Impact of Clavicle Fractures on Return to Play and Performance Ratings in NFL Athletes

Vora, Darshan; Baker, Matthew J.; Pandarinath, Rajeev

doi:10.1097/jsm.0000000000000548

Cited by 8 publications

(5 citation statements)

References 14 publications

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“…10 Specifically, nonstandardized data sources may lead to the utilization of incomplete, inaccurate, or unclear data that may result in errant conclusions, thereby providing misinformation on an injury’s relative influence, severity, treatment, and ultimate prognosis. 10 Additionally, outcomes from this type of research are inclined to demonstrate statistical performance 9,34,38,41 or financial loss, 21,31 which can be affected by numerous factors beyond injury characteristics, treatment, and/or physiological recovery. The recent exponential increase in publications utilizing POD methodology across all North American professional sports leagues emphasizes the need for critical analysis of this method of scientific inquiry.…”

Section: Discussionmentioning

confidence: 99%

Use of Publicly Obtained Data in Sports Medicine Research: A Systematic Review and Bibliometric Analysis

et al. 2023

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Background: Publicly obtained data (POD) have recently been utilized frequently by sports medicine researchers to describe injury patterns, risk factors, and outcomes in elite athletes. The relative ease of this type of research that is based solely on internet and media sources has resulted in a near exponential increase in the number of these POD studies. Purpose: To systematically review the sports medicine literature for studies based solely on POD. Study Design: Systematic review and bibliometric analysis; Level of evidence, 4. Methods: A systematic review of POD studies published since 2000 was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies of interest were those relying on publicly available injury reports or online media for data acquisition in collegiate, semiprofessional, and professional athletes. Results: There were 209 POD studies published between 2000 and 2022, with 173 (82.8%) of these studies published after 2016. Studies were published most frequently on athletes participating in North American professional leagues: National Football League (n = 69 [28.4%]), Major League Baseball (n = 56 [23.0%]), National Basketball Association (n = 37 [15.2%]), and National Hockey League (n = 33 [13.6%]). The most common injuries assessed were head injuries/concussions (n = 43 [21.1%]), anterior cruciate ligament injuries (n = 33 [16.2%]), and ulnar collateral ligament injuries (n = 23 [11.3%]). One-quarter of the studies (n = 53 [25.4%]) reported only 1 POD source, and 1 study (0.5%) reported no source. Additionally, 65 studies (31.1%) listed nonspecific POD resources or solely cited previous literature to describe the POD search methodology and data acquisition. Conclusion: POD studies are exponentially increasing in number, particularly across major North American professional sports leagues, with significant variability in the injury of interest, search methodology, and number of data sources. The accuracy of the conclusions reached based on the POD methodology appears highly variable. Given the potential impact of these publications as both contributors to current knowledge and drivers of future research, the sports medicine community should be aware of the inherent biases and limitations of POD injury studies.

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Section: Discussionmentioning

confidence: 99%

Use of Publicly Obtained Data in Sports Medicine Research: A Systematic Review and Bibliometric Analysis

et al. 2023

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“…About return to sport, one study on ice hockey players reports an average time to return to sport of 97, 6 days from injury in conservative treatment, and 65 days with ORIF [24]. Another study for football players reports that approximately the 80% of them return to their previous level of participation, that the patients turn to competition after about a median of 3, 47 months after injury and that surgical management or nonsurgical management had no significant impact on the time to return to play.…”

Section: Discussionmentioning

confidence: 99%

Conservative Treatment of Medial Shaft Clavicle Fracture with Borderline Criteria: A Case Report

Gurrieri¹

2022

JOSR

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Clavicle fractures account for 3% of all fractures in adult population. Usually, surgical treatment is the gold standard for fracture with dislocation > 2 cm, shortening > 2 cm and angulation > 30 ° or comminution, especially in young or active patients, due to the relatively high risk of non-union. In our study, we report the case of a 50-years old patient, with high functional requests, with a middle shaft clavicle fracture, presenting borderline criteria. We treated him conservatively with figure of 8-bandage for five weeks. After removal of the bandage, patient performed physiotherapy and at final follow-up patient showed a nearly complete ROM despite a non-optimal radiographic outcome. Conservative treatment is a valid option in borderline middle shaft fractures, even in mature patient requiring high functional outcomes.

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“…Previous studies of NFL athletes have evaluated RTS and performance after a variety of orthopaedic injuries. 6 , 8 , 15 However, there have been no studies to the best of our knowledge that have compared RTS and performance scores after open fracture. The current study was able to consolidate open fracture data in the NFL and evaluate RTS percentage and players’ performance scores compared with preinjury performance and against controls matched for age, NFL experience, and performance.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies, however, have used this as a viable method of data collection. 6 , 8 , 10 , 15 Unfortunately, many of the records of the injuries in the study did not specify the details of fracture location, and radiographs were not available from the injuries. Furthermore, the Gustilo-Anderson classification, extent of soft tissue injury, antibiotic administration, and exact treatment method (including time to surgery) for each injury were limited by this method.…”

Section: Discussionmentioning

confidence: 99%

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Performance and Return to Sport After Open Fracture in National Football League Players

Cotton

Sliepka

Klavas

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Open fractures are debilitating injuries for athletes. No prior studies have investigated open fractures in National Football League (NFL) players. Purpose: To compare outcomes after open fracture in NFL players in terms of (1) time to return to sport (RTS), (2) postinjury career length and games played per season, (3) postinjury performance, and (4) postinjury performance compared with matched controls. Study Design: Retrospective comparative series; Level of evidence, 3. Methods: Publicly available records were used to identify NFL players who had sustained an open fracture between 1970 and 2018. Controls were matched to injured players by age, experience, position, and preinjury performance. RTS was defined as playing in at least 1 NFL game after open fracture. Comparisons between injured and control players were made using the paired-samples Student t test. Results: Injuries in 37 players were analyzed (age, 27.2 ± 3.6 years; experience, 4.4 ± 3.6 seasons). The 3 most common locations for open fracture were the tibia/fibula (n = 16), hand/finger (n = 12), and forearm/wrist (n = 3). A total of 30 (81%) players had a mean time of RTS of 9.3 ± 8.2 months after open fracture; of these players, 4 (13.3%) who sustained hand/finger open fracture did not undergo surgical treatment. There was no difference in postinjury career length or games played per season between control and injured players. Postinjury performance was similar to preinjury performance in injured players, and postinjury performance scores were similar between injured and control players. There were significant differences between players who sustained upper extremity and lower extremity open fractures in RTS time (4.0 ± 4.8 vs 14.6 ± 7.4 months, respectively; P = .00007) and postinjury performance (6.4 ± 4.3 vs 3.3 ± 2.1, respectively; P = .03). Conclusion: RTS after open fracture among NFL players was high. Players who sustained an open fracture had similar games played per season, career length, and performance compared with matched controls. Players who sustained an upper extremity open fracture had a faster RTS time, higher RTS rate, and improved postinjury performance compared with players who sustained a lower extremity open fracture.

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Impact of Clavicle Fractures on Return to Play and Performance Ratings in NFL Athletes

Abstract: Although clavicle fractures did have a significant impact on athletes because of lost playing time, there was no statistically significant difference in player performance after the injury when compared with a control group.

Cited by 8 publications

References 14 publications

Use of Publicly Obtained Data in Sports Medicine Research: A Systematic Review and Bibliometric Analysis

Use of Publicly Obtained Data in Sports Medicine Research: A Systematic Review and Bibliometric Analysis

Conservative Treatment of Medial Shaft Clavicle Fracture with Borderline Criteria: A Case Report

Performance and Return to Sport After Open Fracture in National Football League Players

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