The Preparticipation Physical Exam

  • Timothy Von Fange
  • Jill K. Wirth


The preparticipation evaluation (PPE) is a necessary, yet controversial and regulated, function that serves several purposes for athletic participants. At its core, the PPE is a screening tool used to identify potentially life-threatening or debilitating conditions that may manifest as a result of athletic participation. However, there are many other objectives of the PPE that are of great importance and less controversial. This chapter will discuss the pertinent details in performing an adequate PPE with special attention to the most common life-threatening conditions. Examples of medical history ­questions, exam techniques, and clearance issues will be provided.


Heart Sound Female Athlete Marfan Syndrome Undescended Testicle Sickle Cell Trait 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    MacAuley D (1998) Does preseason screening for cardiac disease really work? The British perspective. MSSE 30(10 suppl):S345–S350Google Scholar
  2. 2.
    American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine, American Osteopathic Academy of Sports Medicine (2004) Preparticipation physical examination, 3rd edn. McGraw-Hill, Minneapolis, MNGoogle Scholar
  3. 3.
    Carek PJ, Futrell M (1999) Athletes’ view of the preparticipation physical examination. Arch Fam Med 8(4):307–312PubMedCrossRefGoogle Scholar
  4. 4.
    Montalto NJ (1998) Implementing the guidelines for adolescent preventive services. Am Fam Physician 57(9):2181–2190PubMedGoogle Scholar
  5. 5.
    Kuroswski K, Chandran S (2000) The preparticipation athletic evaluation. Am Fam Physician 61(9):2683–2690Google Scholar
  6. 6.
    O’Connor F et al (2004) Sports medicine just the facts. McGraw Hill, Minneapolis, MNGoogle Scholar
  7. 7.
    Beckerman J, Wang P, Hlatky M (2004) Cardiovascular screening of athletes. Clin J Sports Med 14(3):127–133CrossRefGoogle Scholar
  8. 8.
    Giese E et al (2007) The athletic preparticipation evaluation: cardiovascular assessment. Am Fam Physician 75(7):1008–1014PubMedGoogle Scholar
  9. 9.
    Maron BJ, Zipes DP (2005) 36th Bethesda Conference: eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol 45(8):1312–1375CrossRefGoogle Scholar
  10. 10.
    Task Force on Blood Pressure Control in Children. National Heart, Lung and Blood Institute. Bethesda, Maryland (1987) Report of the second task force on blood pressure control in children 1987. Pediatrics 79(1):1–25Google Scholar
  11. 11.
    Cantu RC (2000) Cervical spine injuries in the athlete. Semin Neurol 20(2):173–178PubMedCrossRefGoogle Scholar
  12. 12.
    Napier SM, Baker RS, Stanford DG et al (1996) Eye injuries in athletics and recreation. Surv Ophthalmol 41(3):229–244PubMedCrossRefGoogle Scholar
  13. 13.
    Putukian M et al (2008) Mononucleosis and athletic participation: an evidence-based subject review. Clin J Sport Med 18(4):309–315PubMedCrossRefGoogle Scholar
  14. 14.
    Grinsell MM, Showalter S, Gordon KA, Norwood VF (2006) Single kidney and sports participation: perception versus reality. Pediatrics 118(3):1019–1027PubMedCrossRefGoogle Scholar
  15. 15.
    Wan J, Corvino TF, Greenfield SP, DiScala C (2003) Kidney and testicle injuries in team and individual sports: data from the national pediatric trauma registry. J Urol 170(4 Pt 2):1528–1532PubMedCrossRefGoogle Scholar
  16. 16.
    Kerle KK, Nishimura KD (1996) Exertional collapse and sudden death associated with sickle cell trait. Am Fam Physician 54(1):237–240PubMedGoogle Scholar
  17. 17.
    NATA consensus statement: sickle cell trait and the athlete.
  18. 18.
    NCAA Wrestling 2009 Rules. Appendix B: skin infections in wrestling.

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Family and Community Medicine, SIU Primary Care Sports Medicine FellowshipSIU School of MedicineQuincyUSA

Personalised recommendations