Clinical Journal of Sport Medicine最新文献_第10页

Identification, Prevention, and Management of Adverse Reactions Associated with the Intra-Articular Hyaluronic Acid Therapeutic Class: A Delphi Approach. 识别、预防和管理与关节内透明质酸治疗相关的不良反应：德尔菲法。

IF 1.8 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2025-11-20 DOI: 10.1097/JSM.0000000000001380

Megan Agnew, Daniel M Cushman, Stephanie Kliethermes, Jeremy Alland

{"title":"Identification, Prevention, and Management of Adverse Reactions Associated with the Intra-Articular Hyaluronic Acid Therapeutic Class: A Delphi Approach.","authors":"Megan Agnew, Daniel M Cushman, Stephanie Kliethermes, Jeremy Alland","doi":"10.1097/JSM.0000000000001380","DOIUrl":"10.1097/JSM.0000000000001380","url":null,"abstract":"Objective: The purpose of this study was to obtain expert consensus on the identification, management, and treatment of adverse reactions associated with the use of intra-articular hyaluronic acid (viscosupplementation) in any joint.Design: A Delphi approach was used to establish expert consensus between February and October 2024.Setting: The Delphi study was conducted virtually using the Welphi survey platform and Qualtrics.Participants: An expert panel of 33 panelists was created after an open call to sports medicine physicians who were members of The American Medical Society for Sports Medicine. Snowball sampling was conducted to recruit additional experts outside of The American Medical Society for Sports Medicine.Main outcome measures: Outcome measures consisted of demographic characteristics and clinical experience and beliefs of the expert panelists, and items that achieved and did not achieve consensus after the Delphi study.Results: In total, 32 of 33 physicians completed all rounds of the Delphi study (97% completion rate). Most adverse reactions were agreed to be because of the administration of the injection rather than the substance itself. Severe adverse reactions including joint infection, pseudoseptic reaction, and large increase in pain at the injection site were deemed rare or very rare by the Delphi panel. Numerous prevention and treatment strategies were identified for mild and moderate adverse reactions. The only time discontinuation of viscosupplementation was recommended was in cases of pseudoseptic reactions and joint infections.Conclusions: This study provides expert guidance to clinicians on ways to identify and manage adverse reactions associated with viscosupplementation in their clinical practice.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"249-260"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562767","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}

引用次数: 0

Associations Between Physician-Recommended Early Physical Activity and Concussion Recovery Outcomes in Pediatric Patients. 医生推荐的早期体育活动与儿科患者脑震荡恢复结果之间的关系。

IF 1.8 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2025-08-28 DOI: 10.1097/JSM.0000000000001390

Emily Plumage, Sabrina Amin, Kele Ding, Krista K Wheeler, Steven Cuff, Gary A Smith, Jingzhen Yang

{"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":"10.1097/JSM.0000000000001390","url":null,"abstract":"Objective: To investigate the associations between physician recommendations for early physical activity (PA) after concussion and prolonged recovery in youth.Design: Retrospective observational study.Setting: Seven concussion clinics affiliated with a children's hospital.Patients: Youth aged 10 to 18 years diagnosed with a concussion who visited a concussion clinic within 14 days of injury.Main independent variable: Physician PA recommendations.Main outcome measure: Experiencing a prolonged recovery (yes/no).Results: 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).Conclusions: 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.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"231-239"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","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}

引用次数: 0

In Remembrance. 在纪念。

IF 1.8 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 DOI: 10.1097/JSM.0000000000001472

Rajwinder Deu

引用次数: 0

Parsonage-Turner Syndrome After Bacterial Pharyngitis in Childhood With Resulting Glenohumeral Joint Subluxation in Adulthood. 儿童期细菌性咽炎后的Parsonage-Turner综合征，成年后导致肩关节半脱位。

IF 2.1 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2025-06-24 DOI: 10.1097/JSM.0000000000001378

Sosi Dzhugarian, Griffin Elbert

引用次数: 0

Sports Medicine Physician Burnout-American Medical Society for Sports Medicine Survey Findings. 运动医学医师倦怠-美国医学会运动医学调查结果。

IF 2.1 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2026-03-27 DOI: 10.1097/JSM.0000000000001441

Rahul Kapur, Sarah B Kinsella, Derek Hersch, Mary Earm, Caroline S Carlin, Thomas Trojian

{"title":"Sports Medicine Physician Burnout-American Medical Society for Sports Medicine Survey Findings.","authors":"Rahul Kapur, Sarah B Kinsella, Derek Hersch, Mary Earm, Caroline S Carlin, Thomas Trojian","doi":"10.1097/JSM.0000000000001441","DOIUrl":"10.1097/JSM.0000000000001441","url":null,"abstract":"Objectives: Sports medicine is not identified as a separate specialty in published surveys on burnout. The goal of this study is to determine the burnout rate among US sports medicine physicians by surveying the membership of the American Medical Society for Sports Medicine (AMSSM) and to assess contributing factors to their burnout.Design: Burnout was assessed using the Mini Z Burnout Survey. In addition, the survey included questions specific to sports medicine focusing on; time allocation, job fulfillment, stress from work activities, and appreciation by leadership.Setting: AMSSM members were invited to complete the cross-sectional survey through the official email listserv.Participants: Physician members of the AMSSM.Interventions: None.Main outcome measure: Burnout rate among sports medicine physicians.Results: Five hundred thirty-one of the 3436 eligible physician members completed the survey, with a response rate of 15.45%. Burnout rate among sports medicine physicians was 50%, which is comparable with other primary care fields. Administrative task burdens, lack of value alignment with leadership, and inadequate time and compensation for work performed outside of clinic (eg team coverage) were key drivers of burnout among sports medicine physicians.Conclusions: Sports medicine physicians burnout rate of 50% is similar to other primary care fields. Sports medicine physicians can use these data to advocate for systemic change at all levels to develop wellness and burnout mitigation strategies. More research is needed to evaluate causes of burnout in sports medicine physicians and assess prevention strategies.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"290-295"},"PeriodicalIF":2.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147520184","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}

引用次数: 0

Successful Retention of Transplants After Infection With Bacillus cereus After Anterior Cruciate Ligament Reconstruction Surgery. 前交叉韧带重建术后蜡样芽孢杆菌感染后移植物的成功保留。

IF 2.1 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2025-04-11 DOI: 10.1097/JSM.0000000000001363

Dongping Zhu, Fang Tan, Ran Lu, Chaolun Liang

引用次数: 0

Who Is Keeping Score: The Effect of a Mercy Rule on Head Impact Rates in Canadian High School Tackle Football Games. 谁在记分？怜悯规则对加拿大高中橄榄球比赛中头部撞击率的影响。

IF 1.8 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2025-03-18 DOI: 10.1097/JSM.0000000000001345

Mark Patrick Pankow, Reid Syrydiuk, Ash T Kolstad, Christopher R Dennison, Martin Mrazik, Brent E Hagel, Carolyn Emery

{"title":"Who Is Keeping Score: The Effect of a Mercy Rule on Head Impact Rates in Canadian High School Tackle Football Games.","authors":"Mark Patrick Pankow, Reid Syrydiuk, Ash T Kolstad, Christopher R Dennison, Martin Mrazik, Brent E Hagel, Carolyn Emery","doi":"10.1097/JSM.0000000000001345","DOIUrl":"10.1097/JSM.0000000000001345","url":null,"abstract":"Objective: To examine the association between the Mercy Rule (MR) and head impact incidence rates (IRs) in Canadian high school football games.Design: Cross-sectional.Setting: Calgary, Canada.Participants: Two high school football teams (ages 15-16 years) had a total of 16 team-games videorecorded and analyzed.Interventions: The MR mandates continuous running time in the second half of games when the score differential is 35 points or greater.Main outcome measures: Head impact IRs and incidence rate ratios (IRRs) were used to compare head impact rates in MR and non-MR games.Results: Mercy Rule games had 28% fewer plays, and the head impact IR per team-game was 27% lower [IRR, 0.73; 95% confidence interval (CI), 0.61-0.89] in MR games (IR, 241.67; 95% CI, 199.24, 293.13) than in non-MR games (IR, 328.91; 95% CI, 313.04, 345.57). Across all games (MR and non-MR), running plays accounted for more than half of all head impacts, and the head impact rates for running plays exceeded all other play types except for a sack of the quarterback. Players engaged in blocks (blocking or being blocked) accounted for 68.90% of all recorded head impacts. The highest proportion of impacts involved the front of the helmet (54.85%). There was no difference in head impact rates by player-play comparing MR and non-MR games (IRR, 1.01; 95% CI, 0.85, 1.19).Conclusions: Given the concerns for potential long-term consequences of repetitive head impacts, the MR is a prevention strategy by which head impact rates can be significantly lowered when a significant score differential exists.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"224-230"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656269","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}

引用次数: 0

Relationship Between Hip and Knee Muscle Volume and Neuromuscular Function in Women With Patellofemoral Pain. 髌骨股痛患者髋关节和膝关节肌肉体积与神经肌肉功能的关系。

IF 1.8 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2025-12-05 DOI: 10.1097/JSM.0000000000001396

Rutvi Shah, Hector Rivera, Diana Cao, Sungwan Kim, Neal R Glaviano

{"title":"Relationship Between Hip and Knee Muscle Volume and Neuromuscular Function in Women With Patellofemoral Pain.","authors":"Rutvi Shah, Hector Rivera, Diana Cao, Sungwan Kim, Neal R Glaviano","doi":"10.1097/JSM.0000000000001396","DOIUrl":"10.1097/JSM.0000000000001396","url":null,"abstract":"Objective: To investigate the relationship between hip and knee muscle volume and neuromuscular function (isokinetic strength, rate of torque development, and torque variability) in women with patellofemoral pain (PFP).Design: Cross-sectional study.Setting: University research laboratory.Participants: Twenty women with PFP.Main outcome measures: Isokinetic strength (60 degrees/second and 180 degrees/second), rate of torque development, and torque variability were assessed with an isokinetic dynamometer for hip extension, hip abduction, knee extension, and knee flexion. Muscle volume of the lower extremity muscles (cm 3 /kg·m) was quantified through magnetic resonance imaging. Pearson r correlation or Spearman ρ coefficients were calculated to evaluate the relationship between muscle volume and neuromuscular function, with significance set at P < 0.05.Results: Muscle volume for all muscle groups was moderately correlated with isokinetic strength at 60 degrees/second, r ≥ 0.452, P ≤ 0.046. Hip abduction and extension were moderately correlated with isokinetic strength at 180 degrees/second, r ≥ 0.485, P ≤ 0.030; however, no significant correlations were identified between muscle volume and rate of force development or torque variability, P < 0.05.Conclusions: The results suggest that isokinetic strength is associated with hip and knee muscle volume in women with PFP; however, additional measures of neuromuscular function (rate of torque development and torque variability) are not associated with muscle volume in lower extremity muscles.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"273-279"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676728","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}

引用次数: 0

Identifying High-Risk Combat Sport Athletes: Position Statement of the Association of Ringside Physicians. 识别高危格斗运动运动员：拳击医生协会的立场声明。

IF 1.8 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2025-12-19 DOI: 10.1097/JSM.0000000000001403

Junaid Munshi, George Velasco, Richard A Giovane, Alex Houser, Nitin K Sethi, Kirlos N Haroun, Abhilash R Davlapur, Mario Iglesias-Muñiz, Donald Ours, Ashley James, Joe Ghorayeb, Thomas John, Kevin deWeber

引用次数: 0

From Surgery to Sports Career: The Long-Term Fate of Athletes With Discoid Meniscus. 从手术到运动生涯：运动员盘状半月板的长期命运。

IF 1.8 3区医学

Clinical Journal of Sport Medicine Pub Date : 2026-05-01 Epub Date: 2025-05-23 DOI: 10.1097/JSM.0000000000001369

Tunay Erden, Muzaffer Agir, Jotyar Ali, Berkin Toker, Omer Taser

{"title":"From Surgery to Sports Career: The Long-Term Fate of Athletes With Discoid Meniscus.","authors":"Tunay Erden, Muzaffer Agir, Jotyar Ali, Berkin Toker, Omer Taser","doi":"10.1097/JSM.0000000000001369","DOIUrl":"10.1097/JSM.0000000000001369","url":null,"abstract":"Objective: This study aimed to evaluate the long-term effectiveness of different surgical techniques for discoid meniscus in athletes.Design: This retrospective cohort study included 44 athletes (51 knees) who underwent arthroscopic surgery for symptomatic discoid meniscus between 1996 and 2019.Setting: The study was conducted at a tertiary-level sports medicine center.Patients: Athletes aged 15 to 35 years with symptomatic discoid meniscus confirmed by magnetic resonance imaging and requiring surgical treatment were included. Exclusion criteria were cartilage injuries (Outerbridge grades 3-4), concomitant ligament injuries requiring surgery, osteochondritis dissecans, and prior knee surgery.Interventions: Patients underwent arthroscopic partial, subtotal, or total meniscectomy, with or without meniscus repair.Main outcome measures: Functional outcomes were assessed using Visual Analog Scale (VAS), International Knee Documentation Committee (IKDC), and Lysholm scores. Osteoarthritis progression was evaluated using the Kellgren-Lawrence classification. Return to sports time and total career duration were also recorded and compared between the surgical groups.Results: The mean follow-up was 13.5 ± 6.2 years (range: 5-27 years). At the final follow-up, 72% of the meniscus-preserving group (partial meniscectomy and repair) had KL grade 0 osteoarthritis, whereas 38% of the subtotal/total meniscectomy group developed KL grades 3 to 4 osteoarthritis ( P < 0.001). All groups showed significant postoperative functional improvements ( P < 0.001), but career duration and return to play time were significantly longer in the meniscus-preserving group ( P = 0.004, P < 0.001, respectively).Conclusions: Subtotal/total meniscectomy significantly accelerates osteoarthritis progression. Meniscus-preserving techniques provide better long-term outcomes.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"261-266"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126900","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}

引用次数: 0