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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
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Concussion in Sports - What Trauma/Orthopedic Surgeons Need to Know!
A Gänsslen1, T Neubauer, W Krutsch
1Trauma Department, Klinikum Wolfsburg, Wolfsburg, Germany; Initiative "Schütz Deinen Kopf" der ZNS Hannelore Kohl Stiftung.
Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|September 22, 2017
Summary
Concussion in sport is often missed, but most athletes recover fully within days. Long-term issues are rare but possible with risk factors or repeated head injuries.
Area of Science:
- Sports Medicine
- Neurology
- Trauma Care
Background:
- Concussion in sports is frequently underdiagnosed, posing a risk for long-term health problems.
- Understanding the mechanisms and pathophysiology of concussion is crucial for effective management.
Purpose of the Study:
- To outline the mechanisms, pathophysiology, signs, and symptoms of concussion.
- To describe recognition, medical interventions, and return-to-play protocols.
- To discuss recovery patterns and long-term risks associated with concussion.
Main Methods:
- Review of current literature on concussion pathophysiology and clinical presentation.
- Analysis of diagnostic criteria and management strategies.
- Examination of recovery timelines and risk factors for persistent symptoms or sequelae.
Main Results:
- Most concussions present with transient clinical and cognitive symptoms, with subjective recovery often within hours to days.
- Neurocognitive impairments typically resolve, with nearly all patients showing no relevant disorders after one year.
- Long-term disturbances can occur in a minority of cases, particularly with risk factors or repetitive concussions, including potential neurodegenerative risks.
Conclusions:
- While most athletes recover well from concussion, vigilance is required due to potential long-term sequelae.
- Early recognition and appropriate medical management are key to optimizing recovery and mitigating risks.
- Further research into risk factors and the potential for neurodegeneration after concussion is warranted.
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