Clinical Journal of Sport Medicine最新文献

{"title":"Endoscopic Osteochondroma Resection for Treatment of Ischiofemoral Impingement Through Posterior Approach: A Case Report.","authors":"Peng Yang, Chunjian Zi, Zhijian Pan, Linfeng Huang, Yang Li, Tianye Lin, Yang Lv, Yang Liu, Da Guo, Weiming Yang","doi":"10.1097/JSM.0000000000001391","DOIUrl":"10.1097/JSM.0000000000001391","url":null,"abstract":"<p><strong>Abstract: </strong>Narrowing of the ischiofemoral space leading to the entrapment of neurovascular structures is the pathologic basis of ischiofemoral impingement (IFI). In our clinical practice, we encountered a patient with secondary IFI because of an osteochondroma in the lesser trochanter region, presenting with typical posterior hip pain. Traditional surgical methods typically involve lesion resection through a posterolateral approach to the hip, with only a few patients reported using hip arthroscopy. We present a modified posterior hip arthroscopic technique for resecting an osteochondroma near the lesser trochanter. This technique allows for rapid access to the lesion site and provides clear visualization of the sciatic nerve under arthroscopy, facilitating safe and thorough lesion resection.Level of evidence V, Case Study.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"e115-e120"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676731","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":"Vestibular, Oculomotor, and Head Repositioning Accuracy Deficits after Sport-Related Concussion: Implications for Subsequent Injury Risk.","authors":"Katherine L Smulligan, Andrew C Smith, Patrick Carry, Carrie Esopenko, Christine M Baugh, Julie C Wilson, David R Howell","doi":"10.1097/JSM.0000000000001429","DOIUrl":"10.1097/JSM.0000000000001429","url":null,"abstract":"<p><strong>Objective: </strong>After concussion, athletes have an increased risk of subsequent injuries upon return to play (RTP) compared with nonconcussed peers. Cervical spine, vestibular, and oculomotor deficits have been observed after concussion, but associations with subsequent injuries have not been established. Our objective was to investigate whether head repositioning accuracy (HRA) and vestibular/oculomotor symptoms were associated with postconcussion injuries.</p><p><strong>Design: </strong>Prospective cohort.</p><p><strong>Setting: </strong>Academic research laboratory.</p><p><strong>Participants: </strong>Adolescent athletes ages 13 to 18 years after concussion.</p><p><strong>Independent variables: </strong>HRA error, vestibular/oculomotor symptoms.</p><p><strong>Main outcome measures: </strong>We evaluated athletes at RTP clearance and monitored injury incidence for 1 year through monthly surveys. At RTP, we assessed HRA (outcome: mean HRA error across 12 trials) and the visiovestibular examination (VVE; outcome: number of subtests that provoked symptoms) to assess vestibular/oculomotor symptoms. We used Cox proportional hazards regression models to assess hazard of subsequent injury, adjusting for RTP clearance time and prior concussion/musculoskeletal injury.</p><p><strong>Results: </strong>Forty-five participants were included (age = 15.8 ± 1.3 years, 58% female). Nineteen athletes reported 24 injuries during the 1-year follow-up. After adjusting for RTP clearance and prior concussion/musculoskeletal injury, greater HRA error was associated with higher hazard of subsequent injury (hazard ratio [HR]: 1.46; 95% confidence interval [CI], 1.03-2.08; P = 0.03); VVE symptom provocation was not (HR: 0.87; 95% CI, 0.64-1.19; P = 0.39).</p><p><strong>Conclusions: </strong>Worse HRA may be associated with higher hazard of postconcussion injury. HRA is a clinically feasible assessment that may identify some individuals with increased injury risk who may benefit from further evaluation/rehabilitation before RTP.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"478-485"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282475","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":"High School Soccer and Risk for Depression and Suicidality in Adulthood: Findings From a National Longitudinal Study.","authors":"Douglas P Terry, Grant L Iverson, Alicia Kissinger-Knox","doi":"10.1097/JSM.0000000000001439","DOIUrl":"10.1097/JSM.0000000000001439","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined whether playing soccer in high school was associated with higher rates of mental health problems in early to middle adulthood.</p><p><strong>Design: </strong>Longitudinal cohort study.</p><p><strong>Setting: </strong>The National Longitudinal Study of Adolescent to Adult Health (\"Add Health\") databases were analyzed.</p><p><strong>Participants: </strong>There were 221 individuals (53.8% women) who participated in high school soccer (without participating in football) and 2388 (67.2% women) who denied participating in soccer or any contact sports during high school.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>This study includes longitudinal data from individuals assessed at Wave I (n = 6503; median age = 15), Wave III (median age = 22), Wave IV (median age = 29), and Wave V (n = 4196; median age = 38). We compared those who played soccer with those who did not engage in contact sports on several mental health outcomes.</p><p><strong>Results: </strong>When comparing those who played high school soccer with those who did not play contact sports, there were no differences in the proportion who had a lifetime diagnosis of depression, lifetime diagnosis of anxiety or panic disorders, suicidal ideation in the past year, psychological counseling in the past year, or current depressed mood at Waves III, IV, or V (all P -values > 0.05). In addition, we matched soccer players to control participants on biologic sex, race, and educational attainment to control for potential confounds; the results were similar and nonsignificant.</p><p><strong>Conclusions: </strong>Individuals who played soccer in high school did not have an increased rate of mental health difficulties at multiple follow-up time points during early to mid-adulthood.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"418-425"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147637956","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":"Elite Cross-Country Skiers Who Report Low Back Pain Have More Disk Degeneration Than Their Nonsymptomatic Peers.","authors":"Anni Aavikko, Janne Pesonen, Leena Ristolainen, Niko Murto, Hannu Kautiainen, Teija Lund","doi":"10.1097/JSM.0000000000001360","DOIUrl":"10.1097/JSM.0000000000001360","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of low back pain (LBP) and disk degeneration (DD) and the relationship of DD with LBP among elite cross-country skiers.</p><p><strong>Design: </strong>A cross-sectional study of elite cross-country skiers.</p><p><strong>Setting: </strong>Study participants were recruited during autumn 2022 among elite cross-country skiers and collegiate skiers who were selected to national teams' training groups.</p><p><strong>Participants: </strong>The original study group consisted of 44 skiers (16 national team skiers and 28 sports academy skiers).</p><p><strong>Interventions: </strong>The study protocol included a 1.5T lumbar spine MRI, a clinical examination, and an interview with questions about general health and training as well as selected patient-reported outcomes. The morphology of intervertebral disks from T12/L1 to L5/S1 on sagittal T2-weighted midline images was visually assessed using the Pfirrmann classification with a grade 3 or higher considered degenerated in this age group.</p><p><strong>Main outcome measures: </strong>Cross-sectional occurrence of DD on MRI and self-reported LBP.</p><p><strong>Results: </strong>Low back pain was reported by 33 (75%) skiers. Half of the skiers had at least 1 disk of ≥grade 3 in the Pfirrmann classification. At least 1 disk grade ≥3 in the Pfirrmann classification was found in 61% (20 of 33) of skiers with LBP and 18% (2 of 11) of skiers without LBP ( P = 0.034).</p><p><strong>Conclusions: </strong>The most important findings in our study were the high prevalence of self-reported LBP and a statistically significant difference in the occurrence of at least 1 degenerated disk in the Pfirrmann classification between skiers who reported LBP compared with those who did not.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"459-464"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794718","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":"Injury Patterns and Trends in US Cheerleading: A Systematic Review of an Understudied Sport.","authors":"McKenzie A Mayer, Casey J Hamilton, Sarita Jamil, Oscar Vazquez","doi":"10.1097/JSM.0000000000001417","DOIUrl":"10.1097/JSM.0000000000001417","url":null,"abstract":"<p><strong>Objective: </strong>To systematically compile and analyze studies on cheerleading-related injuries in the United States, with a focus on injury patterns and trends.</p><p><strong>Data sources: </strong>PubMed, Embase, and Cochrane Central Register of Controlled Trials. Search terms included (\"cheerleader\" OR \"cheerleading\" OR \"cheer athlete\" OR \"spirit leader\") AND (\"injuries\" OR \"trauma\" OR \"accidents\"). Included studies reported cheerleading injury data from 1982 to 2019. Extracted data included study characteristics, participant demographics, injury type, anatomical location, mechanism, maneuver, event, and time lost.</p><p><strong>Main results: </strong>A systematic review using the above data sources was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 372 studies were identified, and 14 studies met inclusion criteria. Inclusion criteria were original clinical studies (level of evidence 1-4) which examined cheerleaders of various expertise and ages who sustained athletic injuries. 28 998 cheerleaders sustained 239 361 injuries. Participants were 96.5% female with a mean age of 16.0 years. Most injuries occurred among high school athletes, primarily during practice. Sprains and strains were the most common injury types, often caused by contact with another athlete. Ankle injuries were most common, followed by head, brain, and neck injuries.</p><p><strong>Conclusions: </strong>This systematic review is the first to compile all studies on cheerleading-related injuries in the United States and to examine associated risk factors, injury patterns, the most common types, locations, and timing of injuries. However, the absence of standardized injury reporting in cheerleading poses a significant barrier to draw definitive conclusions across studies. Our findings highlight the need for mandatory reporting systems to enhance data reliability.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"520-530"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164039","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":"Who is There? Which Medical Providers are Present for College Football Sideline Coverage.","authors":"Armen Aprahamian, Matthew Rosolen, Brenden J Balcik, Nicholas Chill, Gabriel Goudy, Madison Lapp, Adriana Mercado, James Moeller, Benjamin Moorehead, Aaron J Monseau, Scott Meester","doi":"10.1097/JSM.0000000000001486","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001486","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the composition and specialty training of sideline medical providers present during National Collegiate Athletic Association (NCAA) Division I (Power 5) college football games.</p><p><strong>Design: </strong>Cross-sectional survey study.</p><p><strong>Setting: </strong>Power 5 NCAA Division I football programs during the 2023 to 2024 season.</p><p><strong>Participants: </strong>Head team physicians from 69 institutions were contacted; 53 (76.8%) completed the survey.Intervention: A 25-question REDCap survey assessing on-site personnel during home and away football games, including physician specialties, emergency coverage, imaging availability, emergency medicines, and athletic training support.</p><p><strong>Main outcome measures: </strong>Presence, specialty training, and roles of medical providers on the sideline during football games.</p><p><strong>Results: </strong>All responding programs had orthopedic surgeons (OS) on-site at home games, and all but 1 had a primary care sports medicine physician (SMP). SMPs most commonly trained in family medicine (54.2%), followed by emergency medicine (13.5%) and pediatrics (11.9%). OSs were most frequently fellowship-trained in sports medicine (68.6%). Emergency/airway management physicians were present at 37.7% of schools; neurotrauma-specific providers were present at 15.1%. Away game coverage was reduced, with fewer SMPs and OSs traveling. Athletic trainer coverage remained consistent. Only a minority of schools traveled with additional medical specialists.</p><p><strong>Conclusions: </strong>There is significant variability in sideline medical staffing across Power 5 college football programs. While all schools met or exceeded NCAA minimums, these findings highlight opportunities for standardization and alignment with professional sports models to optimize athlete safety.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344055","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":"Judo-Based Falls Training in Older Adults: An Olympic Fighting Art Is Not Just a Way to Win Medals.","authors":"Kabir Singh, Nikos Malliaropoulos, Mike Callan, Takeshi Kamitani, Akira Ikumi, Naoki Sakuyama, Nicola Maffulli","doi":"10.1097/JSM.0000000000001495","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001495","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307163","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 Effect of Performance Training on Sideline Concussion Assessments in Adolescent Athletes: A Pilot Investigation.","authors":"Haley Chizuk, Kendall Marshall, Alexander Yunke, Ethan Kaiser, Tiffany Thavisin, Halleluyah Adebiyi, William Sardinia, Joseph R Tousignant, John Leddy, Mohammad N Haider, Rajiv K Jain","doi":"10.1097/JSM.0000000000001493","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001493","url":null,"abstract":"<p><strong>Objective: </strong>The vestibular ocular motor screen (VOMS) and the Sport Concussion Assessment Tool 6 (SCAT6) are point-of-care concussion assessments administered immediately or soon after sports participation or exercise. To retain validity and accuracy, the results of these tests should not be affected by sporting activity. We assessed the effect on the mVOMS (modified VOMS) and SCAT6 immediately and 20 minutes after performance training in high school athletes.</p><p><strong>Design: </strong>Nonrandomized pilot experimental study.</p><p><strong>Setting: </strong>High School, Buffalo, NY.</p><p><strong>Participants: </strong>Nonconcussed athletes (n = 23, 39% male, 15.5 ± 1.0 years).</p><p><strong>Independent variable: </strong>Performance Training (pretraining, post-training, 20 minutes post-training).</p><p><strong>Main outcome measures: </strong>mVOMS and SCAT6 scores (standardized assessment of concussion, modified balance error scoring system, timed tandem gait [TTG], dual task tandem gait [DTTG]).</p><p><strong>Results: </strong>TTG (P = 0.005) and DTTG (P = 0.045) improved significantly from prepractice to immediate postpractice and from pretraining to 20 minutes post-training (TTG [P = 0.002], DTTG [P = 0.006]). There were no other differences in SCAT6 or mVOMS scores among the 3 time points.</p><p><strong>Conclusions: </strong>SCAT6 and mVOMS performance was not adversely affected by moderately intense exercise training in high school athletes. TTG and DTTG performance improved after exercise, consistent with the learning effect. Further research should be conducted across other populations to increase generalizability. Clinicians should be confident that fatigue and exertion from acute performance training activities are not likely to affect the performance of these widely used sideline concussion assessment tools.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301180","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":"Mouthguard Use and Oral Health in Youth Ice Hockey Players: A Cross-Sectional Study From Ontario, Canada.","authors":"Hyun Bae Steve Jang, Sonica Singhal","doi":"10.1097/JSM.0000000000001484","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001484","url":null,"abstract":"<p><strong>Objective: </strong>To examine mouthguard usage, hygiene practices, and oral health status of youth ice hockey players in Ontario.</p><p><strong>Design: </strong>Cross-sectional survey study.</p><p><strong>Setting: </strong>Ontario, Canada; recruitment conducted online in collaboration with the Ontario Minor Hockey Association.</p><p><strong>Participants: </strong>Youth ice hockey players in Ontario who reported mouthguard use.</p><p><strong>Interventions: </strong>Participants voluntarily completed an anonymous online questionnaire administered using REDCap.</p><p><strong>Main outcome measures: </strong>Frequency and consistency of mouthguard use, mouthguard cleaning practices, receipt of hygiene instructions, oral hygiene behaviors, and self-reported caries experience and oral health status.</p><p><strong>Results: </strong>Complete responses were obtained from 214 players using mouthguards. Approximately 47% reported wearing mouthguards during both games and practices, with majority (59%) wearing boil-and-bite type. Among custom mouthguard users, 64% reported never receiving care instructions from a dentist, whereas 29% of stock or boil-and-bite users reported no manufacturer guidance. Overall, 52% reported cleaning their mouthguards, and 38% of these did so after every game or practice. Most participants brushed twice daily (71%), whereas fewer flossed daily (28%). Consistent mouthguard use was associated with significantly lower odds of self-reported caries (OR = 0.49; 95% CI: 0.28-0.85). Higher motivation toward oral health was associated with positive self-rated oral health (OR = 3.45; 95% CI: 1.20-9.97).</p><p><strong>Conclusions: </strong>Youth ice hockey players in Ontario demonstrated inconsistent mouthguard use and suboptimal hygiene practices, compounded by limited guidance from dental professionals and manufacturers. Improved education, clinical engagement, and policy initiatives are needed to enhance mouthguard effectiveness and oral health outcomes among youth athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148263078","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 Effect of Social Disadvantage on Initial Sport-Related Concussion Evaluation Times in 13 to 17-Year-Old Athletes.","authors":"Jai L Horsey, Trevor Anesi, Aneil Saini, Tagalsir F Osama, Kristen Williams, Jacob Jo, Olivia L Prosak, Amad Amedy, Scott L Zuckerman, Douglas P Terry","doi":"10.1097/JSM.0000000000001490","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001490","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the influence of social disadvantage on time to presentation to care after sport-related concussion (SRC).</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>The study was conducted using a REDCap database of former patients treated at a regional sports concussion clinic.</p><p><strong>Participants: </strong>Athletes 13 to 17-year-old, who sustained an SRC and were examined at the regional sports concussion clinic between 11/2017 and 04/2022.</p><p><strong>Intervention: </strong>Area Deprivation Index (ADI) score was calculated using the patient's zip codes.</p><p><strong>Main outcome measures: </strong>Time to present to a regional sports concussion clinic (days) and time to present to any healthcare setting (days). χ2 analysis and logistic regression assessed for differences between ADI quartiles and predictors of time to presentation, respectively.</p><p><strong>Results: </strong>A total of 916 patients were included (mean age = 15.8 ± 1.3). The median time to presentation to any healthcare setting was 2 days (IQR: 0-6). Highest ADI quartile patients (ie, most socially disadvantaged) were more likely to be Hispanic/Latino (P = 0.003), non-White (P < 0.001), public school attendees (P < 0.001), and have had nonprivate insurance (P < 0.001). These patients also took longer to present to a regional sports concussion clinic (P < 0.001) compared with lower ADI quartiles. ADI score (B = 0.095, P < 0.001) and family history of migraines (B = 0.177, P = 0.006) significantly predicted longer times to clinic presentation.</p><p><strong>Conclusion: </strong>Greater social disadvantage was associated with a longer time to present to concussion specialty care. Ensuring those with fewer resources have early access to sports concussion care represents an actionable opportunity to reduce this healthcare disparity.</p><p><strong>Clinical relevance: </strong>Social determinants of health may be barriers to timely and equitable access to specialty concussion care.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148249294","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}