Current sports medicine reports最新文献

We present a case involving a futsal player with brain concussions and commotio retinae to protect the affected area and support a safe, prompt return to play custom face guard instead of a commercial face guard and sports goggles. For a better fit, we fabricated a custom face guard, for which a facial impression was taken using dental alginate material and plaster in July 2019. The following month, the custom face guard was set on the player's face so that its outline provided minimal coverage of the nose area compared with a conventional face guard. The field of view during play and the guard's protectiveness were tested by confirming that the ball did not strike the player's eyes. This is a rare case involving face guard use for eye injury prevention. The findings suggest that a custom face guard may be employed as a preventive measure for futsal-related eye injuries.

This report will present a unique case of a Brazilian Jiu-Jitsu practitioner who sustained a displaced thyroid cartilage fracture during training, which required surgical treatment to prevent long-term voice complications. The existing medical literature and posts from a common Brazilian Jiu-Jitsu forum were queried to contextualize injuries that the authors contend are both underreported and avoidable. Despite the absence of similar cases in the medical literature, there was a relative abundance of forum posts outlining laryngotracheal symptoms (dysphonia, dysphagia, and odynophagia) sustained after Brazilian Jiu-Jitsu training, for which most users did not seek medical care. These injuries are often the result of a particular set of techniques (chokeholds), highlighting an opportunity to educate practitioners and, potentially, to perform these techniques more safely.

Cervical radiculopathy presents with symptoms involving the head, neck, and upper limb that can significantly impact athletic performance. While the presence of radiating pain and/or paresthesias may increase the clinical suspicion for a cervical radiculopathy, a variety of alternative neurogenic and musculoskeletal disorders can mimic cervical radicular patterns. Familiarity with key differentiating variables in the history and physical examination is essential for early and accurate diagnosis. Evaluation may require the use of imaging, electrodiagnostic testing, and/or diagnostic injections. However, such studies in isolation are limited in their ability to provide a definitive diagnosis and should be viewed as an extension of the history and physical examination. Coexistent disorders, asymptomatic imaging abnormalities, and inconclusive electrodiagnostic testing can create diagnostic challenges. This article will review cervical radiculopathy in the athlete and common neurogenic and musculoskeletal mimics that should be considered by sports medicine providers in order to facilitate timely diagnosis and management.

There is ongoing interest in the use of nutritional supplements for the prevention and treatment of sports-related concussions. While many athletes and clinicians incorporate vitamins and supplements into concussion recovery plans, human-based studies specific to sports concussion remain limited. This article reviews the most current evidence regarding supplements with emerging data in concussion management, including docosahexaenoic acid and fish oil, branched-chain amino acids, melatonin, magnesium, and riboflavin. Other supplements such as probiotics, vitamins C, D, and E, and taurine are discussed based on findings in animal models and moderate-to-severe traumatic brain injury. Further research is needed to clarify clinical utility.

Concussions are a major concern in sports, particularly contact sports. Neck strength may be a protective factor in limiting concussion risk by reducing head acceleration. This meta-analysis aimed to determine whether an increase in neck strength reduced concussion risk in athletes. Articles were selected based on determined inclusion and exclusion criteria. Five articles met the criteria and were included in our analysis. Standardized mean differences and 95% confidence intervals were calculated for each and visualized using a forest plot. Across five planes of motion (flexion, extension, right and left flexion, and total), no statistically significant differences in neck strength were found. Some studies reported a positive trend in increased neck strength and concussion risk reduction, indicating possible clinical significance. In conclusion, evidence remains inconclusive on the association between neck strength and concussion risk. Further large, randomized controlled trials are needed to recommend neck strength as a preventive strategy.