Successful return to play following adductor longus proximal tendon rupture in professional soccer without re-injury at 12 months: A case report

2018 ◽  
Vol 31 (3) ◽  
pp. 583-587 ◽  
Author(s):  
Ömer B. Gözübüyük ◽  
Maarten H. Moen ◽  
Mehmet Akman ◽  
Ioakim Ipseftel ◽  
Agah Karakuzu
Keyword(s):  
Case Report ◽  
Tendon Rupture ◽  
Return To Play ◽  
Professional Soccer ◽  
Adductor Longus

scholarly journals Return to Play and Player Performance After Achilles Tendon Rupture in UEFA Professional Soccer Players: A Matched-Cohort Analysis of Players From 1999 to 2018

2021 ◽  
Vol 9 (9) ◽  
pp. 232596712110241
Author(s):  
Enrico M. Forlenza ◽  
Ophelie Z. Lavoie-Gagne ◽  
Yining Lu ◽  
Connor C. Diaz ◽  
Jorge Chahla ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Performance Metrics ◽  
Cohort Analysis ◽  
Achilles Tendon Rupture ◽  
Return To Play ◽  
Soccer Players ◽  
Professional Soccer ◽  
The Mean ◽  
Player Performance

Background: Achilles tendon rupture (ATR) is a potentially career-ending injury in professional athletes. Limited information exists regarding return to play (RTP) in professional soccer players after this injury. Purpose: To determine the RTP rate and time in professional soccer players after ATR and to evaluate player performance relative to matched controls. Study Design: Cohort study; Level of evidence, 3. Methods: We evaluated 132 professional soccer players who suffered an ATR between 1999 and 2018. These athletes were matched 2:1 to uninjured controls by position, age, season of injury, seasons played, and height. We collected information on the date of injury, the date of RTP, and player performance metrics (minutes played, games played, goals scored, assists made, and points per game) from official team websites, public injury reports, and press releases. Changes in performance metrics for the 4 years after the season of injury were compared with metrics 1 season before injury. Univariate comparisons were performed using independent-sample, 2-group t tests and Wilcoxon rank-sum tests when normality of distributions was violated. Results: The mean age at ATR was 27.49 ± 4.06 years, and the mean time to RTP was 5.07 ± 2.61 months (18.19 ± 10.96 games). The RTP rate was 71% for the season after injury and 78% for return at any timepoint. Overall, 9% of the injured players experienced a rerupture during the study period. Compared with controls, the injured players played significantly less (-6.77 vs -1.81 games [ P < .001] and -560.17 vs -171.17 minutes [ P < .05]) and recorded fewer goals (-1.06 vs -0.29 [ P < .05]) and assists (-0.76 vs -0.02 [ P < .05]) during the season of their Achilles rupture. With the exception of midfielders, there were no significant differences in play time or performance metrics between injured and uninjured players at any postinjury timepoint. Conclusion: Soccer players who suffered an ATR had a 78% RTP rate, with a mean RTP time of 5 months. Injured players played less and demonstrated inferior performance during the season of injury. With the exception of midfielders, players displayed no significant differences in play time or performance during any of the 4 postinjury seasons.

scholarly journals Mandibular Condylar Fracture in a Professional Soccer Goalkeeper: How to Achieve Early Return-to-Play—A Case Report

2021 ◽  
Vol 6 ◽  
pp. 247275122110225
Author(s):  
Ryo Sasaki ◽  
Kohei Tominaga ◽  
Toshihiro Okamoto
Keyword(s):  
Case Report ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Skin Incision ◽  
Return To Play ◽  
Reference Case ◽  
Professional Soccer ◽  
Early Return ◽  
Lower Canine ◽  
Condylar Fractures

Sport-related mandibular fracture is a common injury in the field of maxillofacial surgery. However, the treatment of mandibular condylar fractures in professional soccer goalkeepers is rarely reported. A 32-year-old male professional soccer goalkeeper was referred for malocclusion after collision with an opponent player during a game. The patient’s mandible was displaced between the left lower lateral incisor and left lower canine. Computed tomography showed right condylar base fracture with medial displacement and left para-symphysis fracture. Internal fixation using retromandibular anterior trans-parotid approach via 25-mm skin incision immediately below the earlobe and intraoral vestibular approach were performed under general anesthesia 2 days after the injury. The patient was discharged without complications 3 days after surgery, with mandibular protrusion and diduction exercises with limitation of mouth opening. Soft diet and limitation of mouth opening was performed for 4 weeks after surgery. To achieve early return-to-play, rehabilitation based on Fowell and Earls’ return-to-play guidelines following facial fractures was started, with moderate exercise 5 days after surgery, and progressively full exercise without contact 8 days after surgery. He started normal team training with individualized jaw-guard 4 weeks after surgery. His body weight decreased by 2.2 Kg 1 week after surgery, gradually recovered, and became normal 4 weeks after surgery. The patient returned to a game 2 months after surgery. This case report can be a reference case in condylar fractures of professional soccer players, as the available scientific literature is limited with regard to return-to-play after maxillofacial fracture in professional athletes.

scholarly journals Professional Soccer Players’ Return to Play and Performance After Operative Repair of Achilles Tendon Rupture

2018 ◽  
Vol 6 (11) ◽  
pp. 232596711881077 ◽  
Author(s):  
David P. Trofa ◽  
Peter C. Noback ◽  
Jon-Michael E. Caldwell ◽  
J. Chance Miller ◽  
Justin K. Greisberg ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Return To Play ◽  
Soccer Players ◽  
Level Of Evidence ◽  
Professional Soccer ◽  
Playing Time ◽  
And Performance ◽  
The Impact

Background: The majority of Achilles tendon ruptures are sports related; however, no investigation has examined the impact of surgical repair for complete ruptures on professional soccer players. Purpose: To examine the return to play, playing time, and performance of professional soccer players following Achilles tendon repair. Study Design: Cohort study; Level of evidence, 3. Methods: Union of European Football Associations (UEFA) and Major League Soccer (MLS) athletes who sustained a primary complete Achilles tendon rupture and were treated surgically between 1988 and 2014 were identified via public injury reports. Demographic information and performance-related statistics for the identified athletes were recorded for the season before surgery and 2 seasons after surgery and were compared with information for matched controls. Statistical analyses were used to assess differences in recorded metrics. Results: A total of 24 athletes with Achilles ruptures met inclusion criteria, 17 (70.8%) of whom were able to return to play. On average, players had 8.3 years of professional-level experience prior to sustaining an Achilles rupture. Among athletes who returned to play, no differences were found in the number of games played or started, minutes played, or goals scored 1 year postoperatively compared with the year prior to injury. However, 2 years postoperatively, these athletes played 28.3% ( P = .028) fewer minutes compared with their preoperative season, despite starting and playing in an equivalent number of games. Matched controls had baseline playing time and performance statistics similar to those of players. However, controls played and started in significantly more games and played more minutes at 1 and 2 years compared with players ( P < .05). No differences were found in goals scored at any time point. Conclusion: This is the first investigation examining the effect of an Achilles repair on the career of professional soccer players. This is a difficult injury that most commonly occurs in veteran players and prevents 29.2% of players from returning to play despite surgical management. Additionally, athletes able to return to play were found to play fewer minutes 2 years postoperatively compared with their baseline as well as playing less at 1 and 2 years postoperatively compared with uninjured matched controls. The reduction in playing time following an Achilles repair has significant implications for professional players and teams.

Neuro-Optometric Rehabilitation Accelerates Post-Concussion Syndrome Recovery in a Professional Athlete – A Case Report Presenting a New Paradigm

2017 ◽  
pp. 167-178
Keyword(s):  
Case Report ◽  
Brain Injury ◽  
Medical Staff ◽  
Clinical Findings ◽  
Return To Play ◽  
Top Down ◽  
Post Concussion Syndrome ◽  
Persistent Symptoms ◽  
Professional Soccer ◽  
Medicine Physician

Background: Optometrists are becoming increasingly instrumental in the care of brain injured patients. Within the profession of optometry, a segment of optometrists has become highly trained and skilled in rehabilitation of vision dysfunctions and therefore is integral in the interdisciplinary management of a patient’s overall recovery from acquired brain injury. No system provides more neurosensory input to the brain than vision. Therefore, optometry has an obligation to and is best prepared to provide this area of care referred to as neuro-optometric rehabilitation. Case Report: A professional soccer player suffered a head injury during competition. He was diagnosed with a mild traumatic brain injury (concussion) and was unable to obtain complete resolution of symptoms despite current standard return-to-play protocol administered by the team medical staff. Symptoms included intermittent blurred vision during movement, mild photophobia, and feeling somewhat “not present”. The team medical staff included a sports medicine physician, head athletic trainer/physical therapist, and a neuropsychologist. Neurooptometric consultation was requested for the athlete by the team physician to determine if vision dysfunction was contributing to the athlete’s persistent symptoms. He was diagnosed with vision dysfunctions presumably associated with the concussion and neurooptometric rehabilitation was prescribed. Conclusion: The clinical findings and treatment in a case of post-concussion syndrome involving associated vision dysfunctions are described. Neuro-optometric rehabilitation utilizing a unique paradigm remediated the vision dysfunctions of the athlete and eliminated his post-concussion symptoms. This in turn facilitated his return-to-play process. The paradigm applied began with passive, inputbased, bottom-up therapy accompanied by gradual introduction of active, output-based, top-down techniques. In recent years, this author has found this paradigm to be more effective than a top-down approach when non-oculomotor based vision dysfunctions are included in the post-concussion patient clinical findings.

scholarly journals Spontaneous extensor tendon rupture due to scaphoid osteophyte: A case report and literature review

JPRAS Open ◽  
2021 ◽  
Author(s):  
Seigo Suganuma ◽  
Kaoru Tada ◽  
Shingo Takagawa ◽  
Hidetoshi Yasutake ◽  
Keito Shimanuki ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Tendon Rupture ◽  
Extensor Tendon

scholarly journals Effect of Achilles Tendon Rupture on Player Performance and Longevity in Women’s National Basketball Association Players

2021 ◽  
Vol 9 (3) ◽  
pp. 232596712198998
Author(s):  
Joseph S. Tramer ◽  
Lafi S. Khalil ◽  
Patrick Buckley ◽  
Alexander Ziedas ◽  
Patricia A. Kolowich ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
National Basketball Association ◽  
Return To Play ◽  
Control Group ◽  
Healthy Controls ◽  
Career Longevity ◽  
Women's National Basketball Association ◽  
Player Performance

Background:Women’s National Basketball Association (WNBA) players have a greater incidence of lower extremity injury compared with male players, yet no data exist on functional outcomes after Achilles tendon rupture (ATR).Purpose:To evaluate the effect of Achilles tendon repair on game utilization, player performance, and career longevity in WNBA athletes.Study Design:Cohort study; Level of evidence, 3.Methods:WNBA players from 1997 to 2019 with a history of ATR (n = 12) were matched 1:2 to a healthy control group. Player characteristics, game utilization, and in-game performance data were collected for each athlete, from which the player efficiency rating (PER) was calculated. Statistical analysis was performed comparing postinjury data to preinjury baseline as well as cumulative career data. Changes at each time point relative to the preinjury baseline were also compared between groups.Results:Of the 12 players with ATR, 10 (83.3%) returned to play at the WNBA level at a mean (±SD) of 12.5 ± 3.3 months. Four players participated in only 1 WNBA season after injury. There were no differences in characteristics between the 10 players who returned to play after injury and the control group. After return to play, the WNBA players demonstrated a significant decrease in game utilization compared with preinjury, playing in 6.0 ± 6.9 fewer games, starting in 12.7 ± 15.4 fewer games, and playing 10.2 ± 9.1 fewer minutes per game ( P < .05 for all). After the index date of injury, the players with Achilles repair played 2.1 ± 1.2 more years in the WNBA, while control players played 5.35 ± 3.2 years ( P < .01) Additionally, the players with Achilles repair had a significant decrease in PER in the year after injury compared with preinjury (7.1 ± 5.3 vs 11.0 ± 4.4; P = .02). The reduction in game utilization and decrease in PER in these players was maintained when compared with the matched controls ( P < .05 for both).Conclusion:The majority of WNBA players who sustained ATR were able to return to sport after their injury; however, their career longevity was shorter than that of healthy controls. There was a significant decrease in game utilization and performance in the year after return to play compared with healthy controls.

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