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Athletic Injuries

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Abstract

With the continued increase in sports participation, musculoskeletal concerns account for a significant percentage of patient encounters within family medicine. High school athletics alone account for over two million injuries, half a million physician visits, and 30,000 hospitalizations annually [1]. Growing sports specializations within adolescents has led to an increase in overuse injuries. Adults are not immune to athletic injuries. Weekend warriors commonly experience ankle injuries, knee injuries, joint dislocations, and overuse injuries in attempts to stay active. Injuries occur after an insult to bone or soft tissue structures (muscle, ligament, or tendon) producing disruption in the normal anatomy. Acute injuries usually result secondary to trauma. In contrast, chronic injuries occur as the result of overuse, usually with associated biomechanical deficiencies. Lack of appropriate rehabilitation to injuries can lead to increased injury risk in the future. While the majority of sports-related injuries occur to the axial skeleton, concussions are becoming a growing concern within our society. This chapter will discuss both general treatment options and treatment for specific athletic injuries.

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References

  1. Powell JW, Barber-Foss KD. Injury patterns in selected high school sports: a review of the 1995–1997 seasons. J Athl Train. 1999;34(3):277–84.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Eiff MP, Hatch RL. Fracture management for primary care. 3rd ed. Philadelphia: Elsevier; 2018.

    Google Scholar 

  3. Egol KA, Koval KJ, Zuckerman JD. Handbook of fractures. 6th ed. Philadelphia: Wolters Kluwer Health; 2019.

    Google Scholar 

  4. Harmon KG, Drezner JA, Gammons M, Guskiewicz KM, Halstead M, Herring SA, Kutcher JS, Pana A, Putukian M, Roberts WO. American Medical Society for Sports Medicine position statement: concussion in sport. Br J Sports Med. 2013;47(1):15–26. https://doi.org/10.1136/bjsports-2012-091941.

    Article  PubMed  Google Scholar 

  5. Harmon KG, Clugston JR, Dec K, Hainline B, Herring S, Kane SF, Kontos AP, Leddy JJ, McCrea M, Poddar SK, Putukian M, Wilson JC, Roberts WO. American Medical Society for Sports Medicine position statement on concussion in sport. Br J Sports Med. 2019;53(4):213–25. https://doi.org/10.1136/bjsports-2018-100338.

    Article  PubMed  Google Scholar 

  6. Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdissi M, Sullivan SJ, Broglio SP, Raftery M, Schneider K, Kissick J, McCrea M, Dvorak J, Sills AK, Aubry M, Engebretsen L, Loosemore M, Fuller G, … Herring S. The sport concussion assessment tool 5th edition (SCAT5). Br J Sports Med. 2017. https://doi.org/10.1136/bjsports-2017-097506.

  7. Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenbogen RG, Echemendia RJ, Makdissi M, Sills A, Iverson GL, Dvorak J, McCrory P, Meeuwisse W, Patricios J, Giza CC, Kutcher JS. The child sport concussion assessment tool 5th edition (Child SCAT5). Br J Sports Med. 2017;51:859. https://doi.org/10.1136/bjsports-2017-097492.

    Article  PubMed  Google Scholar 

  8. Collins MW, Kontos AP, Okonkwo DO, Almquist J, Bailes J, Barisa M, Bazarian J, Bloom OJ, Brody DL, Cantu R, Cardenas J, Clugston J, Cohen R, Echemendia R, Elbin RJ, Ellenbogen R, Fonseca J, Gioia G, Guskiewicz K, … Zafonte R. Statements of agreement from the targeted evaluation and active management (TEAM) approaches to treating concussion meeting held in Pittsburgh, October 15–16, 2015. Neurosurgery. 2016;79(6):912–29. https://doi.org/10.1227/NEU.0000000000001447.

  9. Kamins J, Bigler E, Covassin T, Henry L, Kemp S, Leddy JJ, Mayer A, McCrea M, Prins M, Schneider KJ, Valovich McLeod TC, Zemek R, Giza CC. What is the physiological time to recovery after concussion? A systematic review. Br J Sports Med. 2017;51(12): 935–40. https://doi.org/10.1136/bjsports-2016-097464.

    Article  PubMed  Google Scholar 

  10. Will JS, Bury DC, Miller JA. Mechanical low back pain. Am Fam Physician. 2018;1(98):421–8.

    Google Scholar 

  11. McCleary MD, Congeni JA. Current concepts in the diagnosis and treatment of spondylolysis in young athletes. Curr Sports Med Rep. 2007;6(1):62–6. https://doi.org/10.1007/s11932-007-0014-y.

    Article  PubMed  Google Scholar 

  12. Qaseem A, Wilt TJ, McLean RM, Forciea MA, for the Clinical Guidelines Committee of the American College of Physicians. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514. https://doi.org/10.7326/M16-2367.

    Article  PubMed  Google Scholar 

  13. Crellin C, Honig K, McCarty E, Bravman J. Shoulder injuries. In: Madden CC, Putukian M, McCarty EC, Young CC, editors. Netter’s sports medicine. 2nd ed. Philadelphia: Elsevier; 2018. p. 367–281.

    Google Scholar 

  14. Lewis J, McCreesh K, Roy J-S, Ginn K. Rotator cuff tendinopathy: navigating the diagnosis-management conundrum. J Orthop Sports Phys Ther. 2015;45(11): 923–37. https://doi.org/10.2519/jospt.2015.5941.

    Article  PubMed  Google Scholar 

  15. Littlewood C, Ashton J, Chance-Larsen K, May S, Sturrock B. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy. 2012;98(2):101–9. https://doi.org/10.1016/j.physio.2011.08.002.

    Article  PubMed  Google Scholar 

  16. Boffano M, Mortera S, Piana R. Management of the first episode of traumatic shoulder dislocation. EFORT Open Rev. 2017;2(2):35–40. https://doi.org/10.1302/2058-5241.2.160018.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Dala-Ali B, Penna M, McConnell J, Vanhegan I, Cobiella C. Management of acute anterior shoulder dislocation. Br J Sports Med. 2014;48(16):1209–15.

    Article  PubMed  Google Scholar 

  18. Longo UG, Loppini M, Rizzello G, Ciuffreda M, Maffulli N, Denaro V. Management of primary acute anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy. 2014;30(4):506–22. https://doi.org/10.1016/j.arthro.2014.01.003.

    Article  PubMed  Google Scholar 

  19. McFarland EG, Borade A. Examination of the biceps tendon. Clin Sports Med. 2016;35(1):29–45. https://doi.org/10.1016/j.csm.2015.08.004.

    Article  PubMed  Google Scholar 

  20. Smith M, Carlisle J, Gerlach D, Wright R, Lamplot J. Elbow injuries. In: Madden C, Putukian M, McCarty C, Young C, editors. Netter’s sports medicine. 2nd ed. Philadelphia: Elsevier; 2018. p. 382.

    Google Scholar 

  21. Cutts S, Gangoo S, Modi N, Pasapula C. Tennis elbow: a clinical review article. J Orthop. 2020;17:203–7. https://doi.org/10.1016/j.jor.2019.08.005.

    Article  CAS  PubMed  Google Scholar 

  22. Lenoir H, Mares O, Carlier Y. Management of lateral epicondylitis. Orthop Traumatol Surg Res. 2019;105(8):S241–6. https://doi.org/10.1016/j.otsr.2019.09.004.

    Article  PubMed  Google Scholar 

  23. Watson J, Weiker D, van Zeeland N. Hand and wrist injuries. In: Madden C, Putukian M, McCarty C, Young C, editors. Netter’s sports medicine. 2nd ed. Philadelphia: Elsevier; 2018. p. 399.

    Google Scholar 

  24. Fowler JR, Hughes TB. Scaphoid fractures. Clin Sports Med. 2015;34(1):37–50. https://doi.org/10.1016/j.csm.2014.09.011.

    Article  PubMed  Google Scholar 

  25. Egol K, Koval K, Zuckerman J. Handbook of fractures. 6th ed. Philadelphia: Wolters Kluwer; 2020. p. 293–8.

    Google Scholar 

  26. Leggitt J, Meko C. Acute finger injuries. Am Fam Physician. 2006;73(5):810–6, 823, 827–34, 838.

    Google Scholar 

  27. Cotterell IH, Richard MJ. Metacarpal and phalangeal fractures in athletes. Clin Sports Med. 2015;34(1):69–98. https://doi.org/10.1016/j.csm.2014.09.009.

    Article  PubMed  Google Scholar 

  28. Lin JS, Samora JB. Surgical and nonsurgical management of mallet finger: a systematic review. J Hand Surg Am. 2018;43(2):146–163.e2. https://doi.org/10.1016/j.jhsa.2017.10.004.

    Article  PubMed  Google Scholar 

  29. Ramponi DR, Hellier SD. Mallet finger. Adv Emerg Nurs J. 2019;41(3):198–203. https://doi.org/10.1097/TME.0000000000000251.

    Article  PubMed  Google Scholar 

  30. Fredericson M, Weir A. Practical management of iliotibial band friction syndrome in runners. Clin J Sports Med. 2006;16(3):261–8.

    Article  Google Scholar 

  31. Gillespie H. Update on the management of patellar instability. Curr Sports Med Rep. 2012;11(5):226–31. https://doi.org/10.1249/JSR.0b013e3182698931.

    Article  PubMed  Google Scholar 

  32. Yang F, Guo W, Wang Q, Zhu Z, Guan C, Zhao S, Yuan B. Surgical versus nonsurgical treatment of primary acute patellar dislocation: a systematic review and meta-analysis. Medicine. 2019;98(29):e16338. https://doi.org/10.1097/MD.0000000000016338.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Stefancin JJ, Parker RD. First-time traumatic patellar dislocation: a systematic review. Clin Orthop Relat Res. 2007;455:93–101. https://doi.org/10.1097/BLO.0b013e31802eb40a.

    Article  PubMed  Google Scholar 

  34. McCary E, Walsh WM, Madden C. Knee injuries. In: Madden C, Putukian M, McCarty C, Young C, editors. Netter’s sports medicine. 2nd ed. Philadelphia: Elsevier; 2018. p. 436–9.

    Google Scholar 

  35. Burnham JM, Wright V. Update on anterior cruciate ligament rupture and care in the female athlete. Clin Sports Med. 2017;36(4):703–15. https://doi.org/10.1016/j.csm.2017.05.004.

    Article  PubMed  Google Scholar 

  36. Musahl V, Karlsson J. Anterior cruciate ligament tear. N Engl J Med. 2019;380(24):2341–8. https://doi.org/10.1056/NEJMcp1805931.

    Article  PubMed  Google Scholar 

  37. Boyd J, Holt JK. Knee ligament instability patterns: what is clinically important. Clin Sports Med. 2019;38(2):169–82. https://doi.org/10.1016/j.csm.2018.12.001.

    Article  PubMed  Google Scholar 

  38. Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones DM, Esculier J-F, Morrissey D, Callaghan MJ. 2016 Patellofemoral pain consensus statement from the 4th international patellofemoral pain research retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016;50(14):839–43. https://doi.org/10.1136/bjsports-2016-096384.

    Article  PubMed  Google Scholar 

  39. Gaitonde DY, Ericksen A, Robbins RC. Patellofemoral pain syndrome. Am Fam Physician. 2019;99(2):88–93.

    PubMed  Google Scholar 

  40. Saltychev M, Dutton R, Laimi K, Beaupré G, Virolainen P, Fredericson M. Effectiveness of conservative treatment for patellofemoral pain syndrome: a systematic review and meta-analysis. J Rehabil Med. 2018;50(5):393–401. https://doi.org/10.2340/16501977-2295.

    Article  PubMed  Google Scholar 

  41. Teoh KH, Tanaka H, Hariharan K. Management of acute Achilles tendon rupture. Orthop Trauma. 2018;32(6):401–7. https://doi.org/10.1016/j.mporth.2018.09.002.

    Article  Google Scholar 

  42. Kane SF, Olewinski LH, Tamminga KS. Management of chronic tendon injuries. Am Fam Physician. 2019;100(3):147–57.

    PubMed  Google Scholar 

  43. Chen ET, McInnis KC, Borg-Stein J. Ankle sprains: evaluation, rehabilitation, and prevention. Curr Sports Med Rep. 2019;18(6):217–23. https://doi.org/10.1249/JSR.0000000000000603.

    Article  PubMed  Google Scholar 

  44. Tiemstra JD. Update on acute ankle sprains. Am Fam Physician. 2012;65(12):1170–6.

    Google Scholar 

  45. Kim C, Amendola A, Femino J. Ankle and leg injuries. In: Madden C, Putukian M, McCarty C, Young C, editors. Netter’s sports medicine. 2nd ed. Philadelphia: Elsevier; 2018. p. 447–8.

    Google Scholar 

  46. Williams GN, Jones MH, Amendola A. Syndesmotic ankle sprains in athletes. Am J Sports Med. 2007;35(7):1197–207. https://doi.org/10.1177/0363546507302545.

    Article  PubMed  Google Scholar 

  47. Hatch RL, Alsobrook JA, Clugston JR. Diagnosis and management of metatarsal fractures. Am Fam Physician. 2007;76(6):817–26.

    PubMed  Google Scholar 

  48. Cheung CN, Lui TH. Proximal fifth metatarsal fractures: anatomy, classification, treatment and complications. Arch Trauma Res. 2016;5(4):e33298. https://doi.org/10.5812/atr.33298.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Dean BJF, Kothari A, Uppal H, Kankate R. The Jones fracture classification, management, outcome, and complications: a systematic review. Foot Ankle Spec. 2012;5(4):256–9.

    Article  PubMed  Google Scholar 

  50. Bica D. Diagnosis and management of common foot fractures. Am Fam Physician. 2016;93(3):183–91.

    PubMed  Google Scholar 

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Correspondence to T. Jason Meredith .

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Meredith, T.J., Falk, N.P., Rennicke, J., Hornsby, H. (2020). Athletic Injuries. In: Paulman, P., Taylor, R., Paulman, A., Nasir, L. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0779-3_59-2

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  • DOI: https://doi.org/10.1007/978-1-4939-0779-3_59-2

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  • Print ISBN: 978-1-4939-0779-3

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Chapter history

  1. Latest

    Athletic Injuries
    Published:
    13 July 2020

    DOI: https://doi.org/10.1007/978-1-4939-0779-3_59-2

  2. Original

    Athletic Injuries
    Published:
    28 September 2015

    DOI: https://doi.org/10.1007/978-1-4939-0779-3_59-1