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Objectively Assessing Sports Concussion Utilizing Visual Evoked Potentials
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Doc, when can he go back in the game?

Mark D Miller1, Robert A Arciero, Daniel E Cooper

  • 1Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, USA.

Instructional Course Lectures
|April 24, 2009
PubMed
Summary

Return to play decisions for injured athletes require careful consideration of specific injury types and surgical factors. Surgeons must review rehabilitation and reinjury risks before clearing athletes for activity.

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Published on: January 12, 2011

Area of Science:

  • Sports Medicine
  • Orthopedics
  • Athletic Training

Background:

  • Injured athletes face complex decisions regarding return to play (RTP).
  • Various injuries, including knee, shoulder, and extremity issues, alongside medical conditions like concussion, hypertrophic cardiomyopathy, mononucleosis, and spondylolysis, necessitate distinct RTP protocols.
  • Pre-participation evaluation and ongoing monitoring are crucial for athlete safety.

Purpose of the Study:

  • To outline the essential criteria for determining an injured athlete's readiness for return to play.
  • To highlight the specific considerations for diverse athletic injuries and medical conditions.
  • To emphasize the surgeon's role in evaluating postoperative status and reinjury risk.

Main Methods:

  • Review of current literature and clinical guidelines on return to play protocols.
  • Analysis of injury-specific criteria for common athletic injuries.
  • Consideration of medical conditions impacting athletic participation.
  • Evaluation of surgical indications and postoperative rehabilitation parameters.

Main Results:

  • Return to play decisions are multifactorial, requiring individualized assessment.
  • Specific protocols exist for knee, shoulder, and general extremity injuries.
  • Medical conditions such as concussion, hypertrophic cardiomyopathy, mononucleosis, and spondylolysis present unique challenges.
  • Surgeon's evaluation of surgical necessity, rehabilitation progress, and reinjury risk is paramount.

Conclusions:

  • A comprehensive approach is necessary for safe return to play in injured athletes.
  • Tailored criteria based on injury type, surgical history, and medical status are essential.
  • Surgeon clearance, considering rehabilitation and reinjury risk, is a critical final step before athletic resumption.