scholarly journals Talocrural Dislocation With Associated Weber Type C Fibular Fracture in a Collegiate Football Player: A Case Report

2008 ◽  
Vol 43 (3) ◽  
pp. 319-325 ◽  
Author(s):  
R. Daniel Ricci ◽  
James Cerullo ◽  
Robert O. Blanc ◽  
Patrick J. McMahon ◽  
Anthony M. Buoncritiani ◽  
...  
Keyword(s):  
Athletic Training ◽  
Ankle Joint ◽  
Sports Medicine ◽  
Football Player ◽  
Division I ◽  
Rehabilitation Protocol ◽  
Fibular Fracture ◽  
Weber Type ◽  
Type C ◽  
Division I Football

Abstract Objective: To present the case of a talocrural dislocation with a Weber type C fibular fracture in a National Collegiate Athletic Association Division I football athlete. Background: The athlete, while attempting to make a tackle during a game, collided with an opponent, who in turn stepped on the lateral aspect of the athlete's ankle, resulting in forced ankle eversion and external rotation. On-field evaluation showed a laterally displaced talocrural dislocation. Immediate reduction was performed in the athletic training room to maintain skin integrity. Post-reduction radiographs revealed a Weber type C fibular fracture and increased medial joint clear space. A below-knee, fiberglass splint was applied to stabilize the ankle joint complex. Differential Diagnosis: Subtalar dislocation, Maisonneuve fracture, malleolar fracture, deltoid ligament rupture, syndesmosis disruption. Treatment: The sports medicine staff immediately splinted and transported the athlete to the athletic training room to reduce the dislocation. The athlete then underwent an open reduction and internal fixation procedure to stabilize the injury: 2 syndesmosis screws and a fibular plate were placed to keep the ankle joint in an anatomically reduced position. With the guidance of the athletic training staff, the athlete underwent an accelerated physical rehabilitation protocol in an effort to return to sport as quickly and safely as possible. Uniqueness: Most talocrural dislocations and associated Weber type C fibular fractures are due to motor vehicle accidents or falls. We are the first to describe this injury in a Division I football player and to present a general rehabilitation protocol for a high-level athlete. Conclusions: Sports medicine practitioners must recognize that this injury can occur in the athletic environment. Prompt reduction, early surgical intervention, sufficient resources, and an accelerated rehabilitation protocol all contributed to a successful outcome in the patient.

Infectious Mononucleosis in an Athlete: Another Potentially Life-Threatening Complication

2017 ◽  
Vol 22 (6) ◽  
pp. 28-31
Author(s):  
Byron Moran ◽  
Eric E. Corris
Keyword(s):  
Athletic Training ◽  
Infectious Mononucleosis ◽  
Sports Medicine ◽  
Nasal Congestion ◽  
Football Player ◽  
Laboratory Evaluation ◽  
Severe Thrombocytopenia ◽  
Intercollegiate Football ◽  
Life Threatening ◽  
Medicine Team

A 19-year-old male intercollegiate football player presented to the athletic training room with symptoms of sore throat, nasal congestion, fatigue, and bleeding, experienced for 3 weeks. His clinical and laboratory evaluation was consistent with infectious mononucleosis and severe thrombocytopenia. The athlete was immediately removed from participation and evaluated by a hematologist who confirmed the diagnosis and started oral glucocorticoid therapy. The athlete’s symptoms improved and thrombocytopenia resolved with therapy. Timely identification of severe thrombocytopenia allows for safe removal from participation. Collaboration among the sports medicine team as well as specialists, when needed, allows for optimal management of these rare complications.

Multiple Sclerosis in a Division I Football Player

2007 ◽  
Vol 39 (Supplement) ◽  
pp. S144
Author(s):  
John K. Su ◽  
John Difiori ◽  
Debbie Iwasaki
Keyword(s):  
Multiple Sclerosis ◽  
Football Player ◽  
Division I ◽  
Division I Football

scholarly journals Clavicular Fracture in a Collegiate Football Player: A Case Report of Rapid Return to Play

2011 ◽  
Vol 46 (1) ◽  
pp. 107-111 ◽  
Author(s):  
Sarah B. Rabe ◽  
Gretchen D. Oliver
Keyword(s):  
Surgical Treatment ◽  
Sports Medicine ◽  
National Collegiate Athletic Association ◽  
Health And Safety ◽  
Field Evaluation ◽  
Football Player ◽  
Return To Play ◽  
Clavicular Fracture ◽  
Rehabilitation Protocols ◽  
Division I Football

Abstract Objective: To present the case of surgical treatment and rehabilitation of a midshaft clavicular fracture in a National Collegiate Athletic Association Division I football athlete. Background: While attempting to catch a pass during practice, the athlete jumped up and then landed on the tip of his shoulder. On-the-field evaluation was inconclusive, with a sideline evaluation diagnosis of clavicular fracture. Postinjury radiographs revealed a midshaft clavicular fracture. Differential Diagnosis: Spiral oblique midshaft clavicular fracture. Treatment: The sports medicine staff discussed surgical and nonsurgical options. A surgical procedure of internal fixation with an 8-hole plate was performed. Uniqueness: Surgical treatment for clavicular fractures is becoming increasingly common. This is the first report of an advanced rehabilitation protocol for surgical repair. We suggest that new rehabilitation protocols for clavicular repairs be investigated now that surgical treatment is being pursued more frequently. Conclusions: More aggressive treatment procedures and rehabilitation protocols for clavicular fractures have evolved in recent years. With these medical advancements, athletes are able to return to play much more quickly without compromising their health and safety.

Treatment of AO/OTA Type C Pilon Fractures Through the Anterolateral Approach Combined With the Medial MIPO Technique

2018 ◽  
Vol 39 (4) ◽  
pp. 426-432 ◽  
Author(s):  
Gi Beom Kim ◽  
Oog-Jin Shon ◽  
Chul Hyun Park
Keyword(s):  
Ankle Joint ◽  
Case Series ◽  
Anterolateral Approach ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Pilon Fracture ◽  
Fibular Fracture ◽  
Additional Surgery ◽  
Type C ◽  
Pilon Fractures

Background: The purpose of this study was to evaluate the clinical and radiographic results of the treatment of AO/OTA type C pilon fracture via the anterolateral approach using a low-profile plate combined with medial minimally invasive plate osteosynthesis (MIPO). Methods: We retrospectively reviewed 28 ankles with AO/OTA type C pilon fractures that were treated using the anterolateral approach combined with medial MIPO. Mean age was 46 years (range, 19 to 75), and the mean follow-up period was 25 months (range, 14 to 50). Clinical results were assessed using the visual analogue scale (VAS) and the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Scale. Range of motion (ROM) of the ankle joint was measured, and postoperative complications were investigated via chart review. Results: The VAS and AOFAS Ankle-Hindfoot Scale were 2 and 89, respectively, at the last follow-up. Ankle ROM at the last follow-up was 13 degrees (range, 5 to 20) in dorsiflexion and 38 degrees (range, 35 to 40) in plantarflexion. All the fractures united without additional surgery. One patient (3.6%) had a deep infection at the fibular fracture site, and 1 patient (3.6%) had partial skin necrosis. Conclusion: This combined technique for AO/OTA type C pilon fracture resulted in good ROM of the ankle joint with reasonable function with a fairly low wound complication rate. However, further research on defined indications with a comparison group from multiple centers is necessary to determine if this technique is better than alternative surgical approaches. Level of Evidence: Level IV, case series.

Atypical Skin Infection in a NCAA Division I Football Player

2004 ◽  
Vol 36 (Supplement) ◽  
pp. S293
Author(s):  
Donald LeMay ◽  
Roger Kruse ◽  
Julia Hohman ◽  
James Borchers
Keyword(s):  
Ncaa Division I ◽  
Skin Infection ◽  
Football Player ◽  
Division I ◽  
Division I Football

Palpitations in a Division I Football Player

2014 ◽  
Vol 46 ◽  
pp. 315-316
Author(s):  
Ryan J. Lingor ◽  
Jennifer Malcolm
Keyword(s):  
Football Player ◽  
Division I ◽  
Division I Football

Graduate(d) Student Athletes in Division I Football: Redefining Archetypes and Disrupting Stereotypes or Invisible?

2017 ◽  
Vol 34 (4) ◽  
pp. 329-343 ◽  
Author(s):  
Siduri J. Haslerig
Keyword(s):  
Student Athletes ◽  
Role Model ◽  
College Athletes ◽  
Football Player ◽  
Bachelor's Degree ◽  
Division I ◽  
Graduate Coursework ◽  
Division I Football

This article foregrounds the experiences of graduate(d) student athletes, defined as college athletes who earn a bachelor’s degree before exhausting their athletic eligibility and take postbaccalaureate or graduate coursework. Findings from semistructured phone interviews with 11 graduate(d) student athletes in Division I football suggest participants are able to marshal their academic credentials to negotiate stereotypes. Examining how simultaneously being a graduate(d) student and a football player impacted participants’ vulnerability to stereotyping, I find that despite the ability to disrupt stereotypes, obstacles both systemic and individual may inhibit this effect. In particular, I explore the themes: stereotyping, disrupting/disproving stereotyping, trailblazer/role model, and invisibility. I also attend to the factors contributing to this subpopulation of college athletes’ continued invisibility and offer implications and suggestions for practice.

scholarly journals Jejunal Perforation From Blunt Abdominal Trauma by an End Zone Pylon in a Division I Football Player

2018 ◽  
Vol 10 (6) ◽  
pp. 565-566 ◽  
Author(s):  
Karl V. Reisig ◽  
Christopher M. Miles
Keyword(s):  
Surgical Repair ◽  
Football Player ◽  
Clinical Findings ◽  
Clinical Suspicion ◽  
Division I ◽  
Abdominal Injuries ◽  
Abdominal Examination ◽  
Division I Football ◽  
High Index Of Suspicion ◽  
Wall Injury

This case highlights the importance of vigilant clinical suspicion in diagnosing abdominal perforation. Intra-abdominal injury can be difficult to identify during competition, and timely diagnosis of jejunal perforation is difficult because of initially subtle clinical findings that gradually progress over time. Identifying intra-abdominal injuries early can improve the outcome of the patient. In-game evaluation did not identify this injury. The athlete completed the game, and the injury was ultimately identified with peritoneal signs and a negative Carnett sign, making abdominal wall injury less likely. The athlete underwent surgical repair of the perforation without complication and has since returned to full activity. It is important to maintain a high index of suspicion and to be observant with serial examinations, advanced abdominal examination maneuvers, and to have a broad differential diagnosis in the case of significant impact to the abdomen during athletics.

scholarly journals Return to Play After Exertional Rhabdomyolysis

2016 ◽  
Vol 51 (5) ◽  
pp. 406-409 ◽  
Author(s):  
Kevin Schleich ◽  
Tyler Slayman ◽  
Douglas West ◽  
Kyle Smoot
Keyword(s):  
Sports Medicine ◽  
National Collegiate Athletic Association ◽  
Medical Literature ◽  
Athletic Trainers ◽  
Return To Sport ◽  
Division I ◽  
Return To Play ◽  
Actual Process ◽  
Exertional Rhabdomyolysis ◽  
Division I Football

Objective: To outline a 4-phase progressive program that safely and successfully enabled athletes to return to sport without recurrence of exertional rhabdomyolysis symptoms. Background: In January 2011, a large cluster of National Collegiate Athletic Association Division I football athletes were evaluated and treated for exertional rhabdomyolysis. After the athletes were treated, the athletic trainers and sports medicine providers were challenged to develop a safe return-to-play program because of the lack of specific reports in the medical literature to direct such activities. Treatment: A progressive 4-phase program based on existing recommendations, including guidelines for continued clinical and laboratory monitoring. Conclusions: Although the actual process of reintegrating players will differ based on each athlete's unique circumstances, this program provides a safe and effective foundation that can be modified based on the response to activity and sport.

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