Clinical Journal of Sport Medicine最新文献

{"title":"Using Dissemination and Implementation Science to Optimize Knowledge Translation in Sports Medicine and Related Fields: A Focus on Hybrid Research Approaches.","authors":"Oluwatoyosi B A Owoeye, Amanda M Black, Ross C Brownson","doi":"10.1097/JSM.0000000000001340","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001340","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540299","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":"Are Elbow Osteochondritis Dissecans Lesions Different for Gymnasts and Baseball Players?","authors":"Morgan R Hadley, Olivia K Pruss, Jonathan R Warren, Brian S Harvey, Donna M Pacicca","doi":"10.1097/JSM.0000000000001336","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001336","url":null,"abstract":"<p><strong>Objective: </strong>Gymnasts and baseball players have different mechanisms of loading their elbows, and there is little data comparing osteochondritis dissecans (OCD) lesions between these 2 sports. Our objective is to compare the clinical and imaging characteristics of elbow OCD lesions between weight-bearing and throwing athletes.</p><p><strong>Design: </strong>Review from 2015 to 2022.</p><p><strong>Setting: </strong>Sports medicine clinics at a large academic center.</p><p><strong>Patients: </strong>Thirty-four patients were included.</p><p><strong>Independent variables: </strong>Patients were divided into 2 groups: gymnastics and baseball.</p><p><strong>Main outcome measures: </strong>Location of elbow OCD lesion on the capitellum, stability of lesion, lesion size, and the presence of a radial head deformity.</p><p><strong>Results: </strong>Twenty-two (65%) baseball players and 12 (35%) gymnasts were included with 97% (33/34) of athletes presenting with a capitellar lesion. Seventy-six percent of athletes had a radial head deformity with no difference in frequency between groups ( P = 0.61). There was also no difference in frequency of lesion instability ( P = 0.56) or lesion size. Baseball players had a higher frequency of lesions located anteriorly on the capitellum compared with gymnasts (28% vs 0%, P = 0.02), and gymnasts had a higher frequency of lesions located centrally (24% vs 58%, P = 0.02). Gymnasts had significantly different presenting symptoms ( P = 0.03) with a higher frequency of isolated pain.</p><p><strong>Conclusions: </strong>There are no significant differences in the size, stability, or location of OCD lesions in weight-bearing and throwing athletes. The presence of an associated radial head deformity was seen on most radiographs without any difference between sport. Lesion location and symptoms at presentation are significantly different between gymnastics and baseball.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540281","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":"A Comparison of Suspected Injuries, Suspected Concussions, and Match Events in Male and Female Canadian High School 15s and 7s Rugby.","authors":"Taylor M Price, Stephen W West, Isla J Shill, Sharief Hendricks, Keith A Stokes, Carolyn A Emery","doi":"10.1097/JSM.0000000000001337","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001337","url":null,"abstract":"<p><strong>Objective: </strong>To compare match event rates and suspected injury and concussion rates between 7-a-side (7s) and 15-a-side (15s) female and male high school rugby union players using video analysis (VA).</p><p><strong>Design: </strong>Cross-sectional video analysis study.</p><p><strong>Setting: </strong>Alberta high school rugby competitions.</p><p><strong>Participants: </strong>Senior high school rugby players (ages 14-18 years) in Calgary, Alberta, participating in the March to June 2022 season.</p><p><strong>Assessment of risk factors: </strong>Video analysis of high school rugby matches in 7s and 15s.</p><p><strong>Main outcome measures: </strong>Univariate Poisson regression analyses were used to determine rates of match events, video-identified suspected injuries, and suspected concussions per 1000-player-hours. Incidence rates and incidence rate ratios (IRR) were used to compare between 7s and 15s (15s referent group) and females and males (male referent group).</p><p><strong>Results: </strong>Suspected injury rates ranged from 115.0 to 223.6/1000 match hours, while suspected concussion rates ranged from 61.5 to 93.2/1000 hours. The male 7s cohort reported the highest suspected injury and suspected concussion rate, with no significant differences between male or female cohorts across formats. The tackle accounted for 84.6% of all injuries. Despite 30% more tackles in female compared with male 15s, tackle-related injury rates were similar between sexes [IRR = 1.1 (95% CIs: 0.7-1.6)].</p><p><strong>Conclusions: </strong>This study did not find any differences in suspected injury or suspected concussion rates between sexes or formats of the game. The proportion of injuries recorded in the tackle and the high reported suspected injury rates does suggest the need for further investigation into tackle proficiency, injury prevention intervention evaluation, and potential law changes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540277","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":"Loss of Consciousness in Judo: Not Always a Concussion.","authors":"Kabir Singh, Nikos Malliaropoulos, Mike Callan, Akira Ikumi, Nicola Maffulli","doi":"10.1097/JSM.0000000000001281","DOIUrl":"10.1097/JSM.0000000000001281","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"101-102"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459588","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":"Ultrasound-Guided Intraosseous Injection of Bone Marrow Aspirate Concentrate for a Basketball Player With Bilateral Tibial Nonunion Fractures.","authors":"Farah S Hussain, Oluseun A Olufade","doi":"10.1097/JSM.0000000000001328","DOIUrl":"10.1097/JSM.0000000000001328","url":null,"abstract":"<p><strong>Abstract: </strong>We present a case of a professional basketball player who suffered from nonunion bilateral chronic tibial fractures, successfully treated with ultrasound-guided intraosseous injection with bone marrow aspirate concentrate. The patient was able to return to play full time after recovery from the procedure.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"246-247"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142906795","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":"Midterm Effects of SARS-CoV-2 on Respiratory Function in Judokas With and Without Exercise-Induced Bronchoconstriction: A Retrospective Study.","authors":"Özgür Bostancı, Emre Karaduman, Ali Kerim Yılmaz, Menderes Kabadayı, Sait Bilgiç","doi":"10.1097/JSM.0000000000001312","DOIUrl":"10.1097/JSM.0000000000001312","url":null,"abstract":"<p><strong>Objectives: </strong>The clinical consequences of coronavirus infection in elite judokas with exercise-induced bronchoconstriction (EIB) are unclear. We aimed to determine potential respiratory function abnormalities and recovery in athletes with and without EIB after severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Türkiye Olympic Preparation Centre.</p><p><strong>Participants: </strong>This retrospective study analyzed data collected from 25 consecutive elite judokas diagnosed with and without EIB and SARS-CoV-2 infection, routinely followed at an Olympic Sports Center between September 2020 and 2021.</p><p><strong>Independent variables: </strong>Respiratory muscle strength and pulmonary function data were collected before and up to 90 days after SARS-CoV-2 infection.</p><p><strong>Main outcome measures: </strong>Measurements included maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), forced expiratory volume in 1 second (FEV 1 ), forced vital capacity (FVC), FEV 1 /FVC ratio, and peak expiratory flow (PEF).</p><p><strong>Results: </strong>Infected athletes with EIB had more markedly reduced respiratory muscle strength and pulmonary function than those without EIB. Maximal inspiratory pressure was decreased by 14% and MEP by 8% from baseline in infected athletes with EIB during follow-up. Likewise, FEV 1 and FVC decreased by 4%. Maximal inspiratory pressure, MEP, FEV 1 , and FVC remained abnormal after 90 days of SARS-CoV-2 infection in EIB athletes but normalized rapidly in non-EIB athletes. Peak expiratory flow seemed unaffected during follow-up. Exercise-induced bronchoconstriction severity was moderately correlated with the maximum fall in MEP during follow-up.</p><p><strong>Conclusions: </strong>Severe acute respiratory syndrome coronavirus-2 infection notably decreases respiratory muscle strength and pulmonary function in judokas, especially those with pre-existing EIB, thereby prolonging spontaneous recovery time.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"162-168"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765893","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":"A Questionnaire-Based Analysis of the Impact of the COVID-19 Pandemic on the Psychological Health of Key Stakeholders Within an Elite Sports Organization.","authors":"Richard Collinge, Matt Springham","doi":"10.1097/JSM.0000000000001317","DOIUrl":"10.1097/JSM.0000000000001317","url":null,"abstract":"<p><strong>Objective: </strong>To examine the impact of the COVID-19 pandemic on the psychological health of key stakeholders within an elite UK sports organization.</p><p><strong>Design: </strong>The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) was sent electronically to 500 employees, and 8 face-to-face interviews were conducted at an elite-level professional football club.</p><p><strong>Setting: </strong>English Premier League (EPL) Football Club.</p><p><strong>Participants: </strong>Office/stadium staff, coaching/backroom staff, players from the male U23, women's and men's senior teams.</p><p><strong>Independent variables: </strong>Stakeholder groups that were invited to participate in the study: office/stadium staff, coaching/backroom staff, players from the U23, women's and men's senior teams, and variables of age and gender.</p><p><strong>Main outcome measure: </strong>WEMWBS scores across the office/stadium staff, coaching/backroom staff, and player cohort.</p><p><strong>Results: </strong>Of 122 responses (24% response rate) and 8 face-face interviews, the average WEMWBS score was 51.2 (SD ±8.4) and 14% of the cohort presented with scores suggestive of a higher risk of depression. The main findings were moderate effect size differences in WEMWBS scores with the players scoring higher than both the office/stadium staff ( P = 0.01) and the coaching/backroom staff ( P = 0.01).</p><p><strong>Conclusions: </strong>Office/stadium staff experienced greater compromising mental health effects from the COVID-19 pandemic, as compared with the coaching/backroom staff and players, respectively, suggesting that elite sports organizations should also consider providing mental health education and signposting strategies for this area of the workforce.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"177-183"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812246","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":"Systematic Review of COVID-19 and COVID-19 mRNA Vaccine Myocarditis in Athletes: Incidence, Diagnosis, Prognosis, and Return-to-Play Principles.","authors":"Olena Mahneva, Tamara R Fakhoury, Sukhwinder Singh Hanspal, Juan O Gonzalez Velazquez, Nikhil Patel, Milena J Henzlova","doi":"10.1097/JSM.0000000000001320","DOIUrl":"10.1097/JSM.0000000000001320","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this systematic review is to evaluate the original peer-reviewed studies on athletes who developed myocarditis after coronavirus disease (COVID-19) infection or after COVID-19 mRNA vaccination. Both entities likely have an immunologic component. We discuss elite, professional, college, and adolescent athletes. The athletes are generally young and healthy, representing a distinctive population group that differs from the general population. This review includes diagnosis of myocarditis, incidence, complications, prognosis, and return-to-play guidance for sports medicine clinicians and coaches.</p><p><strong>Data sources: </strong>We surveyed the PUBMED, Embase, and Web of Science databases for the relevant peer-reviewed articles in the English language published from the onset of the pandemic until April 2023. Included were original observational studies and case series. Excluded were individual case reports and a small series with incomplete data. The resulting search yielded 30 original articles.</p><p><strong>Main results: </strong>Reported myocardial abnormalities in athletes were rare after COVID-19 infection and even less frequent after COVID-19 mRNA vaccination. True incidence, however, may be higher because of under-reporting and frequent asymptomatic presentation. Male gender was prevalent for both manifestations; postvaccination myocarditis occurrence was the highest after the second vaccine dose. Diagnostic and return-to-play algorithms were developed and should be adopted and followed.</p><p><strong>Conclusions: </strong>The risk of myocarditis from COVID-19 infection and COVID-19 mRNA vaccination is very low. The long-term prognosis and evolution of the observed cardiac magnetic resonance abnormalities are currently unknown. Although inferences can be made from the published data, COVID-19 and postvaccine myocarditis in athletes may represent only a small fraction of the true incidence of those who have been affected worldwide and not evaluated.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"191-205"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945784","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":"3.0-Tesla MRI Observation at Return to Play After Hamstring Injuries.","authors":"Muhammad Ikhwan Zein, Gustaaf Reurink, Jozef J M Suskens, Jithsa R C Monte, Frank F Smithuis, Stan Buckens, Mario Maas, Johannes L Tol","doi":"10.1097/JSM.0000000000001289","DOIUrl":"10.1097/JSM.0000000000001289","url":null,"abstract":"<p><strong>Objective: </strong>To describe 3.0-Tesla (T) magnetic resonance imaging (MRI) findings of hamstring muscles in clinically recovered athletes who were cleared for return to play (RTP).</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Setting: </strong>Hospital.</p><p><strong>Participants: </strong>Athletes (amateur and professional) who were cleared for RTP after hamstring injury. Fifty-eight participants were included in the analysis.</p><p><strong>Independent variables: </strong>3-T MRI at baseline (within 7 days from initial injury) and MRI at RTP (within 10 days of RTP).</p><p><strong>Main outcome measures: </strong>Injury location, grade of injury (modified Peetrons and British Athletics Muscle Injury Classification/BAMIC), presence and the extent of intramuscular signal abnormality, intramuscular tendon disruption, and thickness. Reinjuries within 1 year of RTP were recorded.</p><p><strong>Results: </strong>Magnetic resonance images at RTP showed that 55 (95%) participants had intramuscular increased signal intensity (edema) and 44 (76%) participants had intramuscular abnormal low-signal intensity (suggesting fibrosis) on MRI. There was an overall reduction of injury grades according to the modified Peetrons and BAMIC classification at initial injury to RTP. Three (5%) participants had no abnormal signal intensities (grade 0 or grade 0A) on MRI at RTP. Intramuscular tendon disruption, waviness, and tendon thickening were present at RTP in, respectively, 22 (38%), 15 (26%), and 36 (62%). We recorded 3 (5%) reinjuries.</p><p><strong>Conclusions: </strong>At RTP, 3.0-T MRI shows high percentages of MRI abnormalities (edema, fibrosis, and intramuscular tendon disruption and thickening). We conclude that complete normalization of 3.0-T MRI is not expected for RTP decision after a hamstring injury. Its possible association with reinjury risk has to be determined in larger cohorts.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"119-126"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results From the Big Ten COVID-19 Cardiac Registry: Impact of SARS-COV-2 on Myocardial Involvement.","authors":"Jennifer S Albrecht, Joel T Greenshields, Suzanne Smart, Ian H Law, Larry R Rink, Curt J Daniels, Saurabh Rajpal, Eugene H Chung, Jean Jeudy, Richard Kovacs, Jason Womack, Carrie Esopenko, Philip Bosha, Michael Terrin, Geoffrey L Rosenthal, Andrew R Peterson","doi":"10.1097/JSM.0000000000001247","DOIUrl":"10.1097/JSM.0000000000001247","url":null,"abstract":"<p><strong>Objective: </strong>COVID-19 has been associated with myocardial involvement in collegiate athletes. The first report from the Big Ten COVID-19 Cardiac Registry (Registry) was an ecological study that reported myocarditis in 37 of 1597 athletes (2.3%) based on local clinical diagnosis. Our objective was to assess the relationship between athlete and clinical characteristics and myocardial involvement.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>We analyzed data from 1218 COVID-19 positive Big Ten collegiate athletes who provided informed consent to participate in the Registry.</p><p><strong>Participants: </strong>1218 athletes with a COVID-19-positive PCR test before June 1, 2021.</p><p><strong>Assessment of independent variables: </strong>Demographic and clinical characteristics of athletes were obtained from the medical record.</p><p><strong>Main outcome measures: </strong>Myocardial involvement was diagnosed based on local clinical, cardiac magnetic resonance (CMR), electrocardiography, troponin assay, and echocardiography. We assessed the association of clinical factors with myocardial involvement using logistic regression and estimated the area under the receiver operating characteristic (ROC) curve.</p><p><strong>Results: </strong>25 of 1218 (2.0%) athletes met criteria for myocardial involvement. The logistic regression model used to predict myocardial involvement contained indicator variables for chest pain, new exercise intolerance, abnormal echocardiogram (echo), and abnormal troponin. The area under the ROC curve for these indicators was 0.714. The presence of any of these 4 factors in a collegiate athlete who tested positive for COVID-19 would capture 55.6% of cases. Among noncases without missing data, 86.9% would not be flagged for possible myocardial involvement.</p><p><strong>Conclusion: </strong>Myocardial involvement was infrequent. We predicted case status with good specificity but deficient sensitivity. A diagnostic approach for myocardial involvement based exclusively on symptoms would be less sensitive than one based on symptoms, echo, and troponin level evaluations. Abnormality of any of these evaluations would be an indication for CMR.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"152-161"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554330","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}