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Return to play issues in upper extremity injuries.

Jeffrey Kovacic1, John Bergfeld

  • 1Orthopaedic Surgery/Sports Medicine and Medical Affairs, Cleveland Clinic SportsHealth, Cleveland Clinic Foundation, 9500 Euclid Avenue A-41, Cleveland, OH 44195, USA.

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
|November 10, 2005
PubMed
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This paper outlines general treatment and return to play (RTP) strategies for athletes with upper extremity injuries. Individualized plans are crucial, considering injury severity, healing, and strength for safe RTP.

Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Rehabilitation

Background:

  • Upper extremity injuries are common in athletes.
  • Effective management and return to play (RTP) protocols are essential for athlete recovery.
  • Current literature and expert consensus provide a basis for these strategies.

Purpose of the Study:

  • To outline general treatment and RTP strategies for athletes with upper extremity injuries.
  • To provide a framework for managing common upper extremity injuries in sports.
  • To highlight key considerations for facilitating an athlete's safe return to sport.

Main Methods:

  • Literature review of Medline database (1966-2005) using keywords related to upper extremity injuries and RTP.
  • Inclusion of expert opinion to supplement evidence-based recommendations.

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  • Synthesis of information from book chapters and peer-reviewed articles.

    • Main Results:

    • General agreement exists on the treatment of many upper extremity injuries, though some controversies remain.
    • Return to play (RTP) guidelines are primarily determined by injury severity, healing rates, and strength restoration.
    • Recommendations cover a range of injuries including dislocations, sprains, fractures, and tendon injuries.

    Conclusions:

    • Individualized treatment and RTP strategies are paramount for athletes with upper extremity injuries.
    • Factors such as athlete's age, injury severity, hand dominance, sport type, treatment method, and chronicity must be considered.
    • A personalized approach ensures optimal outcomes and safe return to athletic participation.