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Clinical Orthopaedics and Related Research®

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05.09.2017 | Editorial

Editorial: Do Orthopaedic Surgeons Belong on the Sidelines at American Football Games?

verfasst von: Seth S. Leopold, MD, Matthew B. Dobbs, MD, Mark C. Gebhardt, MD, Terence J. Gioe, MD, Clare M. Rimnac, PhD, Montri D. Wongworawat, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 11/2017

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Excerpt

In an earlier editorial, we suggested that orthopaedic surgeons should recommend that children and young adults not play tackle football [7]. We based this recommendation on ample documentation of neurocognitive impairment caused by concussions among youth players [13‐15, 17]. …

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Council on Sports Medicine and Fitness of the American Academy of Pediatrics. Policy statement: Tackling in youth football. Pediatrics. 2015;136:e1419–e1430.CrossRef

Engber D. Inflategate. Available at http://www.slate.com/articles/sports/sports_nut/2017/07/the_press_is_overhyping_the_latest_study_on_cte_in_the_nfl.html. Accessed on August 4, 2017.

Gay J. Could football ever end? Wall Street Journal. July 31, 2017. Available at https://www.wsj.com/articles/could-football-ever-end-1501423731. Accessed on July 31, 2017.

Glenza J. Study links longer football careers to more severe cases of CTE. The Guardian. Available at https://www.theguardian.com/sport/2017/jul/25/concussion-study-nfl-cte-college-players. Accessed on August 4, 2017.

Herring SA, Cantu RC, Guskiewicz KM, Putukian M, Kibler WB. Concussion (mild traumatic brain injury) and the team physician: A consensus statement. Available at http://www.aaos.org/CustomTemplates/Content.aspx?id=22285&ssopc=1. Reviewed on March 17, 2016.

Leopold SS, Dobbs MB. Editorial: Orthopaedic surgeons should recommend that children and young adults not play tackle football. Clin Orthop Relat Res. 2016;474:1533–1537.CrossRefPubMedPubMedCentral

Marar M, McIlvain NM, Fields SK, Comstock RD. Epidemiology of concussions among United States high school athletes in 20 sports. Am J Sports Med. 2012;40:747–755.CrossRefPubMed

Maroon JC, Winkelman R, Bost J, Amos A, Mathyssek C, Miele V. Chronic traumatic encephalopathy in contact sports: A systematic review of all reported pathological cases. PLoS One. 2015;10:e0117338.CrossRefPubMedPubMedCentral

10.

Mez J, Daneshvar DH, Kiernan PT, Abdolmohammadi B, Alvarez VE, Huber BR, Alosco ML, Solomon TM, Nowinski CJ, McHale L, Cormier KA, Kubilus CA, Martin BM, Murphy L, Baugh CM, Montenigro PH, Chaisson CE, Tripodis Y, Kowall NW, Weuve J, McClean MD, Cantu RC, Goldstein LE, Katz DI, Stern RA, Stein TD, McKee AC. Clinicopathological evaluation of chronic traumatic encephalopathy in players of American football. JAMA. 2017;318:360–370.PubMed

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National Federation of State High School Associations. 2015–2016 high school athletics participation survey. Available at http://www.nfhs.org/ParticipationStatistics/PDF/2015-16_Sports_Participation_Survey.pdf. Accessed on August 10, 2017.

12.

Neidecker J, Sethi N, Taylor R, Monsell R, Muzzi D, Spizler B, Lovelace L, Ayoub E, Weinstein R, Estwanik J, Reyes P, Cantu R, Jordan B, Goodman M, Stiller J, Gelber J, Boltuch R, Coletta D, Gagliardi A, Gelfman S, Golden P, Rizzo N, Wallace P, Wallace P, Fields A, Inalsingh C. Association of ringside physicians consensus statement: Concussion in combat sports. Available at http://www.ringsidearp.org/resources/Documents/Position%20Statements/ARP%20Concussion%20Consensus%20Statement%20April%202017.pdf. Accessed on August 10, 2017.

13.

Stamm JM, Bourlas AP, Baugh CM, Fritts NG, Daneshvar DH, Martin BM, McClean MD, Tripodis Y, Stern RA. Age of first exposure to football and later-life cognitive impairment in former NFL players. Neurology. 2015;84:1114–1120.CrossRefPubMedPubMedCentral

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Stamm JM, Koerte IK, Muehlmann M, Pasternak O, Bourlas AP, Baugh CM, Giwerc MY, Zhu A, Coleman MJ, Bouix S, Fritts NG, Martin BM, Chaisson C, McClean MD, Lin AP, Cantu RC, Tripodis Y, Stem RA, Shenton ME. Age at first exposure to football is associated with altered corpus callosum white matter microstructure in former professional football players. J Neurotrauma. 2015;32:1768–1776.CrossRefPubMedPubMedCentral

15.

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16.

Ward J, Williams J, Manchester S. 111 N.F.L. brains, all but one had C.T.E. New York Times. Available at https://www.nytimes.com/interactive/2017/07/25/sports/football/nfl-cte.html?_r=0. Accessed on August 4, 2017.

17.

Zuckerman SL, Kerr ZY, Yengo-Kahn A, Wasserman E, Covassin T, Solomon GS. Epidemiology of sports-related concussion in NCAA athletes from 2009–2010 to 2013–2014: Incidence, recurrence, and mechanisms. Am J Sports Med. 2015;43:2654–2662.CrossRefPubMed

Titel: Editorial: Do Orthopaedic Surgeons Belong on the Sidelines at American Football Games?
verfasst von: Seth S. Leopold, MD
Matthew B. Dobbs, MD
Mark C. Gebhardt, MD
Terence J. Gioe, MD
Clare M. Rimnac, PhD
Montri D. Wongworawat, MD
Publikationsdatum: 05.09.2017
Verlag: Springer US
Erschienen in: Clinical Orthopaedics and Related Research® / Ausgabe 11/2017
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-017-5483-6

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