Clinical Journal of Sport Medicine最新文献

{"title":"Step It Up to Level Up: After Anterior Cruciate Ligament Reconstruction, Do Individuals Reach Internationally Recommended Physical Activity Levels and How Do These Levels Compare With Uninjured Controls? A Systematic Review and Meta-Analysis.","authors":"Richard E Magony, Katelyn M Inch, Jenna M Schulz, Alan M J Getgood, Dianne M Bryant, Derek N Pamukoff, Jane S Thornton","doi":"10.1097/JSM.0000000000001366","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001366","url":null,"abstract":"<p><strong>Objective: </strong>Anterior cruciate ligament reconstruction (ACLR) leads to high rates of knee post-traumatic osteoarthritis (PTOA). Physical activity may mitigate PTOA risk but levels after ACLR have not been extensively studied. We aimed to review self-reported and device-measured physical activity levels in individuals with ACLR and compare them with international guidelines, and with uninjured controls.</p><p><strong>Data sources: </strong>MEDLINE, Embase, Scopus, Google Scholar, Cochrane Library, Web of Science, and SPORTDiscus were searched from inception to 22 June 2023.</p><p><strong>Main results: </strong>Of the 5391 studies identified on our initial search, 15 satisfied the inclusion criteria for analysis (N = 544 individuals with ACLR). Across all studies, the average physical activity levels for individuals with ACLR were 343 ± 185 moderate-to-vigorous physical activity (MVPA) min/wk and 8453 ± 233 steps/day. In studies measuring the proportion of individuals with ACLR reaching MVPA guidelines, 147/213 (69%) achieved ≥150 min/wk. Of those using step counts, 22/85 (26%) achieved ≥10 000 steps/day. Individuals with ACLR engaged in less physical activity than uninjured controls (SMD = -0.37 [95% CI = -0.60 to -0.15]; P < 0.001).</p><p><strong>Conclusions: </strong>Individuals typically meet recommended MVPA, but not steps, after ACLR. Optimal volume, type, and weight-bearing nature of physical activity should be further investigated given the beneficial role of moderate mechanical loading in knee health. Our findings suggest that steps per day may represent a potentially modifiable prevention target and may help guide the future development of tailored physical activity guidelines for PTOA prevention after ACLR.</p><p><strong>Prospero registration number: </strong>CRD42022330699.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Physician-Recommended Early Physical Activity and Concussion Recovery Outcomes in Pediatric Patients.","authors":"Emily Plumage, Sabrina Amin, Kele Ding, Krista K Wheeler, Steven Cuff, Gary A Smith, Jingzhen Yang","doi":"10.1097/JSM.0000000000001390","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001390","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the associations between physician recommendations for early physical activity (PA) after concussion and prolonged recovery in youth.</p><p><strong>Design: </strong>Retrospective observational study.</p><p><strong>Setting: </strong>Seven concussion clinics affiliated with a children's hospital.</p><p><strong>Patients: </strong>Youth aged 10 to 18 years diagnosed with a concussion who visited a concussion clinic within 14 days of injury.</p><p><strong>Main independent variable: </strong>Physician PA recommendations.</p><p><strong>Main outcome measure: </strong>Experiencing a prolonged recovery (yes/no).</p><p><strong>Results: </strong>Of 3249 youth included, 63.1% were males and 79.0% were White, with more than half in the 15 to 18 age group (54.6%). From 2012 to 2019, the proportion of physicians recommending light aerobic activity or noncontact PA increased from 12.6% to 62.0% and from 19.3% to 72.5% for youth seen in week 1 and week 2 postinjury, respectively. Youth who received light aerobic activity [adjusted odds ratio (aOR) = 0.37, 95% confidence interval (CI) = 0.29-0.48] or noncontact PA (aOR = 0.27, 95% CI = 0.12-0.64) recommendations had significantly lower odds of experiencing prolonged recovery than youth with recommendations for no PA. In addition, patients evaluated in the second week postinjury were more likely to experience prolonged recovery than those seen within 1 week postinjury (aOR = 2.52, 95% CI = 2.07-3.07).</p><p><strong>Conclusions: </strong>Youth who received recommendations for light aerobic or noncontact activities had a reduced likelihood of prolonged recovery compared with those recommended no PA, suggesting early PA may play a role in hastening concussion recovery in youth. Further research is needed to explore patient adherence to these prescriptions.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpreting ECGs in Ethiopian Athletes: Do International Criteria Apply? A Case Series.","authors":"Noga Reshef, Shirit Kazum Beiser, Anat Milman","doi":"10.1097/JSM.0000000000001389","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001389","url":null,"abstract":"<p><strong>Abstract: </strong>We present 3 cases of Ethiopian endurance athletes with electrocardiographic patterns resembling the historically described \"Black athlete\" ECG phenotype. Two athletes presented with symptoms-palpitations and presyncope-and were evaluated in emergency settings. Their ECGs showed T-wave inversions and ST-segment elevation in right precordial leads. Comprehensive workup, including imaging and stress testing, excluded structural or arrhythmic pathology. The third case involved an asymptomatic female marathon runner undergoing routine screening, with similar ECG findings. Longitudinal follow-up confirmed a physiological basis. These cases illustrate the phenotypic overlap between Ethiopian athletes and ECG patterns historically attributed to athletes of African descent, despite limited data validating such patterns in specific subpopulations. The findings underscore limitations of race-based ECG interpretation and highlight the need for more inclusive, phenotype-driven research in sports cardiology to improve accuracy and reduce misclassification. This case series supports the consideration of broader population diversity in developing athlete ECG criteria.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144820699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sport-Related Concussion Knowledge in French-Speaking Athletes, Coaches, and Health Care Professionals: Results From an International Survey on 2073 Participants.","authors":"Géraldine Martens, Aurore Thibaut, Axel Urhausen, Philippe M Tscholl, Charlotte Beaudart, Thomas Romeas, Louis de Beaumont, Jeffrey G Caron, Sébastien Le Garrec, Didier Hannouche, Romain Seil, Jean-François Kaux, Suzanne Leclerc","doi":"10.1097/JSM.0000000000001388","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001388","url":null,"abstract":"<p><strong>Objective: </strong>Evaluating sports-related concussion (SRC) knowledge, awareness of evaluation tools and management protocols, and access to educational resources within the French-speaking sports community in Canada and Europe.</p><p><strong>Design: </strong>Cross-sectional, anonymous online survey.</p><p><strong>Participants: </strong>French-speaking athletes, coaches, and health care professionals (HCPs).</p><p><strong>Intervention: </strong>The electronic survey consisted of 33 questions that can be grouped into the following 3 categories: (1) SRC knowledge assessment through self-report and general knowledge questions, (2) awareness of internationally recommended detection tools and managements protocols, and (3) access to educational resources. The survey was codeveloped with athletes, coaches, and HCP and validated by and expert panel.</p><p><strong>Main outcome measures: </strong>A SRC knowledge score was built based on answers to 4 questions on SRC mechanisms, symptoms, and management. Awareness of the Sport Concussion Assessment Tool 5, the Concussion Recognition Tool 5, and the 6-step return to sport protocol were collected with coaches and HCPs.</p><p><strong>Results: </strong>Overall, 2073 participants responded to the survey, comprising 48% athletes, 33% coaches and 19% HCP. Knowledge scores (/100, median [IQR]) were highest among HCPs [98.1 (96.2, 100)], followed by coaches [96.2 (73.1, 98.1)], and athletes [90.4 (67.3, 92.3)] with significant differences between the groups (P < 0.001). Participants from Canada demonstrated higher knowledge scores [92.3 (75.0, 98.1)] than those from Europe [75.0 (67.3, 96.2); P < 0.001]. Similar differences were observed for the awareness of recommended tools and the access to educational resources.</p><p><strong>Conclusions: </strong>Knowledge translation strategies should be adapted to better reach the French-speaking sports community in Europe and further individualized according to professional role.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analyzing Disparities in Platelet-Rich Plasma Preinjection Protocols for Musculoskeletal Injuries.","authors":"Jacob Barr, Matthew Stern, Krystal Hunter, Pietro Gentile, Cody Clinton","doi":"10.1097/JSM.0000000000001384","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001384","url":null,"abstract":"<p><strong>Objective: </strong>To assess platelet-rich plasma (PRP) preinjection protocols of American Medical Society for Sports Medicine (AMSSM) physicians.</p><p><strong>Design: </strong>Prospective cohort study distributed by the AMSSM through their email list-serv through REDCap.</p><p><strong>Setting: </strong>Virtual survey distribution.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>Demographic information, number of injections, conditions treated, and average cost were assessed. Outcomes were centrifuge kits, leukocyte preparation, complete blood count ordered, and nonsteroidal anti-inflammatory drugs restriction. The preferred classification systems of PRP researchers were also assessed.</p><p><strong>Results: </strong>Of the 246 survey participants, 214 providers treated patients with PRP injections, averaging 7.21 (±8.80 SD) injections per month. A single PRP injection was approximately $685 (±316 SD). Nearly three-quarters of participants (73.7%) were family medicine trained. The most common pathologies treated were for degenerative joint disease of the knee (85.7%) and lateral epicondylitis (72.4%). One-hundred ninety (90.5%) responders used commercial kits, with significant variability in types. Using both leukocyte-rich and leukocyte-poor preparations (63.0%) was favored. CBCs were not ordered in 93.3% of cases, and NSAIDs were discontinued in 92.4% of encounters with a mean restriction duration of 8.68 days. Platelet-rich plasma researchers comprised 15.2% (n = 32) of participants. Single classification systems were favored by 81.3%, with the most common classifications being PAW, MARSPILL, or Other.</p><p><strong>Conclusions: </strong>Although PRP protocol differences still exist, there may be more homogeneity than previously considered. However, significant variability in kit types and PRP preparations is present, which makes comparing outcome measures across institutions challenging.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144741354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinically Important Improvements Observed in Patient-Reported Outcomes 2 Years After Exercise Therapy for Patients With Isolated Supraspinatus Tendon Tears.","authors":"Adam J Popchak, Janina Kaarre, Luke T Mattar, Clair N Smith, Volker Musahl, Richard E Debski, James J Irrgang","doi":"10.1097/JSM.0000000000001387","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001387","url":null,"abstract":"<p><strong>Objective: </strong>To describe and predict patient-reported outcomes (PROs) and to investigate differences between individuals with a rotator cuff tear who were and were not successfully treated with a 12-week exercise therapy program.</p><p><strong>Design: </strong>Prospective observational cohort.</p><p><strong>Setting: </strong>Orthopedic sports medicine clinical practice settings and departments of orthopedic surgery, physical therapy, and bioengineering at the University of Pittsburgh.</p><p><strong>Participants: </strong>Eighty-two individuals, age ≥40 years with a symptomatic isolated supraspinatus tear.</p><p><strong>Interventions: </strong>Individualized 12-week exercise therapy program and longitudinal follow-ups at 3, 6, 12, and 24 months.</p><p><strong>Main outcome measures: </strong>(1) PROs: Western Ontario Rotator Cuff (WORC) index (WORC) & Numeric Pain Rating Scale (NPRS), (2) shoulder range of motion (ROM) and strength, (3) rotator cuff tear size and location, (4) glenohumeral kinematics.</p><p><strong>Results: </strong>Significant improvements in both PROs were observed at all time points when compared with baseline. At the 24-month follow-up, improvement greater than the minimally clinically important difference was noted for 78% of individuals for the WORC and 55% for the NPRS. Baseline predictors for 24-month change in WORC and an overall successful outcome were identified and included the baseline WORC score and the side-to-side difference in ROM for external rotation at 90 degrees abduction.</p><p><strong>Conclusions: </strong>Individuals with symptomatic, isolated supraspinatus tears, managed with exercise therapy, experienced clinically important improvements in self-reported disability and more than half experienced a similar improvement in pain, at a 2-year follow-up. Baseline patient-reported outcomes measures and side-to-side differences passive ROM predicted 24-month success after exercise therapy. These findings may be useful in plan-of-care decision making.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Neuropsychological Outcome and Effect of Cognitive Reserve in Retired Athletes.","authors":"Bonnie-Kate Dewar, James Murray, Hugo Pedder, Michael Turner","doi":"10.1097/JSM.0000000000001381","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001381","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the long-term neuropsychological outcome in retired, predominantly equestrian, athletes with a history of concussion and determine whether there is a protective role of cognitive reserve in the expression of cognitive impairment.</p><p><strong>Design: </strong>The neuropsychological functioning of retired athletes with a history of concussion was compared with controls.</p><p><strong>Setting: </strong>Private research clinic as part of the ICHIRF study.</p><p><strong>Participants: </strong>Male and female retired athletes and controls.</p><p><strong>Interventions: </strong>Participants were administered a battery of standardized neuropsychological tests.</p><p><strong>Main outcome measure: </strong>A principal components analysis regression was conducted, adjusted for participant characteristics. Premorbid function was used as an index of cognitive reserve.</p><p><strong>Results: </strong>Three components were identified that explained >95% of the variance in 14 neuropsychology tests; the first component (PC1) explained 87% of the variance. A regression model on PC1 identified an association between concussion and PC1, with lower scores in concussed participants with lower premorbid function.</p><p><strong>Conclusions: </strong>A history of concussion is associated with lower neuropsychological performance, and this is more pronounced in individuals with lower premorbid functioning, an indicator of cognitive reserve.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic Utility of Immediate Memory and Delayed Recall Assessments for Adolescent Concussion.","authors":"Mani Singh, Katherine L Smulligan, Mathew J Wingerson, Samantha Magliato, Julie C Wilson, David Howell","doi":"10.1097/JSM.0000000000001379","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001379","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prognostic utility of 10-word immediate memory and delayed recall assessments at an initial post-concussion evaluation for predicting persisting post-concussion symptom (PPCS) development.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Participants: </strong>Adolescents (N = 160) seen for concussion at a sports medicine center between June 2018 and November 2019.</p><p><strong>Independent variables: </strong>We categorized participants based on their symptom recovery time, as PPCS (symptoms >28 days) and no PPCS (symptoms ≤28 days).</p><p><strong>Main outcomes: </strong>Patients completed 10-word immediate memory and delayed recall assessments at the time of their initial evaluation. We grouped patients based on timing of their initial visit: 1 to 7 days post-concussion versus 8 to 21 days post-concussion and calculated their symptom duration (time from injury until symptom resolution).</p><p><strong>Results: </strong>For patients seen 1 to 7 days post-concussion (N = 69; 14.4 ± 2.4 years; 41% female), those who developed PPCS (N = 19, 28%) had significantly worse immediate memory (6.2 ± 1.8 vs 7.2 ± 1.7 words correct; P = 0.04; Cohen d = 0.55) and delayed recall (3.6 ± 1.8 vs 5.5 ± 2.2 words correct; P = 0.002; Cohen d = 0.87) performance compared with those who did not develop PPCS. For patients seen 8 to 21 days post-concussion (N = 91; 14.1 ± 2.6 years; 53% female), there were no significant differences between those who developed PPCS (N = 45, 49%) and did not on immediate memory (7.2 ± 1.7 vs 6.7 ± 2.1 words correct; P = 0.21; Cohen d = 0.26) or delayed recall (5.2 ± 2.3 vs 5.4 ± 2.1 words correct; P = 0.61; Cohen d = 0.11) performance.</p><p><strong>Conclusions: </strong>The 10-word immediate memory and delayed recall assessments have prognostic utility for PPCS when administered within the first week post-concussion and may help clinicians identify those at greatest risk of developing PPCS.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parsonage-Turner Syndrome After Bacterial Pharyngitis in Childhood With Resulting Glenohumeral Joint Subluxation in Adulthood.","authors":"Sosi Dzhugarian, Griffin Elbert","doi":"10.1097/JSM.0000000000001378","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001378","url":null,"abstract":"<p><strong>Abstract: </strong>Parsonage-Turner syndrome (PTS), also known as neuralgic amyotrophy, presents with unilateral shoulder pain, followed by weakness. Associated sensory symptoms such as numbness may also occur. Contrary to the traditional thought that the condition typically self-resolves within weeks or gradually reaches full recovery with conservative management, more recent reports have revealed that a large portion of affected individuals experience persistent symptoms. We present an unusual case in which the patient developed PTS associated with streptococcal pharyngitis as a child, and his shoulder symptoms did not recover despite ongoing physical therapy. By young adulthood, he developed high-grade glenohumeral joint subluxation on the verge of full dislocation. Furthermore, imaging demonstrated the possibility of a reverse Hill-Sachs deformity. In addition to resumption of physical therapy, the patient has been referred to a tertiary care center to determine whether tendon transfer is a viable treatment option.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From the Field to the Screen: A Scoping Review of Video Analysis as a Tool for Understanding Thigh Muscle-Tendon Injuries in Football.","authors":"Stefano Palermi, Filippo Vittadini, Carles Pedret, Marco Vecchiato, Francesco Della Villa, Alessandro Corsini, Aleksi Jokela, Lasse Lempainen","doi":"10.1097/JSM.0000000000001377","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001377","url":null,"abstract":"<p><strong>Objective: </strong>Muscle-tendon injuries are critical setbacks in professional football, significantly affecting player availability and team performance. Understanding these injury mechanisms through video analysis is crucial for developing effective prevention and rehabilitation strategies that enhance player welfare and optimize performance. This review aimed to synthesize data from articles that used video analysis to explore mechanisms of thigh muscle-tendon injuries in football.</p><p><strong>Data source: </strong>A comprehensive literature search was conducted from 2010 to 2025 using a scoping review methodology. The quality of the included studies was assessed using the Quality Appraisal for Sports Injury Video Analysis Studies (QA-SIVAS) scale.</p><p><strong>Main results: </strong>The review of 10 studies identified that noncontact and indirect contact mechanisms are predominantly responsible for severe thigh muscle-tendon injuries in football. Common injury scenarios involved sprinting-induced strains and kicking actions, highlighting the significant role of eccentric loading and rapid biomechanical changes.</p><p><strong>Conclusions: </strong>Video analysis has emerged as a vital tool in sports medicine, providing deep insights into the complex mechanisms of thigh muscle-tendon injuries in football. The continuous improvement of analytical methods, including the adoption of advanced technologies such as artificial intelligence, is imperative for refining prevention and rehabilitation protocols.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}