Clinical Journal of Sport Medicine最新文献

{"title":"Give It a Rest: The Impact of Rest Days on Musculoskeletal Injuries Among Starting Pitchers in Major League Baseball.","authors":"Matthew Waldrop,Zachary Sitton,Jeremy Swisher,Kiran Mullur,Stephen Davis","doi":"10.1097/jsm.0000000000001277","DOIUrl":"https://doi.org/10.1097/jsm.0000000000001277","url":null,"abstract":"OBJECTIVEExamine the impact of rest days on musculoskeletal (MSK) injury incidence in Major League Baseball (MLB) starting pitchers.DESIGNDescriptive epidemiological study.SETTINGMLB pitching and injury reports. PARTICIPANTS: MLB starting pitchers.METHODSData (2022-2023) were obtained from Baseball-Reference.com and fangraphs.com. Teams were grouped by average rest days between starts (Group A <5 rest days, Group B >5 rest days). Poisson regression was used to compare main outcome measure incidence rate ratios (IRRs).INDEPENDENT VARIABLESNumber of rest days between starts.MAIN OUTCOME MEASURESPitches per start, MSK injury incidence, injured list (IL) days for MSK injury.RESULTSFrom 2022 to 2023, the average MLB rest days between starts was 4.80. Group A had 54 teams. Group B had 6 teams. The range of average rest days per start by team was 4.56 to 5.73 with a mean of 4.80. Group B pitchers spent 10.7 days on IL for MSK injuries per 1000 pitches, while Group A spent 13.6 days on IL (IRR = 0.78 [95% CI, 0.72-0.85]; P < 0.0001). Group B averaged 0.93 more pitches per start than Group A (P = 0.0164). Group B had a lower number of IL assignments for MSK injuries per 1000 pitches (0.245 vs 0.351, IRR = 0.70 [95% CI, 0.38-1.18]; P = 0.1715).CONCLUSIONSStarting pitchers on MLB teams averaging > 5 rest days between starts spent less time on the IL for MSK injuries than MLB teams averaging < 5 rest days from 2022 to 2023. There was no clinically significant difference in pitch count and no significant difference in the number of IL assignments for MSK injuries.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":"110 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267359","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 Bye Weeks on Injury Event Rates in the Canadian Football League.","authors":"Caitlin Lee,Brice Batomen,Dhiren Naidu,Shane Hoeber,Robert McCormack,Russell Steele,Arijit Nandi,Ian Shrier","doi":"10.1097/jsm.0000000000001272","DOIUrl":"https://doi.org/10.1097/jsm.0000000000001272","url":null,"abstract":"OBJECTIVETo determine the effect of bye weeks (no practices or games) on the injury event rate in the Canadian Football League (CFL).DESIGNHistorical (retrospective) cohort study.SETTINGCFL.PARTICIPANTSCFL athletes between 2011 and 2018.INTERVENTIONCFL pseudorandom assignment of bye weeks each season (2011-2013: 1; 2014-2017: 2; 2018: 3).MAIN OUTCOME MEASURESGame injury incident rate ratio (IRR) in the week following a bye week compared with non-bye weeks. Sensitivity analyses: IRR for the 2 and 3 weeks following a bye week. We conducted exploratory analyses for combined game and practice injury events because we did not have the number of players exposed during practice.RESULTSThe IRR was 0.96 (0.87-1.05), suggesting no meaningful effect of a bye week on the post-bye week game injury event rate. We obtained similar results for cumulative game injury events for subsequent weeks: IRR was 1.02 (0.95-1.10) for the 2 weeks following the bye week and 1.00 (0.93-1.06) for the 3 weeks following the bye week. The results were similar with 1, 2, or 3 bye weeks. However, the combined game and practice injury event rate was increased following the bye week [IRR = 1.14 (1.05-1.23)]. These results are expected if the break period results in medical clearance for preexisting injuries; increasing pain in these locations following the bye week would now be considered new injuries instead of \"exacerbations.\"CONCLUSIONSBye weeks do not appear to meaningfully reduce the injury event rate. Furthermore, there was no injury reduction when adding additional bye weeks to the schedule.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":"49 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267115","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 Percutaneous Ultrasonic Tenotomy for Refractory Patellar Tendinopathy in High-Level Athletes: A Case Series.","authors":"Toru Omodani,Masayoshi Saito,Futoshi Ikuta","doi":"10.1097/jsm.0000000000001275","DOIUrl":"https://doi.org/10.1097/jsm.0000000000001275","url":null,"abstract":"OBJECTIVETo elucidate the clinical outcomes and return-to-sport status of high-level athletes with refractory patellar tendinopathy treated with ultrasound-guided percutaneous ultrasonic tenotomy (PUT).DESIGNCase series study.SETTINGSingle orthopaedic clinic.PATIENTSFive cases involving 8 knees from athletes (average age: 22 years, range: 17-30 years) who presented with refractory patellar tendinopathy and underwent PUT between 2022 and 2024. Conservative treatments had previously been attempted without sufficient pain relief or return to sports.INTERVENTIONSAll patients underwent ultrasound-guided PUT using the TX-2 device from Tenex Health. Jogging was resumed 1 month after surgery, and a return to competitive sports was permitted as early as 3 months postsurgery.MAIN OUTCOME MEASURESPreoperative and postoperative Victorian Institute of Sport Assessment (VISA) scores and Numerical Rating Scale (NRS) scores for pain. Time to return to full training and competitive sports, and presence of postoperative infection signs.RESULTSThe VISA score significantly improved from a preoperative average of 43.1 to a postoperative average of 77.1 (P = 0.0004). The NRS significantly decreased from a preoperative average of 6.4 to a postoperative average of 2.8 (P = 0.0005). Four cases involving 6 knees fully returned to sports, with an average return time of 3 months and 19 days (range: 3 months to 4 months and 13 days). One case involving 2 knees did not show sufficient pain improvement and the patient could not return to sports. No signs of infection were observed in any case.CONCLUSIONSPUT for refractory patellar tendinopathy in high-level athletes generally results in favorable treatment outcomes and successful return to sports. This study provides novel insights into the effectiveness of PUT for patellar tendinopathy in athletes, highlighting the need for future studies with larger sample sizes to validate these findings and explore factors associated with poor outcomes.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":"20 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142204839","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":"Kiteboarding Injuries: Epidemiology, Common Treatment Strategies, and Time to Return to Kiteboarding Following Injury.","authors":"Yiftah Beer, Tzadok Yona, Yuval Arama, Dror Lindner, Grant Garrigues, Francesco Feletti, Lars Blond, Ron Gilat","doi":"10.1097/JSM.0000000000001270","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001270","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prevalence and types of injuries incurred during kiteboarding (1), along with treatment approaches (2). In addition, the time to return to kiteboarding following injury (3) and factors associated with the rate and type of injury were analyzed (4).</p><p><strong>Setting: </strong>Recreational kiteboarding.</p><p><strong>Design: </strong>Retrospective cohort.</p><p><strong>Participants: </strong>Three hundred twelve kiteboarders (280 men, 32 women, mean age 42.91 ± 13) were included in the study.</p><p><strong>Independent variables: </strong>Age, sex, experience, and the use of protective gear.</p><p><strong>Main outcome measures: </strong>Kiteboarding experience, injury location, type, incidence, nonsurgical and surgical treatment modalities, and return-to-kiteboarding data.</p><p><strong>Results: </strong>The number of injuries calculated per 1000 sessions was a mean of 7.82 (4.83-10.81). Patients with less than 2 years of kiteboarding experience were at a greater risk of injury than more experienced kiters (P < 0.001). The knee (24.1%), ankle and foot (18.9%), ribs (12.7%), and shoulder (10.2%) were the body parts most frequently injured. Overall, 14.4% of kiters underwent surgical intervention, with knee surgery being the most common site of operation (41.9%) and the most frequently performed procedure being anterior cruciate ligament reconstruction.</p><p><strong>Conclusions: </strong>The pattern of reported injury was found to be different from that previously reported in the scientific literature among freeriding kiters, with knees, ribs, and shoulders being most frequently involved. Participants with <2 years of experience had a significantly greater risk of injury; therefore, proper technical and physical training is advisable.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125042","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":"Prognosticating Return-To-Play Time Following a Hamstring Strain Injury Using Early Flexibility Asymmetry and Musculoskeletal Ultrasound Imaging Outcomes: An Exploratory Study Among Canadian University Football Players.","authors":"Patrick Gendron, Martin Lamontagne, Camille Fournier-Farley, Dany H Gagnon","doi":"10.1097/JSM.0000000000001230","DOIUrl":"10.1097/JSM.0000000000001230","url":null,"abstract":"<p><strong>Objective: </strong>Identify key flexibility and point-of-care musculoskeletal ultrasound (POCUS) measures for prognosticating return-to-play (RTP) following a first hamstring strain injury (HSI) and informing the clinical decision-making process.</p><p><strong>Design: </strong>Exploratory prospective cohort study.</p><p><strong>Setting: </strong>Sport medicine and rehabilitation clinic of a Canadian university.</p><p><strong>Participants: </strong>One hundred and sixty-seven elite Canadian university football athletes followed over 5 seasons.</p><p><strong>Interventions: </strong>Clinical and POCUS measures collected within 7 days after HSI and preseason clinical measures.</p><p><strong>Main outcome measures: </strong>Active knee extension (AKE) and Straight Leg Raise (SLR) to quantify hamstring flexibility, POCUS-related outcomes to characterize tissue alteration, and RTP until full sport resumption were documented (categorized as Early [1-40 days] or Late [>40 days] RTP).</p><p><strong>Results: </strong>A total of 19 and 14 athletes were included in the Early RTP (mean RTP = 28.84 ± 8.62 days) and Late RTP groups (mean 51.93 ± 10.54 days), respectively, after having been diagnosed with a first HSI. For the clinical results, height and a greater flexibility asymmetry measure with the AKE or SLR when compared with both ipsilateral preseason and acute contralateral values significantly increases the chance of facing a long delay before returning to play (ie, RTP). For the POCUS-related results, the Peetrons severity score, extent of the longitudinal fibrillary alteration, and novel score lead to similar results.</p><p><strong>Conclusions: </strong>Early hamstring flexibility asymmetry following acute HSI, particularly the AKE, along with some POCUS-related measures are valuable in prognosticating late RTP following among Canadian university football athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":"34 5","pages":"436-443"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281308","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":"Is Access to Optimal Concussion Care for Pediatric Athletes Limited by Geography?","authors":"Ryan Powers, Robert Trevino, Holly Erpenbach, Danny Thomas","doi":"10.1097/JSM.0000000000001254","DOIUrl":"10.1097/JSM.0000000000001254","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate access to optimal concussion care based on a pediatric patients' geography; the hypothesis is that differential access across the Unites States exists.</p><p><strong>Design: </strong>Employed a novel strategy using internet searches to find local care, mimicking what families might do in different parts of the country.</p><p><strong>Setting: </strong>Virtual internet searches.</p><p><strong>Participants: </strong>Not applicable.</p><p><strong>Independent variable: </strong>Various metropolitan and rural geographic regions within each state in the United States.</p><p><strong>Main outcome measures: </strong>Evaluate access (defined as distance to clinic and ability to see pediatric patients) and optimal care (defined as self-referral process and presence of multidisciplinary care).</p><p><strong>Results: </strong>Search strategy yielded 490 results. Overall ∼60% were within 50 miles of searched locations with significant differences in access based on rural versus metropolitan areas ( P < 0.0001); in rural areas, only ∼22% of results were within 50 miles. Only about one-third of the results (n = 157) saw pediatric patient with no differences between regions. There was significant regional and geographic variation for optimal care regarding both self-referral processes and access to multidisciplinary care. A diverse group of specialists was represented in search results for concussion care.</p><p><strong>Conclusions: </strong>Nationwide, there is an overall lack of access to multidisciplinary concussion care for pediatric patients. Additionally, those in rural communities face more limitations related to access to facilities with increased distances from closest clinic sites.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"425-429"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554329","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":"Performance-Based Outcomes after Revision Ulnar Collateral Ligament Surgery in Professional Pitchers.","authors":"Ajith Malige, Carlos Uquillas","doi":"10.1097/JSM.0000000000001206","DOIUrl":"10.1097/JSM.0000000000001206","url":null,"abstract":"<p><strong>Objective: </strong>To compare performance in baseball pitchers before and after revision ulnar collateral ligament (UCL) surgery using performance metrics.</p><p><strong>Design: </strong>Case series.</p><p><strong>Setting: </strong>Public online database.</p><p><strong>Patients or participants: </strong>Players who underwent revision UCL surgery between 2015 and 2021 were identified. Players were included if they were Minor League (MiLB) or Major League (Major League baseball [MLB]) pitchers. Players were excluded if they were not pitchers, if they underwent their revision surgery as an amateur, or if there is no record of their primary reconstruction surgery.</p><p><strong>Interventions: </strong>Revision UCL surgery (repair or reconstruction).</p><p><strong>Main outcome measures: </strong>Return to sport (RTS) rate, RTS time, pitch velocity, and pitch spin rate.</p><p><strong>Results: </strong>Sixty-five pitchers underwent revision UCL surgery. MiLB pitchers had a shorter RTS time after their primary surgery (15.62 vs 20.77 months, P < 0.01) compared with MLB pitchers but similar RTS times after their revision reconstruction (19.64 vs 18.48 months, P = 0.44). There was also no difference in return to play (RTP) rate overall after primary versus revision reconstruction ( P = 1.00). Major League baseball pitchers also had decreased RTS time after primary compared with revision reconstruction (15.62 vs 19.64 months, P < 0.01) but similar RTP rates ( P = 0.28). Finally, MLB pitchers had similar pitch breakdowns, velocities, and spin rates before and after their primary and revision repair or reconstruction.</p><p><strong>Conclusions: </strong>Both revision UCL repair and reconstruction can return pitchers to preinjury performance levels. Pitchers and teams should be properly counseled on realistic RTP times and postsurgery performance when discussing revision UCL surgeries.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"454-461"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721881","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":"Acute Eye-Tracking Changes Correlated With Vestibular Symptom Provocation Following Mild Traumatic Brain Injury.","authors":"Caroline Uyeno, Rachel Zhang, Jordan Cornwell, Masaru Teramoto, Marie Boo, Angela Lumba-Brown","doi":"10.1097/JSM.0000000000001223","DOIUrl":"10.1097/JSM.0000000000001223","url":null,"abstract":"<p><strong>Objectives: </strong>To quantify norms and changes in eye-tracking proficiency, and determine vestibular symptom correlations in varsity college athletes following acute mild traumatic brain injury (mTBI). We hypothesized that mTBI impacts central coordination between the vestibular and oculomotor systems with resultant changes in eye-tracking proficiency that are correlated with vestibular symptom provocation.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Sports medicine care at a single institution.</p><p><strong>Patients: </strong>One hundred and nineteen college athletes diagnosed with mTBI by a physician between 2013 and 2019.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>Standard deviation of tangential error, standard deviation of radian error, mean phase error, and horizontal gain from virtual reality-based, circular eye-tracking goggles used at baseline and within 72 hours post-mTBI. Headache, dizziness, nausea, and fogginess provocation after the Vestibular Ocular Motor Screening (VOMS) smooth pursuits subtest compared with pretest baseline, assessed within 72 hours post-mTBI.</p><p><strong>Results: </strong>One hundred and nineteen college athletes (N = 56 women and 63 men) aged 18 to 24 years sustained a total of 177 mTBI. Forty-four percent of athletes displayed abnormal eye-tracking on at least 1 eye-tracking measure following acute mTBI compared with their baseline. From the VOMS, horizontal gain showed medium-sized to large-sized positive correlations with headache ( r = 0.34) and dizziness ( r = 0.54), respectively. Mean phase error showed a medium-sized negative correlation with nausea ( r = -0.32) on the VOMS.</p><p><strong>Conclusions: </strong>Eye-tracking proficiency was impaired and correlated with vestibular symptom provocation following acute mTBI in college athletes. Future research should examine eye-tracking proficiency testing in other acute care settings to support mTBI diagnosis.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"411-416"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863114","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 Acute Symptoms After Sport-Related Concussion in Collegiate Athletes With Preinjury Migraines.","authors":"Jacob Jo, Paul D Berkner, Katie Stephenson, Bruce A Maxwell, Grant L Iverson, Scott L Zuckerman, Douglas P Terry","doi":"10.1097/JSM.0000000000001233","DOIUrl":"10.1097/JSM.0000000000001233","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether a personal history of migraines is associated with worse acute symptom burden after sport-related concussion (SRC).</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>National Collegiate Athletic Association Division III collegiate programs.</p><p><strong>Participants: </strong>Collegiate athletes from a prospective concussion surveillance system between 09, 2014, and 01, 2023.</p><p><strong>Intervention: </strong>Preinjury migraines (yes/no) were self-reported by athletes.</p><p><strong>Main outcome measures: </strong>Post-Concussion Symptom Scale (PCSS) were collected within 3 days postinjury. Mann-Whitney U tests compared total PCSS scores and individual symptom scores between athletes with and without preinjury migraines. Chi-squared tests were used to compare proportions of athletes endorsing individual symptoms (ie, item score ≥1) between 2 groups. Multivariable regression analyzed potential predictors of PCSS scores.</p><p><strong>Results: </strong>Of 1190 athletes with SRC, 93 (7.8%) reported a preinjury history of migraines. No significant difference in total PCSS scores was found between athletes with and without preinjury migraines (22.0 ± 16.4 vs 20.5 ± 15.8, U = 48 719.0, P = 0.471). Athletes with preinjury migraines reported greater severity of \"sensitivity to light\" (1.59 ± 1.59 vs 1.23 ± 1.41, P = 0.040) and \"feeling more emotional\" (0.91 ± 1.27 vs 0.70 ± 1.30; P = 0.008) and were more likely to endorse \"feeling more emotional\" (45.2% vs 29.5%, P = 0.002). No differences were found across all other symptoms, including headaches (migraine = 87.1% vs no migraine = 86.3%, P = 0.835). In a multivariable model, a history of migraine was not a significant predictor of acute PCSS scores, but those with a history of psychological disorders (β = 0.12, P <0 .001) and greater number of days to symptom evaluation (β = 0.08, P = 0.005) had higher PCSS scores.</p><p><strong>Conclusions: </strong>Collegiate athletes with a pre-existing history of migraines did not have higher acute symptom burden after SRC.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"404-410"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080816","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":"Paget-Schroetter Syndrome in a Patient With Posterior Shoulder Subluxation: A Case Report.","authors":"David Röthlisberger, Mustafa S Rashid, Peter Ruijs, Matthias A Zumstein","doi":"10.1097/JSM.0000000000001227","DOIUrl":"10.1097/JSM.0000000000001227","url":null,"abstract":"<p><strong>Abstract: </strong>Paget-Schroetter syndrome describes a primary thrombosis of the subclavian vein induced by effort. In most cases, the clinical presentation includes painful swelling, discoloration, and visible collateral circulation in the arm. Paget-Schroetter syndrome is treated with anticoagulation, rest, and physical therapy. In certain cases, invasive treatment such as thrombolysis and decompression surgery (first rib resection) may be necessary. We present the case of a 28-year-old healthy male patient with effort-induced deep vein thrombosis of the upper extremity after posterior shoulder subluxation. Anticoagulation, rest, and physical therapy were used to treat the patient, who became asymptomatic and was able to resume normal activities without restriction. To our knowledge, this is the first case of effort-induced upper extremity deep vein thrombosis after posterior shoulder subluxation. Paget-Schroetter syndrome is rare diagnosis that requires vigilance during musculoskeletal assessment for shoulder pain and swelling. The early detection, radiological confirmation, and prompt initiation of treatment are essential to successful management of Paget-Schroetter syndrome. The impact of associated posterior shoulder subluxation remains unclear.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"503-505"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141173898","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}