Clinical Journal of Sport Medicine最新文献

{"title":"Comparing Time to Recovery Between Initial and Repeat Concussion in Athletes.","authors":"Brandon S Wright, Sara Dykowski, Abigail C Bretzin, Mark T Roberts, Ingrid K Ichesco, Andrea A Almeida, Michael J Popovich, Matthew T Lorincz, James T Eckner","doi":"10.1097/JSM.0000000000001325","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001325","url":null,"abstract":"<p><strong>Objective: </strong>Compare time to recovery between initial and repeat concussions.</p><p><strong>Design: </strong>Retrospective review of electronic medical record.</p><p><strong>Setting: </strong>An interdisciplinary concussion clinic.</p><p><strong>Patients: </strong>Fifty patients (14.4 years old [±2.5]; 24 [48%] female) who sustained >1 concussion between 2016 and 2020 and were evaluated within 30 days of their concussion.</p><p><strong>Intervention: </strong>Injuries were divided into first, second, and/or last concussions.</p><p><strong>Main outcome measures: </strong>The primary outcome was time to recovery, as defined by clearance for return to sport. This was compared between first versus second concussion (primary analysis) and first versus last concussion (secondary analysis) using Cox regression. Multivariable models accounted for time from concussion to initial clinic visit and Sport Concussion Assessment Tool symptom severity score at initial encounter. Sensitivity analyses explored potential influences of initial encounter timing and interval between concussions.</p><p><strong>Results: </strong>Time to recovery did not differ between initial and repeat concussion in univariate or multivariable models (HR = 1.02, 95% CI, 0.65-1.62, P = 0.92; HR = 1.01, 95% CI, 0.64-1.62, P = 0.91 for multivariable models comparing first (ref) versus second and first (ref) versus last concussion, respectively). Similar results were obtained in sensitivity analyses stratifying by time to initial visit (≤7 days vs >7 days) or time between injuries (≤1 year vs >1 year).</p><p><strong>Conclusions: </strong>There were no differences in time to recovery between initial and repeat concussions sustained by the same athlete. A nonsignificant trend of shorter recovery after repeat concussions was observed for patients presenting within 1 week of injury and when repeat injuries occurred within 1 year.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142906794","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":"ChatGPT Can Often Respond Adequately to Common Patient Questions Regarding Femoroacetabular Impingement.","authors":"Jeremy M Adelstein, Margaret A Sinkler, Lambert T Li, Luc M Fortier, Ajit M Vakharia, Michael J Salata","doi":"10.1097/JSM.0000000000001327","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001327","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze the ability of ChatGPT to answer frequently asked questions (FAQs) regarding FAI. We hypothesize that ChatGPT can provide accurate and thorough responses when presented with FAQs regarding FAI.</p><p><strong>Design: </strong>Ten FAQs regarding FAI were presented to ChatGPT 3.5 and initial responses were recorded and analyzed against evidence-based literature. Responses were rated as \"excellent response requiring no further clarification,\" \"satisfactory response requiring minimal clarification,\" \"satisfactory response requiring moderate clarification,\" or \"unsatisfactory response requiring substantial clarification.\"</p><p><strong>Setting: </strong>Institutional.</p><p><strong>Independent variables: </strong>Frequently asked questions regarding femoroacetabular impingement.</p><p><strong>Main outcome measures: </strong>Accuracy and thoroughness of ChatGPT responses to FAQs. Hypothesis was formulated before data collection.</p><p><strong>Results: </strong>Most responses from ChatGPT were rated as satisfactory and required only minimal clarification. Two responses received an excellent rating and required no further clarification, while only 1 response from ChatGPT was rated unsatisfactory and required substantial clarification.</p><p><strong>Conclusions: </strong>ChatGPT provided largely accurate and thorough responses to FAQs regarding FAI while appropriately reiterating the importance of always consulting a medical professional.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876105","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":"Examining Changes in Ulnar Collateral Ligament Reconstruction Surgery Patterns Among Professional Baseball Players.","authors":"Thomas Almonroeder, Margaret T Jones, Jennifer B Fields, Jacob L Erickson, Wayne A Taylor, Michael H Bittner, Andrew R Jagim","doi":"10.1097/JSM.0000000000001319","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001319","url":null,"abstract":"<p><strong>Objective: </strong>To retrospectively analyze publicly available elbow ulnar collateral ligament reconstruction (UCLR) injury data for professional baseball players.</p><p><strong>Design: </strong>Descriptive epidemiology study.</p><p><strong>Setting: </strong>A retrospective analysis using an open-source database was performed. The database contained all known UCLR surgeries among Major League Baseball (MLB) and Minor League Baseball (MiLB) players.</p><p><strong>Participants: </strong>In total, 1801 professional male professional baseball pitchers (age: 24.5 ± 3.9 years) who have undergone UCLR between 1974 and 2024.</p><p><strong>Main outcome measures: </strong>The number of UCLR procedures each year.</p><p><strong>Independent variables: </strong>Change-point analysis was used to identify changes in the number of UCLR surgeries over time among MLB and MiLB players. For MLB players, number of UCLR surgeries from 1974 to 2023 was analyzed, while for MiLB players, data starting from 1981 to 2024 were analyzed.</p><p><strong>Results: </strong>For MLB players, 3 change points were identified, occurring around 1989 (95% confidence interval [CI], 1988-1990), 2000 (95% CI, 2000-2000), and 2012 (95% CI, 2011-2017). For MiLB players, 3 change points were identified occurring around 2001 (95% CI, 2001-2001), 2009 (95% CI, 2008-2010), and 2013 (95% CI, 2013-2015).</p><p><strong>Conclusions: </strong>Overall, there has been a rise in the number of UCLR surgeries per year for the past 50 years in professional baseball, with distinct time points identified, representing increases in the number of UCLR surgeries each year. A higher number of UCLR surgeries are performed per year in the MiLB than in the MLB.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881392","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":"The MPCETT: Assessing the Safety and Utility of Exercise Tolerance Testing in Children With Concussion Ages 6 to 12.","authors":"Michael Heitzman, Jason Krystofiak, Diana Toto, Jennifer Norton, Mustafa Naematullah, Sydney Asselstine, Katelan Rybak, Puja Joshi","doi":"10.1097/JSM.0000000000001326","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001326","url":null,"abstract":"<p><strong>Objective: </strong>Treadmill test protocols for concussion assessment have been validated for patients aged 13 years and older; however, no evidence-based guidelines exist for younger children. We designed and assessed the safety and utility of the Morahan Pediatric Concussion Exercise Tolerance Test (MPCETT) for assessing exercise tolerance in symptomatic children (SC) and recovered, asymptomatic children (AC) from 6 to 12 years of age.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Setting: </strong>Secondary care center.</p><p><strong>Participants: </strong>Children were diagnosed with concussion using consensus guidelines. At assessment, SC [n = 17; median (range) 10 (6-12) years; 18% female; 28 (13-50) days since injury] had persistent concussive symptoms, while AC [n = 24; 9 (7-12) years; 21% female; 21 (8-37) days since injury] required assessment for return to activity.</p><p><strong>Interventions: </strong>The MPCETT is a modified Buffalo Concussion Treadmill Test for pediatric populations. The test was administered to establish exercise tolerance and was terminated for increased symptoms or self-reported exhaustion.</p><p><strong>Main outcome measures: </strong>Presence of adverse events and exercise intolerance.</p><p><strong>Results: </strong>The number of adverse events was 0 in both groups. Exercise intolerance occurred in 64.7% (95% CI, 38.3%-85.8%) of children within the SC group versus 12.5% (95% CI, 2.7%-32.4%) within the AC group (P < 0.001).</p><p><strong>Conclusions: </strong>Pediatric exercise tolerance testing is safe and effective for assessing exercise intolerance in concussed children.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881398","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":"Eye Conditions: Position Statement of the Association of Ringside Physicians.","authors":"Alex Houser, Mario Iglesias-Muñiz, Nduka Vernon, Ron Pelton, Kevin deWeber","doi":"10.1097/JSM.0000000000001324","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001324","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881395","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":"Sports Medicine Physician Confidence in Concussion Assessments for Postconcussion Return-to-Play Decisions.","authors":"Jacob J Miller, Kelsey Hansen, Jason Dorman, Katie Jensen, Aarabhi Gurumoorthy, Josefine Combs","doi":"10.1097/JSM.0000000000001321","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001321","url":null,"abstract":"<p><strong>Objective: </strong>To identify sport-related concussion (SRC) assessments sports medicine physicians perform and in which they place confidence when making return-to-play (RTP) decisions.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Participants: </strong>Active members of the American Medical Society for Sports Medicine (AMSSM) at the fellowship level or higher making RTP decisions following concussion within the last year.</p><p><strong>Interventions: </strong>An electronic REDCap survey gathering demographic and practice information and responses to clinical scenarios was sent to AMSSM members.</p><p><strong>Main outcome measures: </strong>The primary outcome was the SRC assessment(s) in which physicians expressed the most confidence for RTP decisions.</p><p><strong>Results: </strong>Four hundred thirty AMSSM members responded to the survey, 392 of which met inclusion criteria. The graded symptom checklist was rated the most useful test for making return-to-play decisions, and respondents felt most confident starting the RTP process if the graded symptom checklist was normal. An assessment was considered most useful if it closely reflected resolution of SRC's pathological processes. Computerized neurocognitive testing was most likely to be ignored if abnormal. An abnormal neurological examination made physicians feel least confident SRC had resolved.</p><p><strong>Conclusions: </strong>Sports medicine physicians view the graded symptom checklist as a useful tool for making RTP decisions. Physicians expressed less confidence in computerized neurocognitive testing to determine RTP readiness. This study uncovered reliance on symptom reporting by sports medicine physicians and an opportunity for the creation of concussion clinical decision tools.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853232","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":"Epidemiology of Musculoskeletal Injuries in Professional Ballet Dancers at the Opéra de Paris.","authors":"Xavière Barreau, Cyril Courtin, Sonia Ramos-Pascual, Ankitha Kumble, Mo Saffarini, Alexis Nogier","doi":"10.1097/JSM.0000000000001316","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001316","url":null,"abstract":"<p><strong>Objective: </strong>To describe the incidence, location, and type of musculoskeletal injuries in ballet dancers at the Opéra de Paris from 2018 to 2023 and to evaluate the effect of COVID-19 on injury incidence.</p><p><strong>Design: </strong>Descriptive Retrospective Study.</p><p><strong>Setting: </strong>Primary.</p><p><strong>Patients: </strong>Professional ballet dancers registered at the Opéra de Paris across 5 seasons (September 1, 2018-June 30, 2023).</p><p><strong>Independent variables: </strong>Demographics (age, body mass index, sex, rank).</p><p><strong>Main outcome measures: </strong>Injury data (duration, mechanism, location, and type).</p><p><strong>Results: </strong>The incidence proportion of musculoskeletal injuries ranged from 47.1% to 72.6% per season between 2018 and 2023. Dancers most commonly sustained foot (49.3%) and ankle (45.1%) injuries, with 75.6% of dancers sustaining a lower limb injury. Compared with the 2018 to 2019 season, the risk of a dancer sustaining an injury was significantly lower in the COVID-19 season (2019-2020) (OR, 0.34; 95% CI, 0.21-0.53; P < 0.001), while the risk of an injury resulting in time loss was significantly lower in the 2022 to 2023 season (OR, 0.42; 95% CI, 0.27-0.64; P < 0.001).</p><p><strong>Conclusions: </strong>The incidence of musculoskeletal injuries in professional ballet dancers was as high as 72.6% per season between 2018 and 2023, with the most common injury location being the foot and ankle. Compared with that in the 2018 to 2019 season, the risk of a dancer sustaining an injury was significantly lower in the COVID-19 season (2019-2020). These findings can help anticipate musculoskeletal injuries in professional ballet dancers and improve injury prevention programs, by developing targeted training schemes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827522","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":"Effect of Sleep Duration and Concussion History on Neurocognitive Testing Symptoms for Post-injury States.","authors":"Bahie Ezzat, Eugene Hrabarchuk, Michael Lemonick, Frederika Rentzeperis, Roshini Kalagara, Muhammad Ali, Matthew T Carr, Alexander J Schupper, Hanya M Qureshi, Sujay Ratna, Cole Brown, Gabriel Dara, Alex Gometz, Mark Lovell, Tanvir F Choudhri","doi":"10.1097/JSM.0000000000001323","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001323","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the influence of sleep duration and concussion history on postconcussion symptoms in adolescent athletes.</p><p><strong>Design: </strong>Observational retrospective study using the Immediate Post-Concussion Assessment and Cognitive Testing and Post-Concussion Symptom Scale (PCSS). Multivariable linear regression assessed sleep hours against 22 PCSS symptoms, controlling for demographic and health variables.</p><p><strong>Setting: </strong>Urban concussion centers in Colorado and Florida, 2009 to 2019.</p><p><strong>Participants: </strong>11 564 student-athletes aged 12 to 22, categorized by concussion history.</p><p><strong>Interventions: </strong>Analysis of sleep duration and concussion history in relation to neurocognitive and psychiatric symptom severity.</p><p><strong>Main outcome measures: </strong>Primary outcomes included neurocognitive, psychiatric, and total symptom scores. Secondary outcomes were specific PCSS symptoms.</p><p><strong>Results: </strong>Among 5349 student-athletes, 2671 (49.9%) had no prior concussions and 2678 (50.1%) had 1 or more. For those without prior concussions, sleep was negatively associated with age (β = -0.18, 95% confidence interval [CI], -0.22 to -0.13, P < 0.0001), vomiting (β = -0.22, 95% CI, -0.38 to -0.05, P = 0.012), and difficulty concentrating (β = -0.11, 95% CI, -0.19 to -0.35, P = 0.005). In athletes with a history of concussion, less sleep correlated with decreased age (β = -0.11, 95% CI, -0.14 to -0.07, P < 0.0001), headache (β = -0.065, 95% CI, -0.12 to -0.01, P = 0.031), irritability (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.021), and difficulty concentrating (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.031) but increased sensitivity to light (β = 0.10, 95% CI, 0.001-0.137, P = 0.048), numbness/tingling (β = 0.15, 95% CI, 0.04-0.26, P = 0.008), and feeling slowed down (β = 0.13, 95% CI, 0.05-0.21, P = 0.001).</p><p><strong>Conclusion: </strong>Sleep duration and concussion history are associated with variations in postconcussion symptom severity among adolescent athletes. This data underscore the need for individualized management strategies based on sleep patterns and concussion history.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812248","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 Survey of US Collegiate Student-Athletes and Athletic Trainers on Sports-Related Concussion Knowledge and Reporting Habits.","authors":"Sydnie Vo, Yone-Kawe Lin, Chathura Siriwardhana, Andrew W Nichols","doi":"10.1097/JSM.0000000000001318","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001318","url":null,"abstract":"<p><strong>Objective: </strong>To assess sports-related concussion (SRC) knowledge levels in US collegiate student-athletes (S-As) and athletic trainers (ATs) and identify factors that influence reporting of SRC by S-As.</p><p><strong>Design: </strong>Cross-sectional, retrospective study.</p><p><strong>Setting: </strong>University training room/clinic visits.</p><p><strong>Participants: </strong>National Collegiate Athletics Association Division 1 S-As and ATs.</p><p><strong>Interventions: </strong>A survey consisting of demographics, SRC knowledge, prior SRC history, and reporting habits.</p><p><strong>Main outcome measures: </strong>Sports-related concussion knowledge scores, SRC reporting habits.</p><p><strong>Results: </strong>Response rates were 67% (350/520) for S-As and 100% (11/11) for ATs. S-As represented 21 sports (mean age 20.3 years, range 18-24, 54% male). Sports-related concussion knowledge scores were lower in male S-As (median 73%; interquartile range [IQR] 55%-85%) than in female S-As (79%; 55%-88%) (P < 0.05). Sports-related concussion knowledge scores differed between collision/contact (C/C) sport (79%; 67%-86%) and noncontact (NC) sport (73%; 55%-83%) S-As (P < 0.05). Twenty-nine percent (n = 102) of the S-As experienced a prior SRC, of which 67% (n = 68) reported their injury to a medical/authority figure. Male and C/C S-As were significantly less likely to report SRC than female, limited-contact, or NC sport S-As. Sports-related concussion knowledge scores were higher in ATs (97%; 89%-99%) than in S-As (76%; 55%-85%) (P < 0.001).</p><p><strong>Conclusions: </strong>S-As have variable levels of SRC knowledge, with female and C/C sport S-As scoring the highest. Most S-As with prior SRC reported these to a medical/authority figure, but male and C/C sport S-As were less likely to do so. As expected, ATs have higher SRC knowledge than S-As.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812247","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":"Experience of Orofacial Injuries and Use of Mouthguards - A Survey in German Elite Sport.","authors":"Cordula Leonie Merle, Theresa Antonia Rott, Angelika Rauch, Bernd Wolfarth, Jan Wüstenfeld, Rainer Haak, Gerhard Schmalz, Dirk Ziebolz","doi":"10.1097/JSM.0000000000001302","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001302","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the experience of orofacial injuries and sports mouthguard use in German elite athletes.</p><p><strong>Design: </strong>A questionnaire-based cross-sectional study was conducted.</p><p><strong>Setting: </strong>The data were collected at the Institute of Applied Training Science (IAT, Leipzig, Germany) that provides regular primary care for elite athletes.</p><p><strong>Participants: </strong>German elite athletes (18-35 years) from different disciplines with completed questionnaire on oral health in sports between May 2020 and April 2021 were included.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>Number of dental, oral, and facial injuries during sports career and mouthguard use (received information, ownership, frequency) were assessed and compared between disciplines with different risks for orofacial trauma.</p><p><strong>Results: </strong>In total, questionnaires of 337 athletes (23 ± 4 years, 50% female) were included. Disciplines were classified into high (HT, n = 20), medium (MT, n = 48), and low (LT, n = 269) risk for orofacial trauma. Substantial rates of injuries were identified; especially a lot of HT athletes reported orofacial injuries (HT: 55%, MT: 31%, LT: 17%; P ≤ 0.076) and dental injuries (HT: 30%, MT: 10%, LT: 7%; P ≤ 0.028). Mouthguards were rare (HT: 25%, MT: 0%, LT: 3%).</p><p><strong>Conclusions: </strong>There is a need for more prevention of orofacial injuries in German elite sports for both HT and MT.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766909","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}