Common Shoulder Injuries in American Football Athletes

Gibbs, Daniel B.; Lynch, T. Sean; Nuber, Erika D.; Nuber, Gordon W.

doi:10.1249/jsr.0000000000000190

Cited by 43 publications

(36 citation statements)

References 39 publications

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“…Shoulder injuries are the fourth most common musculoskeletal football injury. 1,4,8,12,14,16,21 Kaplan et al 16 found that of the 336 collegiate football players invited to the 2004 NFL Combine, 50% had a history of shoulder injury and 33% of shoulder surgery. More specifically, it was found that shoulder injuries resulting in surgery are more common among football linemen.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Shoulder-Stabilizing Braces

Baker

Tjong

Dunne

et al. 2016

Orthopaedic Journal of Sports Medicine

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Background:Shoulder injuries remain one of the most common injuries among collegiate football athletes. Offensive linemen in particular are prone to posterior labral pathology.Purpose:To evaluate the efficacy of shoulder bracing in collegiate offensive linemen with respect to injury prevention, severity, and lost playing time.Study Design:Cohort study; Level of evidence, 3.Methods:Offensive linemen at a single collegiate institution wore bilateral shoulder-stabilizing braces for every contact practice and game beginning in the spring of 2013. Between spring of 2007 and fall of 2012, offensive linemen did not wear any shoulder braces. Player injury data were collected for all contact practices and games throughout these time periods to highlight differences with brace use.Results:Forty-five offensive linemen (90 shoulders) participated in spring and fall college football seasons between 2007 and 2015. There were 145 complete offensive linemen seasons over the course of the study. Offensive linemen not wearing shoulder braces completed 87 seasons; offensive linemen wearing shoulder braces completed 58 seasons. Posterior labral tear injury rates were calculated for players who wore the shoulder braces (0.71 per 1000 athlete-exposures) compared with shoulders of players who did not wear the braces (1.90 per 1000 athlete-exposures). The risk ratio was 0.46 (95% CI, 0.16-1.30; P = .14). Mean time (contact practices and games) missed due to injury was significant, favoring less time missed by players who used braces (8.7 vs 36.60 contact practices and games missed due to injury; P = .0019). No significant difference in shoulder labral tears requiring surgery was found for brace use compared with no brace use.Conclusion:Shoulder-stabilizing braces were shown not to prevent posterior labral tears among collegiate offensive lineman, although they were associated with less time lost to injury. The results of this study have clinical significance, indicating that wearing a shoulder brace provides a protective factor for offensive linemen.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Shoulder-Stabilizing Braces

Baker

Tjong

Dunne

et al. 2016

Orthopaedic Journal of Sports Medicine

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“…Clinical presentation of injuries to the rotator cuff can vary by type of injury and mechanism of onset. A thorough history that includes mechanism of injury and arm position at the time of injury can help the clinician determine the presence of injury to the rotator cuff [16]. Examination of the athlete should include thorough palpation and assessment of both active and passive range of motion.…”

Section: Clinical Presentationmentioning

confidence: 99%

Management of Rotator Cuff Injuries in the Elite Athlete

Weiss

Wang

Hendel

et al. 2018

Curr Rev Musculoskelet Med

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Conservative management of rotator cuff injuries continues to be the "gold standard" in the elite athlete. This includes a comprehensive rehabilitation program, anti-inflammatories, and corticosteroid injections. Newer treatment techniques such as intramuscular dry needling and the use of biologics such as platelet-rich plasma and stem cells demonstrate early promising results; however, these modalities require further investigation to determine their effectiveness. Rotator cuff injuries can range from contusions and tendinopathy to full-thickness tears. A comprehensive evaluation is needed to determine the extent of injury and appropriate plan of care. Management strategies can range from rehabilitation to operative intervention and are guided by the size of the tear, time of season, sport, performance limitations, and presence of concomitant pathology.

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“…Shoulder injury incidence rates are high in adolescents and young adults6; which are age groups likely to be active in sports. Existing data on shoulder sports injuries refer either to a limited subset of shoulder diagnoses,7–10 or all types of shoulder injuries limited to a specific sport 11–13. Shoulder sports injuries are also included in large population-based registry studies,1 14 15 but there are to our knowledge no previous studies on acute sports injuries to the shoulder including all shoulder trauma diagnoses and age groups in a general population cohort.…”

Section: Introductionmentioning

confidence: 99%

Sports-related acute shoulder injuries in an urban population

Enger

Skjaker

Nordsletten

et al. 2019

BMJ Open Sport Exerc Med

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ObjectivesMore than a third of sports injuries involve the upper extremity. The primary aim was to quantify and describe sports-related shoulder injuries in a general population cohort. A secondary aim was to compare aspects of these injuries to those that were not sports-related.MethodsWe performed a prospective registration of the activity at the time of shoulder injury in all cases admitted during 1 year in a combined primary care and orthopaedic emergency department serving a defined population. The electronic patient records and patient reported questionnaires were reviewed.ResultsTwenty-nine per cent (n=781) of 2650 registered shoulder injuries were reported to be sports-related, with the highest proportion in acromioclavicular injuries (>50%). Patients with sports injuries were younger than those injured during other activities (median age 28 and 43 years, respectively, p<0.001), and more often male (78% and 52%, respectively, p<0.001). There was a strong gender disparity in incidence of sports-related shoulder injuries in adolescents and young adults, which was not observed in non-sports shoulder injuries. Football (soccer) (6–29 years), cycling (30–49 years), skiing (50–69 years) and martial arts were the dominating sports activities. Fractures were more common in skiing and cycling than in other major sports in the study.ConclusionsAlmost a third of the shoulder injuries occurred during sports. The types of sports involved varied with age and gender. The comparison of sport to non-sport shoulder injury incidence rates suggests that the increased risk of shoulder injuries in young males is mainly attributable to sports injuries.

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Common Shoulder Injuries in American Football Athletes

Cited by 43 publications

References 39 publications

Evaluation of Shoulder-Stabilizing Braces

Evaluation of Shoulder-Stabilizing Braces

Management of Rotator Cuff Injuries in the Elite Athlete

Sports-related acute shoulder injuries in an urban population

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