MRI characteristics of adductor longus lesions in professional football players and prognostic factors for return to play

2018 ◽  
Vol 108 ◽  
pp. 52-58 ◽  
Author(s):  
G. Pezzotta ◽  
A. Pecorelli ◽  
G. Querques ◽  
S. Biancardi ◽  
C. Morzenti ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Return To Play ◽  
Football Players ◽  
Professional Football ◽  
Mri Characteristics ◽  
Adductor Longus

scholarly journals Percutaneous needle electrolysis and exercise reduce the time for return to competition after an injury to the hamstrings: Two cases in professional football players

2019 ◽  
Vol 02 (02) ◽  
pp. 121-122 ◽  
Author(s):  
Jiménez Rubio S. ◽  
Valera Garrido F. ◽  
Minaya Muñoz F. ◽  
Navandar A.
Keyword(s):  
Combined Treatment ◽  
Exercise Program ◽  
Neuromuscular Control ◽  
Lower Limbs ◽  
Return To Play ◽  
Football Players ◽  
Professional Football ◽  
Intervention Protocol ◽  
Functional Exercise ◽  
Return To Competition

Abstract Background and Aims Percutaneous needle electrolysis has shown to be effective for the treatment of chronic tendinopathies, however, the scientific evidence available regarding acute muscle lesions is scarce. Lesions to the hamstrings caused by indirect mechanisms represent the most common muscle lesion in football (its incidence increases each year) with a high rate of recurrence. The aim was to evaluate whether the application of percutaneous needle electrolysis and a program of functional exercise decreases the times for return to competition after an injury to the hamstrings in athletes, and to compare performance data of subjects during competition before and after the injury. Methods A case series. Two professional football players, belonging to a first league team in Spain with a grade 2 lesion in the semitendinosus muscle on the proximal level. The affected muscle structure was assessed using ultrasound (Logiq GE E9, probe ML6–12) and functionality was evaluated based on data of the Global Positioning System (GPS), comparing the data obtained during the process of re-adaptation with data prior to the lesion. Percutaneous needle electrolysis was performed under ultrasound guidance at 48 hours after the injury following the protocol defined by Valera & Minaya (2:3:5). The indoor recovery of players began 24 hours after the percutaneous needle electrolysis. Initially, the exercise program included activities of mobility and controlled loading. Thereafter, the players completed their readaptation program in the training field with exercises of progressive complexity and intensity (biomechanical patterns and neuromuscular control of the central zone and the lower limbs, sprint). Results Player A returned to competition in 16 days, player B returned in 14 days. No adverse effects were identified during or after the percutaneous needle electrolysis technique. The players only missed one competition game and the process of readaptation allowed them to return to play registering parameters which were similar to the values prior to the lesion, and maintaining the performance during the four matches following the intervention protocol. The players were followed up to eight months after the injury and neither player suffered a relapse during this period, which indicates the complete recovery of the injured muscle both on a structural and functional level. Conclusions The combined treatment using percutaneous needle electrolysis and a functional exercise program reduces the time for return to competition after a grade 2 muscle lesion in the hamstrings, with a level of performance that is similar to prior to the lesion, without relapses, in an 8 month follow up period. The criteria we use to determine when a player can return to train with the team and compete after an acute muscle injury are: the time that has passed since the lesion, structural changes and the ability to perform tasks.

Adductor Longus Rupture in Professional Football Players: Acute Repair with Suture Anchors

2004 ◽  
Vol 32 (1) ◽  
pp. 243-245 ◽  
Author(s):  
Louis Rizio ◽  
John P. Salvo ◽  
Matthias R. Schürhoff ◽  
John W. Uribe
Keyword(s):  
Football Players ◽  
Professional Football ◽  
Suture Anchors ◽  
Adductor Longus

Return to Play and Career Length After Anterior Cruciate Ligament Reconstruction Among Canadian Professional Football Players

2020 ◽  
Vol 48 (7) ◽  
pp. 1682-1688
Author(s):  
Robert Longstaffe ◽  
Jeff Leiter ◽  
Tanner Gurney-Dunlop ◽  
Robert McCormack ◽  
Peter MacDonald
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Return To Play ◽  
Football Players ◽  
Professional Football ◽  
Collateral Ligament ◽  
Career Length ◽  
Anterior Cruciate ◽  
Negative Predictor

Background: For many athletes, a tear of the anterior cruciate ligament (ACL) represents a significant injury that requires a prolonged period away from the sport with substantial rehabilitation. Hypothesis: There will be no difference in return to play (RTP) and career length after hamstring tendon (HT) ACL reconstruction in a group of Canadian Football League professional players as compared with what has been already been reported in the literature among professional football players. Study Design: Case-control study; Level of evidence, 3. Methods: Data on athletes who sustained an ACL injury were collected by team physicians and head athletic trainers from 2002 to 2017 from 2 Canadian Football League teams. Patient details included age at the time of injury, initial injury date, position, practice versus game injury, and primary versus rerupture with injury-specific data, such as affected limb, concomitant injuries, graft choice, and procedure performed. RTP rates and career length data were collected through publically available internet sources. Comparisons between the non-RTP and RTP groups were made with independent-sample t tests. Binomial logistic regression was performed to determine variables (ie, games preinjury, graft type, meniscal injury, collateral ligament injury) that contributed to players not being able to RTP. Results: A total of 44 ACL reconstructions were performed over the study period (HT, n = 32 [72.7%]; bone–patellar tendon–bone [BPTB], n = 8 [18.2%]; allograft, n = 4 [9.1%]). Overall, 69.8% (n = 30) were able to RTP in at least 1 game, while 30.2% (n = 13) did not return. Mean time to return was 316.1 days (range, 220-427 days), or 10.4 months. For those players who did RTP, mean career length after ACL reconstruction was 2.8 seasons, or 34.4 games. The majority (56.8%) of injuries occurred early in the season. Breakdown by graft type demonstrated RTP rates among HT, BPTB, and allograft of 64.5% (n = 20), 87.5% (n = 7), and 75% (n = 3), respectively. Career length among HT, BPTB, and allograft was 2.9, 2.4, and 3 seasons. Logistic regression analysis found only concomitant medial collateral ligament (MCL) injuries to be a negative predictor for RTP. Meniscal injuries were associated with a decreased RTP rate and career length, but this was not statistically significant. Conclusion: The RTP rates after ACL reconstruction in this study are similar to those reported in National Football League players. A concomitant injury to the MCL injury was a negative predictor of RTP. Meniscal injuries demonstrated a trend for decreased RTP rate and career length, but this was not a significant predictor. A large portion of injuries occur early in the season, and further study should be done to examine potential preventative strategies to reduce ACL injuries.

scholarly journals Effect of Concussions on National Football League Quarterback Performance

2020 ◽  
Vol 8 (4) ◽  
pp. 19
Author(s):  
Elizabeth C. Heintz ◽  
Emily F. Foret ◽  
Jeremy J. Foreman
Keyword(s):  
Decision Making ◽  
National Football League ◽  
Field Performance ◽  
American Football ◽  
Return To Play ◽  
Football Players ◽  
Professional Football ◽  
Career Outcomes ◽  
Neurocognitive Performance ◽  
Player Performance

Background: Sports-related concussion (SRC) rates are higher in American football than any other sport; therefore, the effects of SRCs on professional football players is a prevalent topic. Previous research has shown that sustaining an SRC has negative financial and overall career outcomes for athletes and may cause performance decrements after an athlete returns to play, however, the results of previous research regarding athlete performance after returning from an SRC are mixed. While some studies found that player performance in the National Football League (NFL) was unaffected upon returning from an SRC, evidence also suggests significant scoring reductions in offensive players. Although previous research has found that NFL running backs and wide receivers perform at levels similar to their performance before sustaining an SRC, little is known about quarterback performance after an SRC. There is also evidence that SRCs decrease neurocognitive performance, a quality that is crucial, especially for quarterbacks. Objective: The purpose of this study is to examine changes in NFL quarterback performances upon return to play from an SRC. Method: Quarterback ratings (QBRs) and concussion data from 2012-2015 were used to determine if changes occurred in NFL quarterback performance following an SRC. Results: QBRs decreased by 13.3 points (p = 0.014) after quarterbacks return from an SRC. Conclusions: Changes in on-field performance for NFL quarterbacks after sustaining an SRC could be the result of neurocognitive decrements that impact quick reaction and decision-making skills, which may have greater impacts on quarterbacks than other positions.

Effect of Concussions on the Performance of Running Backs and Wide Receivers in the National Football League

2019 ◽  
Vol 47 (11) ◽  
pp. 2717-2722 ◽  
Author(s):  
Toufic R. Jildeh ◽  
Kelechi R. Okoroha ◽  
Kevin A. Taylor ◽  
Patrick Buckley ◽  
Samir Mehta ◽  
...  
Keyword(s):  
National Football League ◽  
Individual Performance ◽  
High Rate ◽  
Return To Play ◽  
Control Group ◽  
Football Players ◽  
Professional Football ◽  
Significant Difference ◽  
Before And After ◽  
Player Performance

Background: Concussion injuries are common in professional football players; however, their effect on player performance remains unclear. Purpose: To quantify the effect of concussions on the performance of running backs and wide receivers in professional football players. Study Design: Cohort study; Level of evidence, 3. Methods: Concussion data from the National Football League were collected for a period of 4 seasons (2012-2015) for running backs and wide receivers. Age, experience, position, time to return to play, yearly total yards, and touchdowns were recorded. A power rating (total yards divided by 10 plus touchdowns multiplied by 6) was calculated for each player’s injury season as well as for the 3 seasons before and after their respective injury. A control group of running backs and wide receivers without an identified concussion injury who competed in the 2012 season was assembled for comparison. Player performance up to 3 seasons before and after the injury season was examined to assess acute and longitudinal changes in player performance. Results: A total of 38 eligible running backs and wide receivers sustained a concussion during the study period. Thirty-four (89%) players were able to return to competition in the same season, missing an average of 1.5 ± 0.9 games; the remaining 4 players returned in the subsequent season. Power ratings for concussed players were similar to those of controls throughout the study period. Concussed players did not suffer an individual performance decline upon returning within the same season. Furthermore, no significant difference in change of power rating was observed in concussed players in the acute (±1 year from injury; −1.2 ± 4.8 vs –1.1 ± 3.9, P = .199) or chronic (±3 years from injury; –3.6 ± 8.0 vs –3.0 ± 4.5, P = .219) setting compared with controls. All concussed players successfully returned to competition in either the index or next season. Conclusion: A high rate of National Football League running backs and wide receivers are able to return to play after a concussion injury. These players were found to perform at a similar level in both the acute and long-term period after concussion.

scholarly journals Osteoarthritis in Football

Cartilage ◽  
2016 ◽  
Vol 8 (2) ◽  
pp. 162-172 ◽  
Author(s):  
Gian M. Salzmann ◽  
Stefan Preiss ◽  
Marcy Zenobi-Wong ◽  
Laurent P. Harder ◽  
Dirk Maier ◽  
...  
Keyword(s):  
Normal Population ◽  
Traumatic Injury ◽  
Surgical Techniques ◽  
Return To Play ◽  
Common Finding ◽  
Football Players ◽  
Professional Football ◽  
Severe Injuries ◽  
Strenuous Activity ◽  
Playing Time

Football is currently the most popular sporting activity in the world. Multiple reports have shown that a high incidence of osteoarthritis is found in football players. Evidence clearly shows that traumatic injury significantly predisposes players for such pathophysiology. Injuries are frequent in amateur as well as professional football players, with knee and ankle accounting for the most severe injuries. Many professional athletes lose playing time due to injuries and many are forced into early retirement. Posttraumatic osteoarthritis is a common finding among ex-football players with numbers well above the normal population. Today’s surgical techniques are advanced and capable of restoring the joint to a certain extent. However, a restitution ad integrum is reached only in very rare cases. Professional football players that return to play after serious injuries perform their extremely strenuous activity on morphologically compromised joints. Incomplete rehabilitation and pressure to return to play after an injurious event clearly put the athlete at an even higher risk for joint degeneration. Prevention strategies, improved surgical management, strict rehabilitation, as well as future aspects such as early suppression of inflammation, personalized medicine, and predictive genomics DNA profiling are needed to reduce incidence and improve the health perspectives of football players.

Femoroacetabular Impingement in Professional Football Players: Return to Play and Predictors of Career Length After Hip Arthroscopy

2017 ◽  
Vol 45 (8) ◽  
pp. 1740-1744 ◽  
Author(s):  
Travis J. Menge ◽  
Sanjeev Bhatia ◽  
Shannen C. McNamara ◽  
Karen K. Briggs ◽  
Marc J. Philippon
Keyword(s):  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Return To Play ◽  
Football Players ◽  
Professional Football ◽  
Career Length

scholarly journals Return to play after surgery for isolated unstable syndesmotic ankle injuries (West Point grade IIB and III) in 110 male professional football players: a retrospective cohort study

2019 ◽  
Vol 54 (19) ◽  
pp. 1168-1173 ◽  
Author(s):  
Pieter D'Hooghe ◽  
Alberto Grassi ◽  
Khalid Alkhelaifi ◽  
James Calder ◽  
Thomas PA Baltes ◽  
...  
Keyword(s):  
Team Training ◽  
Return To Play ◽  
West Point ◽  
Football Players ◽  
Professional Football ◽  
Match Play ◽  
Rehabilitation Team ◽  
The Mean ◽  
Time Required ◽  
Mean Time

ObjectivesTo evaluate time to return to play following surgical stabilisation of isolated unstable syndesmosis injuries in a cohort of professional male football players.MethodsAll professional football players undergoing surgery for isolated unstable syndesmosis injury (West Point grade ≥IIB) at a specialised Orthopaedic and Sports Medicine Hospital were followed up until return to play (minimum ≥6 months). Players with a stable syndesmosis, injuries older than 6 weeks, concomitant medial or lateral malleolar fracture or previous ankle surgery were excluded. During rehabilitation, time required to return to sports-specific rehabilitation, team training and first match play, were recorded.ResultsBetween January 2012 and December 2017, a total of 110 male professional football players were included. The mean time required to begin on field rehabilitation was 37±12 days, while the mean time to return to team training was 72±28 days. The first official match was played on average 103±28 days postoperatively. Multivariable analysis revealed that the severity of injury, the concomitant presence of talar cartilage injury and the age of the player were significantly associated (p<0.00001) with time to return to on field rehabilitation, team training and match play.ConclusionIn this cohort of professional football players, surgical stabilisation of isolated unstable syndesmosis injuries (West Point grade ≥IIB) allowed for relatively quick return to play. High grade injury (West Point grade III), concomitant cartilage injury and greater age were associated with longer return to play times.Level of evidenceLongitudinal observational cohort study (level II).

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