Physician and Sportsmedicine最新文献

{"title":"Increasing incidence of concussion and head injury due to electric biking: a 10-year sex- and age-specific analysis of national injury data.","authors":"Niklas H Koehne, Auston R Locke, Austin A Alley, Matthew D Ramey, Nikan K Namiri, Suraj Dhanjani, Avanish Yendluri, Brian R Waterman, Seth L Sherman, Robert L Parisien","doi":"10.1080/00913847.2024.2440309","DOIUrl":"10.1080/00913847.2024.2440309","url":null,"abstract":"<p><strong>Objectives: </strong>Electric biking (e-biking) is a rapidly growing recreation, sport, and mode of transportation that often presents to emergency departments (EDs) with high-impact head injuries. This study aimed to evaluate the epidemiology of e-bike-related concussions and closed-head injuries (CHI) to inform more effective injury prevention strategies.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance (NEISS) was queried for e-bike related concussions and CHIs presented to national EDs from 1 January 2013-31 December 2022. Patient demographics, diagnoses, and dispositions were recorded, and injury narratives were reviewed to identify mechanisms of injury and motor vehicle (MV) involvement.</p><p><strong>Results: </strong>A total of 11,052 nationally estimated (NE) e-bike head injuries presented to US EDs from 2013 to 2022. E-bike head injuries increased significantly from 2013 to 2022 (<i>p</i> = .006, β = 372.5), with 40.8% of all head injuries occurring in 2022. Nearly one-third of patients (31.0%) required hospital admission, with hospitalization occurring most frequently among ages 51 and older (44.5%). MV involvement accounted for 27.6% of head injuries, and caused a higher proportion of hospitalizations than mechanisms without MVs (35.6% vs. 29.4%, respectively; <i>p</i> < 0.001). High school age riders had the most MV incidents (53.2%), while the middle school age group had the highest proportion of concussions (26.5%) among all age groups. Relative to females, males were more likely to be involved in an MV incident (28.5% vs. 15.5%; <i>p</i> < 0.001) and were more likely to be hospitalized (33.0% vs. 25.4%; <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The incidence of concussions and CHIs due to e-bikes increased significantly from 2013 to 2022, while high proportions of hospitalization indicate serious injury severity and large medical costs associated with these injuries. The prevalence of crashes involving MVs, especially among teenagers, calls for further research on commuter and recreational e-bike use along with new traffic legislation to protect young e-bikers.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of injuries in UK based golfers: a retrospective study.","authors":"Ashley Williams, Andrew Murray, Graeme G Sorbie","doi":"10.1080/00913847.2024.2432859","DOIUrl":"10.1080/00913847.2024.2432859","url":null,"abstract":"<p><strong>Objectives: </strong>Golf participation numbers have increased in recent years within the UK and globally. A recent systematic review and meta-analysis of injuries in amateur and professional golfers showed over half of golfers sustain an injury during their lifetime. This review recommended that future research should utilize the recent international consensus on reporting of injury in golf. The aim of this study was to determine the frequency and severity of injuries sustained by UK-based golfers in the previous year.</p><p><strong>Methods: </strong>A retrospective cross-sectional online survey consisting of 35 questions was disseminated to UK-based golfers. Non-overlapping 95% confidence intervals (CI) were utilized to indicate significant differences.</p><p><strong>Results: </strong>There were 303 participants included for analysis. The overall injury incidence was 41.26 injuries per 1000 hours (CI 35.96-47.33). Consistent with the wider literature, the lower back at 9.94 injuries per 1000 hours (CI 7.48-13.22) is the most frequent injury site. The lower back had a mean time loss of 54 ± 89 days before full recovery. Repetitive movement injuries were noted to have a higher incidence (22.00 per 1000 hours, CI 18.19-26.61) in comparison to acute injuries (10.79 per 1000 hours, CI 8.21 to 14.18).</p><p><strong>Conclusion: </strong>Anatomically, the proportion of injuries observed was comparable to previous epidemiology studies, with the lower back and elbow having the highest incidences in this largely amateur group of golfers. Most injuries were identified to be a muscle strain, joint sprain, or tendinopathy; however, no single identifiable mechanism of injury was identified.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations for postpartum athletes returning to sport: the past, present, and future.","authors":"Chista R Irani, Elizabeth H G Turner, Mia V Rumps, Mary K Mulcahey","doi":"10.1080/00913847.2024.2385886","DOIUrl":"10.1080/00913847.2024.2385886","url":null,"abstract":"<p><strong>Introduction: </strong>There is a growing percentage of elite female athletes who choose to start a family during their athletic careers. Current guidelines to manage postpartum elite athletes returning to sport are weakly rooted in athlete-centered evidence and/or are restricted by small sample sizes. The purpose of this review was to collect and compare existing protocols and guidelines for elite athletes returning to sport following childbirth and to highlight the current culture surrounding postpartum athletes.</p><p><strong>Methods: </strong>Online databases including PubMed and BioMed Central were searched from September 2023 to May 2024. Studies of any design were included if they contained information on pregnancy and postpartum. Peer-reviewed research studies, systematic reviews, case reports, and data from organizational websites (American College of Obstetricians and Gynecologists, the World Health Organization, and the Official Olympics) were included.</p><p><strong>Results: </strong>Athlete-mothers face numerous challenges in their transition back to competitive sport following childbirth, including the societal expectations of a 'good' mother, potential loss of financial sponsorships, and limited guidance on postpartum training. Additionally, the healthcare community historically managed postpartum athletes in a reactionary manner by treating symptoms from pregnancy and childbirth as they arise. Recent literature is pointing toward adopting a preventive and proactive model of care to optimize an athlete's health prior to pregnancy and therefore support their safe return to sport postpartum.</p><p><strong>Conclusion: </strong>Increased support for female participation in sports must also be met by increased support for pregnant and postpartum athletes. There is a continued need for research regarding return-to-sport guidelines for postpartum athletes, and their proper implementation.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"533-540"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surfer's neurapraxia - an uncommon surfing injury of the saphenous nerve.","authors":"Kyle K Obana, David P Trofa, Christopher S Ahmad, William N Levine, Charles A Popkin","doi":"10.1080/00913847.2024.2375961","DOIUrl":"10.1080/00913847.2024.2375961","url":null,"abstract":"<p><p>Surfer's neurapraxia is a rare surfing injury of the saphenous nerve secondary to persistent compression of the saphenous nerve along the medial thigh by the surfboard when paddling prone and while sitting upright on the board waiting for a wave. Symptoms may be nonspecific and consist of pain in the medial thigh with or without radiation along the saphenous nerve distribution (medial leg, medial ankle, medial arch of the foot). The saphenous nerve tension test can be utilized to reproduce the symptoms of surfer's neurapraxia. Treatment consists of conservative management while refractory cases may benefit from injection with local anesthetic. The authors propose the Obana Plan (WATER) for prevention of surfer's neurapraxia, consisting of Wetsuits, Abduction, Timing, Exercise, and Rest. Overall, surfer's neurapraxia is a benign condition that can be prevented and managed conservatively.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"528-532"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental influence and perceptions on youth single sport specialization: a systematic review.","authors":"Ameer A Haider, Stockton C Troyer, Mitchell S Mologne, Angela Hardi, Andrew W Kuhn","doi":"10.1080/00913847.2024.2399496","DOIUrl":"10.1080/00913847.2024.2399496","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the role of parental influence on youth SSS and to characterize parental perceptions of SSS.</p><p><strong>Data sources: </strong>Embase.com, Ovid-Medline All, CINAHL Plus, APA PsycInfo, Scopus, Web of Science, and PubMed Central (PMC) since database inception.</p><p><strong>Study selection: </strong>Primary studies that assessed reasons for youth SSS that included parental influence as a factor and/or studies that investigated the nature or extent of parental influence on SSS were included.</p><p><strong>Data extraction: </strong>A single author extracted data, focusing on definitions and measures of SSS and parental influence, findings concerning primary reasons for SSS, any quantitative or qualitative findings on the extent of parental influence on SSS, and findings concerning various associations between parental influence, SSS, and other themes.</p><p><strong>Data synthesis: </strong>61 articles were assessed in total, with 23 meeting criteria for inclusion. Parental influence plays a limited direct role in SSS, accounting for approximately 10.6% of the overall influence. Athlete self-influence or self-enjoyment of sport was found to be the predominant reason to pursue SSS, accounting for 82.3% of the overall influence. However, parents indirectly influence SSS by modulating athlete motivation and providing financial, practical, and emotional support.</p><p><strong>Conclusions: </strong>Athlete self-motivation primarily drives SSS directly, while parents indirectly influence SSS by modulating athlete self-motivation and offering financial, practical, and emotional support. Misconceptions persist regarding parental perceptions of SSS-related injury risks, scholarship attainment, and athletic development. Communication with parents regarding the risks associated with SSS and their role in monitoring their children's sports participation is crucial for mitigating adverse outcomes in youth athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"541-555"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care of The Older Fighter: Position Statement of the Association of Ringside Physicians.","authors":"Davide Bianchi, Nitin K Sethi, George Velasco, Uneeb A Qureshi, Kevin deWeber","doi":"10.1080/00913847.2024.2344227","DOIUrl":"10.1080/00913847.2024.2344227","url":null,"abstract":"<p><p>Older Fighters are defined as combat sports athletes older than 35 years, based on heightened medical risks and historical classification. Age-related changes to the neurological, cardiopulmonary, endocrinological, thermoregulatory, osmoregulatory, and musculoskeletal systems increase these athletes' risks for injury and may prolong their recovery. These age-related risks warrant special considerations for competition, licensure, prefight medical clearance, in-fight supervision, post-fight examination, and counseling regarding training practices and retirement from combat sports. Neurological considerations include increased risk of intracranial lesions, intracranial hemorrhage, and sequelae from traumatic brain injury (TBI), warranting more comprehensive neurological evaluation and neuroimaging. Increased risk of myocardial ischemia and infarction warrant careful assessment of cardiac risk factors and scrutiny of cardiovascular fitness. Older fighters may take longer time to recover from musculoskeletal injury; post-injury clearance should be individualized.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"585-591"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of preoperative treatment on healthcare utilization and return to work for anterior cruciate ligament injuries: a real-world study using the French healthcare database.","authors":"Guillaume Le Sant, Antoine Frouin, Lucie Gachet, Lilian Lacourpaille, Antoine Nordez, Emmanuelle Bataille, Aurélie Gaultier, Jean-Pascal Fournier","doi":"10.1080/00913847.2024.2435256","DOIUrl":"https://doi.org/10.1080/00913847.2024.2435256","url":null,"abstract":"<p><strong>Objective: </strong>To compare healthcare use and the number of days of sickness benefits between people with anterior cruciate ligament (ACL) injury who received physiotherapy before and after ACL reconstruction (ACLR) and those who received physiotherapy after ACLR only. Secondary aim: to measure the association between the volume of preoperative healthcare and post-ACLR recovery.</p><p><strong>Methods: </strong>Each individual's care pathway was extracted from a section of the French National Health Data System (SNDS) database (province: Pays de La Loire). The database was queried for the codes related to sickness benefits and healthcare utilization, including physiotherapy, medical and paramedical visits and procedures, medication, and medical equipment provided up to six months before and eighteen months after the ACLR. (Registry/number: ClinicalTrials.gov/NCT05737719).</p><p><strong>Results: </strong>Based on the timing of physiotherapy, two subcohorts were created from the database: 'prehabilitation' (<i>n</i> = 513) for those receiving physiotherapy before and after ACLR; 'no prehabilitation' (<i>n</i> = 630) for those only receiving physiotherapy after ACLR. Before ACLR, healthcare use was higher for the 'prehabilitation' group, including the number of medical visits (3.9 ± 2.3 vs. 3.0 ± 1.9 univariate <i>p</i> < 0.001), analgesia (mild opioids 60.4% vs. 49.8% univariate <i>p</i> < 0.001), dispensing of medical equipment (85.0% vs. 68.9% univariate <i>p</i> < 0.001) and sickness benefit days (52.7 ± 45.6 days vs. 33.2 ± 35.8 days, univariate <i>p</i> < 0.001). After ACLR, the 'prehabilitation' group underwent a higher number of physiotherapy sessions (46.8 ± 21.9 sessions vs 35.8 ± 19.0 sessions, <i>p</i> < 0.001) but had a similar number of sickness benefit days (94.7 ± 77.8 days vs 87.1 ± 69.9 days, <i>p</i> = 0.092). From the multivariate analysis (<i>n</i> = 1143): age, comorbidities, the preoperative number of sickness benefit days, and the number of physiotherapy sessions before ACLR explained 24% of the variance in days of sickness benefits after ACLR.</p><p><strong>Conclusion: </strong>Prehabilitation was associated with higher healthcare utilization before and after ACLR. Prehabilitation, and other preoperative variables, explained only a part of the number of days of sickness benefits after ACLR.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The major league baseball pitch clock: one year position player injury analysis.","authors":"Troy Puga, Nicholas M Scigliano, McKenna W Box, John T Riehl","doi":"10.1080/00913847.2024.2425592","DOIUrl":"10.1080/00913847.2024.2425592","url":null,"abstract":"<p><strong>Background: </strong>In 2023, Major League Baseball (MLB) implemented the pitch clock. The effects of the pitch clock on player injury rates is largely unknown, and some, including the major league baseball players association, have suggested that pitchers may be at an increased risk of injury with its implementation. Position players have received little attention in these discussions, even though they may be at the same theorized risk of injuries. The aim of this study is to determine if implementation of the 2023 MLB pitch clock influenced the incidence of injuries in position players. It is hypothesized that implementation of the MLB pitch clock will lead to a rise in injuries due to a reduction of time for the primary biological energy system used by baseball to restore to normal levels.</p><p><strong>Methods: </strong>Injury data was collected from the fangraphs.com injury database, the most comprehensive MLB data and statistical database website, for the 2021, 2022, and 2023 MLB seasons. The incidence rate ratio was calculated and used to compare the injury rate for the 2023 season to the 2021 and 2022 seasons for both major anatomical categories and anatomical subcategories. A z-test for proportions was used to determine significance.</p><p><strong>Results: </strong>Incidence rate ratio comparison of the 2023 MLB pitch clock season versus the 2021 MLB season showed a decrease in the total incidence of injuries (<i>p</i> < .001), lower extremity injuries (<i>p</i> < .001), and hamstring injuries (<i>p</i> = .032). Incidence rate ratio comparison of the 2023 MLB pitch clock season versus the 2022 MLB season showed a decrease in the total incidence of injuries (<i>p</i> = .010), undisclosed injuries (<i>p</i> < .001), and knee injuries (<i>p</i> = .035).</p><p><strong>Conclusions: </strong>Following the implementation of the pitch clock during the 2023 MLB season, the total number of injuries and several lower extremity injury categories decreased. Due to a decrease in the overall time spent on the field in a single game and over a season, it could be hypothesized that the pitch clock decreased the workload for position players, leading to this drop in injuries. Further longitudinal investigation must be done to investigate if this influence of the MLB pitch clock persists overtime.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-5"},"PeriodicalIF":1.9,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injury incidence, prevalence, and burden in an Argentinian male youth soccer academy: one-season descriptive study.","authors":"Matías Dominguez, Juan Pablo Rico, Franco Tedesco, Eduardo Tondelli","doi":"10.1080/00913847.2024.2425265","DOIUrl":"10.1080/00913847.2024.2425265","url":null,"abstract":"<p><strong>Objective: </strong>To prospectively describe the incidence, severity, and burden of injuries in the youth divisions of an Argentinian professional soccer club during a competitive season.</p><p><strong>Methods: </strong>Two hundred and twelve male soccer academy players were grouped by age categories and maturity offset as pre-peak height velocity (PHV), circa-PHV and post-PHV. Injury characteristics were recorded as the International Olympic Committee suggests.</p><p><strong>Results: </strong>A total of 235 time-loss injuries were sustained by 101 different players. The overall injury incidence rate was of 5.8 injuries per 1000 hours (h), with a training and match injury incidence rate of 4.9 and 9.7 injuries per 1000 h, respectively. The prevalence over the season was 47%. Most of the injuries (202) affected the lower limbs (86.6%) and most of them were classified as muscle/tendon injuries (<i>n</i> = 117, 49.8%). Hamstring structural injury was the diagnosis with the highest burden in both circa and post-PHV groups.</p><p><strong>Conclusions: </strong>The incidence, prevalence, and injury burden reported in this study would add valuable information to Argentinians' youth soccer institutions. Post-PHV players had higher incidence, severity, and burden compared to circa-PHV. Structural/functional injuries to the muscle/tendon represented the highest burden for type of injuries (41.1 per 1000 h), suggesting a need for implementing preventive measures.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 10-year decreasing trend of youth soccer head injuries and concussions presenting to U.S. emergency departments.","authors":"Alex G Chun, Eli M Snyder, Kyle K Obana, Beth G Ashinsky, Robert L Parisien, Thomas S Bottiglieri, Christopher S Ahmad, David P Trofa","doi":"10.1080/00913847.2024.2421154","DOIUrl":"10.1080/00913847.2024.2421154","url":null,"abstract":"<p><strong>Objectives: </strong>Nearly 3 million children participate in youth soccer annually in the United States. Popularity of youth soccer within recent years has prompted investigation describing youth-soccer concussion trends presenting to United States emergency departments (EDs).</p><p><strong>Methods: </strong>Data from National Electronic Injury Surveillance System were analyzed for soccer players 2-18 years old sustaining concussions from January 2013 to December 2022. Patient data included age, sex, mechanism of injury, setting (practice vs. game), diagnosis, loss of consciousness, and disposition. Raw data were used to calculate national estimates based on assigned statistical sample weight of each hospital.</p><p><strong>Results: </strong>A total of 80,582 youth soccer concussions were diagnosed in US EDs (51.0% female, 49.0% male). The most common mechanism of injury was head to ball (31.0%). On average, overall concussions decreased by 572 per year (<i>p</i> = 0.02). Head to body concussions decreased by 169 per year (<i>p</i> < 0.01) and head to ground concussions decreased by 155 per year (<i>p</i> < 0.01). No changes per year in concussion trends for head to ball, head to head, not specified, and other mechanisms. Exclusion of years 2020 and 2021 (COVID), demonstrated decreases in concussions for head to body by 125 (<i>p</i> = 0.01) and head to ground mechanisms by 135 per year (<i>p</i> = 0.01).</p><p><strong>Conclusion: </strong>There is a decreasing trend in youth soccer head injuries and concussions presenting to US emergency departments from 2013 to 2022. The trends from this study indicate that heading may be the most important aspect of soccer-related concussions presenting to US emergency departments. This study contributes to the growing literature regarding concussions in youth soccer athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}