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Pulmonary Contusions in a Collegiate Football Player With Same-Game Return-to-Play.
Robert Rollins1, Joshua Altman1, Kelsey Diemer2
1Department of Emergency Medicine, University of Florida College of Medicine, Gainesville, USA.
Cureus
|March 31, 2025
Summary
Pulmonary contusions, lung injuries from trauma, are rare in sports. This case shows a football player diagnosed and returned to play the same day.
Area of Science:
- Sports Medicine
- Trauma Surgery
- Pulmonary Medicine
Background:
- Pulmonary contusions are common in high-energy thoracic trauma but rare in athletes.
- Limited data exists on return-to-play (RTP) guidelines for athletes with pulmonary contusions.
- Typical symptoms include dyspnea and hemoptysis, with potential for hypoxemia and ARDS.
Observation:
- A collegiate football player experienced chest trauma during a game.
- Diagnosis revealed bilateral pulmonary contusions in a coup-contrecoup pattern via chest CT.
- The athlete experienced rapid symptom resolution.
Findings:
- Immediate diagnosis of pulmonary contusions was achieved using chest CT.
- The athlete demonstrated rapid recovery and was cleared for RTP during the same competition.
- This represents the first reported case of immediate diagnosis and same-game RTP for pulmonary contusions in an athlete.
Implications:
- This case highlights the possibility of rapid assessment and RTP for athletes with pulmonary contusions.
- It suggests that prompt diagnosis and management can facilitate early return to sport.
- Further research into RTP criteria for athletic pulmonary contusions is warranted.
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