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Return to Play Following Musculoskeletal Injury, An Issue of Clinics in Sports Medicine, E-Book

Return to Play Following Musculoskeletal Injury, An Issue of Clinics in Sports Medicine, E-Book

Brett D. Owens

(2016)

Additional Information

Book Details

Abstract

The decision process for determining when to return an injured or ill athlete to practice or competition includes many factors. This issue will cover Return to Play Following Cervical Disc Surgery; Return to Play Following Anterior Shoulder Dislocation and Stabilization Surgery; Return to Play Following Shoulder Surgery in Throwers; Return to Play Following Ulnar Collateral Ligament Reconstruction; Return to Play Following Hand and Wrist Fractures; and many more articles on returning to play post  musculoskeletal injuries.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Return to Play FollowingMusculoskeletal Injury i
Copyright ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword\r vii
Preface: Return to Play Following Musculoskeletal Injury\r vii
Return to Play After Cervical Disc Surgery\r vii
Return to Play Following Anterior Shoulder Dislocation and Stabilization Surgery\r vii
Return to Play After Shoulder Surgery in Throwers\r vii
Return to Play Following Ulnar Collateral Ligament Reconstruction\r viii
Return to Play After Hand and Wrist Fractures\r viii
Return to Play After Lumbar Spine Surgery\r viii
Return to Play After Sports Hernia Surgery\r viii
Return to Play Following Hip Arthroscopy\r ix
Return to Play Following Anterior Cruciate Ligament Reconstruction\r ix
Return to Play Following Meniscus Surgery\r ix
Return to Play After Medial Collateral Ligament Injury\r ix
Return to Play Following Ankle Sprain and Lateral Ligament Reconstruction\r x
CLINICS IN SPORTS MEDICINE\r xi
FORTHCOMING ISSUES xi
January 2017 xi
April 2017 xi
July 2017 xi
October 2017 xi
RECENT ISSUES xi
July 2016 xi
April 2016 xi
January 2016 xi
October 2015 xi
Foreword xiii
Preface:\rReturn to Play Following Musculoskeletal Injury xv
Return to Play After Cervical Disc Surgery 529
Key points 529
INTRODUCTION 529
EPIDEMIOLOGY OF CERVICAL SPONDYLOSIS IN THE GENERAL POPULATION 530
EPIDEMIOLOGY OF CERVICAL SPONDYLOSIS IN ATHLETES 530
RISK OF SPINAL CORD INJURY DURING SPORTS 531
LITERATURE REVIEW OF OUTCOMES AND RETURN TO PLAY AFTER CERVICAL DISC SURGERY 532
RETURN TO PLAY CRITERIA AFTER CERVICAL DISC SURGERY 536
Risk Stratification: Type of Sport 537
Risk Stratification: Type of Surgery 537
SUMMARY 540
REFERENCES 541
Return to Play Following Anterior Shoulder Dislocation and Stabilization Surgery 545
Key points 545
INTRODUCTION 545
Anatomy 546
Pathoanatomy 546
Incidence 547
PATIENT EVALUATION 547
History 547
Physical Examination 547
Apprehension test or relocation test 548
Load and shift test 549
Other provocative maneuvers 549
Imaging 549
Treatment Options 550
Nonoperative 551
Immobilization 551
Physical therapy 552
Brace wear 553
Surgical Treatment Algorithm 553
Arthroscopic repair 553
Open repair 554
Open osseous augmentation 555
Comparative outcomes 556
SUMMARY 556
REFERENCES 557
Return to Play After Shoulder Surgery in Throwers 563
Key points 563
INTRODUCTION 563
SUPERIOR LABRAL ANTERIOR TO POSTERIOR REPAIR 565
LABRAL DEBRIDEMENT 567
OPEN BICEPS TENODESIS 567
GLENOHUMERAL INTERNAL ROTATION DEFICIT AND ANTERIOR MICROINSTABILITY 569
ROTATOR CUFF TEARS IN THE THROWING ATHLETE 569
RETURN TO SPORT IN ELITE PITCHERS 570
RETURN TO THROWING 570
SUMMARY 573
REFERENCES 573
Return to Play Following Ulnar Collateral Ligament Reconstruction 577
Key points 577
INTRODUCTION 577
ANATOMY AND BIOMECHANICS OF THE ULNAR COLLATERAL LIGAMENT 578
RISK FACTORS FOR ULNAR COLLATERAL LIGAMENT INJURY 579
PATIENT EVALUATION 580
NONOPERATIVE MANAGEMENT 582
OPERATIVE MANAGEMENT 583
POSTOPERATIVE REHABILITATION PROTOCOL 587
OUTCOMES/RETURN TO OVERHAND THROWING 590
SUMMARY 593
REFERENCES 593
Return to Play After Hand and Wrist Fractures 597
Key points 597
INTRODUCTION 597
DISTAL RADIUS FRACTURES 598
Nonoperative Management 598
Operative Management 598
SCAPHOID FRACTURES 598
Nonoperative Management 599
Operative Management 599
OTHER CARPAL INJURIES 600
Hook of the Hamate Fractures 600
Scapholunate Instability 601
METACARPAL FRACTURES AND DISLOCATIONS 602
Metacarpal Fractures 602
Metacarpal shaft 602
Metacarpal neck 602
Carpometacarpal Dislocations 602
PHALANX FRACTURES AND DISLOCATIONS 603
Proximal and Middle Phalanx Fractures 603
Condylar fractures 603
Shaft fractures 603
Distal Phalanx Fractures 603
Proximal Interphalangeal Joint Dislocations 603
THUMB ULNAR COLLATERAL LIGAMENT INJURY 604
JERSEY FINGER AND MALLET FINGER 605
Jersey Finger 605
Mallet Finger 606
SUMMARY/DISCUSSION 606
REFERENCES 606
Return to Play After Lumbar Spine Surgery 609
Key points 609
INTRODUCTION 609
LUMBAR DISC HERNIATION 610
American Football 611
Baseball 611
Basketball 612
Hockey 612
SPONDYLOLYSIS AND SPONDYLOLISTHESIS 613
DEGENERATIVE DISC DISEASE 615
ADOLESCENT IDIOPATHIC SCOLIOSIS 616
SUMMARY 617
REFERENCES 617
Return to Play After Sports Hernia Surgery 621
Key points 621
INTRODUCTION 621
ANATOMY AND PATHOGENESIS 621
EPIDEMIOLOGY 622
CLINICAL PRESENTATION 622
DIAGNOSIS 623
IMAGING 623
Plain Radiographs 623
MRI 623
Ultrasound 624
DIFFERENTIAL DIAGNOSIS 624
Femoroacetabular Impingement 624
Adductor Strain 625
Osteitis Pubis 626
TREATMENT 626
Nonsurgical Treatment 626
Surgical Treatment 627
Open surgeries 628
Laparoscopic surgeries or minimal repair 628
Concurrent Management of Associated Pathology 629
RETURN TO SPORTS AFTER SURGERY 630
SUMMARY 632
REFERENCES 634
Return to Play Following Hip Arthroscopy 637
Key points 637
INTRODUCTION 637
FEMOROACETABULAR IMPINGEMENT IN ATHLETES 638
Etiology 638
Increased prevalence of femoroacetabular impingement in athletes 638
Development of femoroacetabular impingement during skeletal maturity 639
Demographics 640
SURGICAL TREATMENT OPTIONS 640
Surgical Hip Dislocation 640
Hip Arthroscopy 641
Importance of early diagnosis and management 641
Professional and nonprofessional athletes 642
Adolescent athletes 643
Chondral damage, osteoarthritis, and microfracture in athletes 644
Labral reconstruction in athletes 645
REHABILITATION 647
SUMMARY 648
REFERENCES 650
Return to Play Following Anterior Cruciate Ligament Reconstruction 655
Key points 655
INTRODUCTION 655
RETURN-TO-PLAY DEFINITION 656
RETURN-TO-PLAY RISKS 657
RETURN-TO-PLAY RATES 657
FUNCTIONAL TESTING 657
MRI 661
PSYCHOLOGY 662
SUMMARY 664
ACKNOWLEDGMENTS 664
REFERENCES 664
Return to Play Following Meniscus Surgery 669
Key points 669
INTRODUCTION 669
MENISCAL INJURIES IN ATHLETES 669
MENISCECTOMY 670
MENISCUS REPAIR 671
MENISCAL TRANSPLANT 672
SUMMARY 676
REFERENCES 677
Return to Play After Medial Collateral Ligament Injury 679
Key points 679
INTRODUCTION 679
EPIDEMIOLOGY 680
PATIENT EVALUATION AND TREATMENT 681
REHABILITATION 683
Nonoperative Treatment and Rehabilitation 683
Operative Treatment Rehabilitation 683
Controversies in Return to Sport 687
OUTCOMES OF MEDIAL COLLATERAL LIGAMENT INJURY TREATMENT 690
Nonoperative Treatment 690
Operative Treatment 691
SUMMARY AND DISCUSSION 694
ACKNOWLEDGMENTS 694
REFERENCES 694
Return to Play Following Ankle Sprain and Lateral Ligament Reconstruction 697
Key points 697
INTRODUCTION 697
EPIDEMIOLOGY AND RISK FACTORS 698
PATHOANATOMY 699
PATIENT EVALUATION 700
IMAGING 700
PREVENTATIVE TREATMENT 701
NONPHARMACOLOGIC TREATMENT 701
PHARMACOLOGIC TREATMENT OPTIONS 702
SURGICAL TREATMENT 702
SURGICAL OUTCOMES, REHABILITATION, AND RETURN TO PLAY 704
COMPLICATIONS 704
SUMMARY 705
REFERENCES 705
Index 711