Consortium (CARE) dataset.
Background: Return to sport testing after ACL reconstruction (ACLR) is becoming increasingly popular. Anecdotally, some believe that patients who undergo a second ACL surgery on either the ipsilateral or contralateral leg progress through their rehabilitation goals faster the second time through. The purpose of this study was to evaluate the rate of strength progression in return to sport testing after primary and secondary ACLR surgeries in a young, active population.
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