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Return-to-play: a primary care physician's guide to management.

Mark List, Zach Nolz, Wesley Nord

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    Returning young athletes to play after injury requires careful consideration. While evidence-based guidelines exist, individualized patient care guided by physicians remains crucial for safe return to activity.

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    Area of Science:

    • Sports Medicine
    • Primary Care
    • Pediatrics

    Background:

    • Managing young athletes' return to play (RTP) post-injury or illness presents a complex challenge in primary care.
    • Balancing rapid recovery with complete healing and preventing future complications is essential.

    Purpose of the Study:

    • To review current evidence-based approaches for RTP in young athletes.
    • To identify gaps in the literature regarding RTP guidelines.

    Main Methods:

    • A literature review was conducted on return-to-play articles.
    • The review focused on musculoskeletal injuries, concussions, and infectious mononucleosis.

    Main Results:

    • Evidence-based strategies for RTP were identified.
    • A significant portion of current RTP recommendations are based on expert opinion rather than robust research.

    Conclusions:

    • Limited but existing evidence supports primary care providers in guiding athletic patients' return to activity.
    • Individualized patient assessment is paramount for RTP decisions.
    • Existing guidelines should supplement, not replace, physician clinical judgment and patient-centered care.