Overview of Traumatic Brain Injury in American Football Athletes.

Autor:	Canseco JA; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Franks RR; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.; Rothman Sports Concussion Institute, Rothman Institute, Philadelphia, Pennsylvania; and., Karamian BA; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Divi SN; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Reyes AA; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Mao JZ; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Al Saiegh F; Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania., Donnally CJ 3rd; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Schroeder GD; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Harrop JS; Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania., Pepe MD; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania., Vaccaro AR; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
Jazyk:	angličtina
Zdroj:	Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2022 May 01; Vol. 32 (3), pp. 236-247. Date of Electronic Publication: 2021 Mar 24.
DOI:	10.1097/JSM.0000000000000918
Abstrakt:	Objective: The aim of this review is to provide a summary of the epidemiology, clinical presentation, pathophysiology, and treatment of traumatic brain injury in collision athletes, particularly those participating in American football. Data Sources: A literature search was conducted using the PubMed/MEDLINE and Google Scholar databases for publications between 1990 and 2019. The following search phrases were used: "concussion," "professional athletes," "collision athletes," "mild traumatic brain injury," "severe traumatic brain injury," "management of concussion," "management of severe traumatic brain injury," and "chronic traumatic encephalopathy." Publications that did not present epidemiology, clinical presentation, pathophysiology, radiological evaluation, or management were omitted. Classic articles as per senior author recommendations were retrieved through reference review. Results: The results of the literature review yielded 147 references: 21 articles discussing epidemiology, 16 discussing clinical presentation, 34 discussing etiology and pathophysiology, 10 discussing radiological evaluation, 34 articles for on-field management, and 32 articles for medical and surgical management. Conclusion: Traumatic brain injuries are frequent in professional collision athletes, and more severe injuries can have devastating and lasting consequences. Although sport-related concussions are well studied in professional American football, there is limited literature on the epidemiology and management of severe traumatic brain injuries. This article reviews the epidemiology, as well as the current practices in sideline evaluation, acute management, and surgical treatment of concussions and severe traumatic brain injury in professional collision athletes. Return-to-play decisions should be based on individual patient symptoms and recovery. Competing Interests: The authors report no conflicts of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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