Football Injuries: Current Concepts

Football is one of the most popular sports in the United States and is the leading cause of sports-related injury. A large focus in recent years has been on concussions, sudden cardiac death, and heat illness, all thought to be largely preventable health issues in the young athlete. Injury prevention through better understanding of injury mechanisms, education, proper equipment, and practice techniques and preseason screening may aid in reducing the number of injuries. Proper management of on-field injuries and health emergencies can reduce the morbidity associated with these injuries and may lead to faster return to play and reduced risk of future injury. This article reviews current concepts surrounding frequently seen football-related injuries.

[1]  R. Comstock,et al.  Dislocation/Separation Injuries Among US High School Athletes in 9 Selected Sports: 2005-2009 , 2011, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[2]  G. Fleisig,et al.  Return to Play after Anterior Cruciate Ligament Reconstruction in National Football League Athletes , 2010, The American journal of sports medicine.

[3]  V. Bonham,et al.  Screening student athletes for sickle cell trait--a social and clinical experiment. , 2010, The New England journal of medicine.

[4]  B. Nelson,et al.  Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events. , 2010, The Journal of bone and joint surgery. American volume.

[5]  L. Armstrong.  Exertional Heatstroke in American Football: Persistent Battles, Research Frontiers , 2010, Current sports medicine reports.

[6]  Stephen Lyman,et al.  Effect of Anterior Cruciate Ligament Reconstruction and Meniscectomy on Length of Career in National Football League Athletes , 2009, The American journal of sports medicine.

[7]  M. Lafave.  Consensus statement on concussion. , 2009, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[8]  E. Schilders,et al.  Adductor-related groin pain in recreational athletes: role of the adductor enthesis, magnetic resonance imaging, and entheseal pubic cleft injections. , 2009, The Journal of bone and joint surgery. American volume.

[9]  J. Agel,et al.  Incidence of Glenohumeral Instability in Collegiate Athletics , 2009, The American journal of sports medicine.

[10]  R. Cantu,et al.  Consensus statement on concussion in sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008. , 2009, Journal of athletic training.

[11]  Kira K Zwygart,et al.  Gastrointestinal Temperature Trends in Football Linemen During Physical Exertion Under Heat Stress , 2009, Southern medical journal.

[12]  F. O’Connor,et al.  Preseason heat-acclimatization guidelines for secondary school athletics. , 2009, Journal of athletic training.

[13]  R. Warren,et al.  Predictive Value of Prior Injury on Career in Professional American Football is Affected by Player Position , 2009, The American journal of sports medicine.

[14]  B. Maron,et al.  Sudden Deaths in Young Competitive Athletes: Analysis of 1866 Deaths in the United States, 1980–2006 , 2009, Circulation.

[15]  C. Seto,et al.  Preparticipation Cardiovascular Screening in Young Athletes: Current Guidelines and Dilemmas , 2009, Current sports medicine reports.

[16]  R. Warren,et al.  Hip Injuries and Labral Tears in the National Football League , 2008, The American journal of sports medicine.

[17]  W. Meyers,et al.  Athletic pubalgia and "sports hernia": optimal MR imaging technique and findings. , 2008, Radiographics : a review publication of the Radiological Society of North America, Inc.

[18]  R. Arciero,et al.  Practical management of grade III acromioclavicular separations. , 2008, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[19]  James E Voos,et al.  Radiologic and intraoperative findings in revision hip arthroscopy. , 2007, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[20]  P. Carek.  Evidence‐based Preparticipation Physical Examination , 2007 .

[21]  B. Kelly,et al.  Hip arthroscopy in the athletic patient: current techniques and spectrum of disease. , 2007, The Journal of bone and joint surgery. American volume.

[22]  Sarah K Fields,et al.  Epidemiology of High School and Collegiate Football Injuries in the United States, 2005-2006 , 2007, The American journal of sports medicine.

[23]  Morgan H Jones,et al.  Syndesmotic Ankle Sprains in Athletes , 2007, The American journal of sports medicine.

[24]  Fotios P Tjoumakaris,et al.  Arthroscopic shoulder stabilization: is there ever a need to open? , 2007, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[25]  K. Briggs,et al.  Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression , 2007, Knee Surgery, Sports Traumatology, Arthroscopy.

[26]  J. Agel,et al.  Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. , 2007, Journal of athletic training.

[27]  Daniel S. Moran,et al.  Exertional heat illness during training and competition , 2007 .

[28]  Thomas J. Pulling,et al.  Unilateral cervical nerve injuries: Brachial plexopathies , 2007, Current sports medicine reports.

[29]  F. Balg,et al.  Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. , 2006, The Journal of bone and joint surgery. American volume.

[30]  Grant L Iverson,et al.  Examining Concussion Rates and Return to Play in High School Football Players Wearing Newer Helmet Technology: A Three-Year Prospective Cohort Study , 2006, Neurosurgery.

[31]  Patrick Jost,et al.  Prevalence and Variance of Shoulder Injuries in Elite Collegiate Football Players , 2005, The American journal of sports medicine.

[32]  R. Ganz,et al.  Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. , 2005, The Journal of bone and joint surgery. British volume.

[33]  B. Maron,et al.  Introduction: eligibility recommendations for competitive athletes with cardiovascular abnormalities-general considerations. , 2005, Journal of the American College of Cardiology.

[34]  A. Romeo,et al.  Arthroscopic Anterior Shoulder Stabilization of Collision and Contact Athletes , 2005, The American journal of sports medicine.

[35]  R. Wright,et al.  Ankle Syndesmosis Sprains in National Hockey League Players , 2004, The American journal of sports medicine.

[36]  D. Buss,et al.  Nonoperative Management for In-Season Athletes with Anterior Shoulder Instability , 2004, The American journal of sports medicine.

[37]  T. Best.  The preparticipation evaluation: an opportunity for change and consensus. , 2004, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[38]  R. Warren,et al.  Shoulder Injuries to Quarterbacks in the National Football League , 2004, The American journal of sports medicine.

[39]  J. Hootman.  Acromioclavicular Dislocation: Conservative or Surgical Therapy. , 2004, Journal of athletic training.

[40]  S. Marshall,et al.  Acute effects and recovery time following concussion in collegiate football players: the NCAA Concussion Study. , 2003, JAMA.

[41]  J. Silber,et al.  Etiology, treatment, and prevention of athletic "stingers". , 2003, Clinics in sports medicine.

[42]  F. Castro.  Stingers, cervical cord neurapraxia, and stenosis. , 2003, Clinics in sports medicine.

[43]  Spencer K Y Chang,et al.  Anterior cruciate ligament reconstruction: allograft versus autograft. , 2003, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[44]  B. Bach,et al.  Arthroscopic Anterior Cruciate Ligament Reconstruction: A Metaanalysis Comparing Patellar Tendon and Hamstring Tendon Autografts , 2003, The American journal of sports medicine.

[45]  A. Lanfranco,et al.  Surgical management of chronic lower abdominal and groin pain in high-performance athletes. , 2002, Current sports medicine reports.

[46]  M. Moulton,et al.  Return to play criteria for the athlete with cervical spine injuries resulting in stinger and transient quadriplegia/paresis. , 2002, The spine journal : official journal of the North American Spine Society.

[47]  J. Powell,et al.  Anterior cruciate ligament injuries in the National Football League: epidemiology and current treatment trends among team physicians. , 2002, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[48]  David C. Dome,et al.  Surgical Treatment of Traumatic Anterior Shoulder Instability in American Football Players , 2002, The Journal of bone and joint surgery. American volume.

[49]  Ann Karty.  American Academy of Family Physicians , 2001 .

[50]  K. Guskiewicz,et al.  Epidemiology of Concussion in Collegiate and High School Football Players , 2000, The American journal of sports medicine.

[51]  J. Warner,et al.  Comparison of Arthroscopic and Open Anterior Shoulder Stabilization: A Two to Six-Year Follow-up Study* , 2000, The Journal of bone and joint surgery. American volume.

[52]  J. Kelly,et al.  Association of Burners with Cervical Canal and Foraminal Stenosis* , 2000, The American journal of sports medicine.

[53]  W. Garrett,et al.  Management of Severe Lower Abdominal or Inguinal Pain in High-Performance Athletes , 2000, The American journal of sports medicine.

[54]  McFarland Eg,et al.  Treatment of grade III acromioclavicular separations in professional throwing athletes: results of a survey. , 1997, American journal of orthopedics.

[55]  T. Whitecloud,et al.  Stingers, the Torg Ratio, and the Cervical Spine , 1997, The American journal of sports medicine.

[56]  R. Arciero,et al.  Pathologic Changes Associated with Shoulder Dislocations , 1997, The American journal of sports medicine.

[57]  D. Atkins,et al.  Cardiovascular preparticipation screening of competitive athletes. A statement for health professionals from the Sudden Death Committee (clinical cardiology) and Congenital Cardiac Defects Committee (cardiovascular disease in the young), American Heart Association. , 1996, Circulation.

[58]  F O Mueller,et al.  Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. , 1996, JAMA.

[59]  T. Wickiewicz,et al.  Arthroscopic Shoulder Stabilization Using Transglenoid Sutures , 1996, The American journal of sports medicine.

[60]  D. Gorenflo,et al.  Disqualifying criteria in a preparticipation sports evaluation. , 1995, The Journal of family practice.

[61]  S. G. Rice.  Medical Conditions Affecting Sports Participation , 1994, Pediatrics.

[62]  D. O. Hough,et al.  Exercise-Induced Asthma and Anaphylaxis , 1994, Sports medicine.

[63]  J. Callaghan,et al.  Cervical Spinal Stenosis and Stingers in Collegiate Football Players , 1994, The American journal of sports medicine.

[64]  Evan L. Flatow,et al.  Surgical Treatment of Complete Acromioclavicular Dislocations , 1994, The American journal of sports medicine.

[65]  G. Preiser.  An outbreak of tinea corporis among schoolgirls. , 1991, Pediatrics.

[66]  M J Boytim,et al.  Syndesmotic ankle sprains , 1991, The American journal of sports medicine.

[67]  W. Garrett,et al.  Abdominal musculature abnormalities as a cause of groin pain in athletes , 1991, The American journal of sports medicine.

[68]  P. Meeder,et al.  [Injuries of the acromioclavicular joint]. , 1988, Aktuelle Traumatologie.

[69]  W. F. Dodge,et al.  Proteinuria and hematuria in schoolchildren: epidemiology and early natural history. , 1976, The Journal of pediatrics.

[70]  H L McLAUGHLIN,et al.  Primary anterior dislocation of the shoulder. , 1950, American journal of surgery.

[71]  A. McKee,et al.  Helmets and mouth guards: the role of personal equipment in preventing sport-related concussions. , 2011, Clinics in sports medicine.

[72]  E. Eichner,et al.  Sickle cell trait and fatal rhabdomyolysis in football training: a case study. , 2010, Medicine and science in sports and exercise.

[73]  Pädagogik,et al.  National Federation of State High School Associations , 2010 .

[74]  R. Warren,et al.  Prevalence of musculoskeletal disorders at the NFL Combine--trends from 1987 to 2000. , 2007, Medicine and science in sports and exercise.

[75]  M. Lovell,et al.  Sensitivity and specificity of the ImPACT Test Battery for concussion in athletes. , 2006, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[76]  Gary W. Dorshimer,et al.  Core temperature and percentage of dehydration in professional football linemen and backs during preseason practices. , 2006, Journal of athletic training.

[77]  M. Stuart,et al.  Youth Football Injuries , 2004, Sports medicine.

[78]  J. Parellada,et al.  MRI findings associated with distal tibiofibular syndesmosis injury. , 2004, AJR. American journal of roentgenology.

[79]  R. Arciero,et al.  Arthroscopic stabilization of acute initial anterior shoulder dislocation: the West Point experience. , 1996, Journal of the Southern Orthopaedic Association.

[80]  M. Saling,et al.  The assessment of orientation following concussion in athletes. , 1995, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[81]  Descriptors Change Strategies.  in the National Collegiate Athletic Association , 1993 .

[82]  C. Rowe.  Acute and recurrent anterior dislocations of the shoulder. , 1980, The Orthopedic clinics of North America.