Browsing by Subject "Return to Sport"

Now showing 1 - 3 of 3

Open Access
A Small Bowel Perforation in a Goalkeeper: A Case Report and Return-to-Play Progression.
(Journal of athletic training, 2021-11) Johnston, Kenzie; Condon, Tara A; Ciocca, Mario; Aguilar, Alain
Sport-related intra-abdominal injuries are rare and may be associated with significant morbidity if missed. We present the case of a 21-year-old male collegiate goalkeeper who sustained a small bowel perforation after colliding with a teammate in practice. The athlete underwent laparoscopic primary repair of his small bowel perforation, a relatively uncommon type of surgical intervention for this injury given that similar patients are typically treated via laparotomy. Due to the rarity of small intestine injuries in athletes, information regarding the success of surgical interventions and return-to-play (RTP) standards is lacking, as is information on outcomes and return to sport after a laparoscopic repair. In this case report, we discuss the unique challenge of constructing an RTP protocol for this high-level athlete and propose a protocol for RTP after an intra-abdominal injury treated laparoscopically.
Open Access
Author Reply to "Can We Conclude That the Arthroscopic Bankart Repair and Open Latarjet Procedure Show Similar Rates of Return to Play and How Should This Conclusion Be Interpreted?"
(Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2024-03) Hurley, Eoghan T; Danilkowicz, Richard M; Paul, Alexandra V; Myers, Heather; Anakwenze, Oke A; Klifto, Christopher S; Lau, Brian C; Taylor, Dean C; Dickens, Jonathan F
Open Access
Return to sport after open and microdiscectomy surgery versus conservative treatment for lumbar disc herniation: a systematic review with meta-analysis.
(Br J Sports Med, 2016-02) Reiman, Michael P; Sylvain, Jonathan; Loudon, Janice K; Goode, Adam
BACKGROUND: Lumbar disc herniation has a prevalence of up to 58% in the athletic population. Lumbar discectomy is a common surgical procedure to alleviate pain and disability in athletes. We systematically reviewed the current clinical evidence regarding athlete return to sport (RTS) following lumbar discectomy compared to conservative treatment. METHODS: A computer-assisted literature search of MEDLINE, CINAHL, Web of Science, PEDro, OVID and PubMed databases (from inception to August 2015) was utilised using keywords related to lumbar disc herniation and surgery. The design of this systematic review was developed using the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Methodological quality of individual studies was assessed using the Downs and Black scale (0-16 points). RESULTS: The search strategy revealed 14 articles. Downs and Black quality scores were generally low with no articles in this review earning a high-quality rating, only 5 articles earning a moderate quality rating and 9 of the 14 articles earning a low-quality rating. The pooled RTS for surgical intervention of all included studies was 81% (95% CI 76% to 86%) with significant heterogeneity (I(2)=63.4%, p<0.001) although pooled estimates report only 59% RTS at same level. Pooled analysis showed no difference in RTS rate between surgical (84% (95% CI 77% to 90%)) and conservative intervention (76% (95% CI 56% to 92%); p=0.33). CONCLUSIONS: Studies comparing surgical versus conservative treatment found no significant difference between groups regarding RTS. Not all athletes that RTS return at the level of participation they performed at prior to surgery. Owing to the heterogeneity and low methodological quality of included studies, rates of RTS cannot be accurately determined.