James R Bailey1, Trent Christensen2, Benjamin L Oshlag3, Kevin M Dale4, Christopher Kim5, Barrett A Little6, Kelby Brown7, Kyle Beatty8, Robert Zarzour8, Jeffrey R Bytomski9, Annunziato Amendola9, Claude T Moorman10. 1. Orthopaedic Sports Surgery, Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA. 2. Sports and Orthopaedic Specialists, Plymouth, MN. 3. Department of Sports Medicine and Emergency Medicine, Columbia University Medical Center, New York, NY. 4. Monroe Carell Jr. Children's Hospital, Department of Orthopaedic Surgery, Vanderbilt University School of Medicine, Nashville, TN. 5. Department of Orthopaedic Surgery, Saint Louis University, Saint Louis, MO. 6. OrthoCarolina, Charlotte, NC. 7. Duke University School of Medicine, Durham NC. 8. Department of Athletic Medicine, Duke University, Durham, NC. 9. James R. Urbaniak, MD, Sports Science Institute, Department of Orthopaedic Surgery, Duke University, Durham, NC. 10. Carolinas Musculoskeletal Institute, Department of Orthopaedic Surgery, Carolinas HealthCare System, Charlotte, NC.
Abstract
Background: Some NCAA conferences now require a press box-based Medical Observer for all football games to identify injuries missed by on-field providers. The objective of this study was to determine whether a Medical Observer identified injuries missed by the on-field medical personnel. Methods: This was a comparative observational study of injury identification methods which was done at nine NCAA football games. The athletes on a single institution's varsity football team participated. Eight games and one bowl game were studied. Observers were sports medicine Fellows (Orthopaedic, Primary Care). Injury logs were kept by the Medical Observer to document game day injuries. The athletic training staff collected injury reports in the days following games. These were compared with game day injury logs to identify any injuries that were not reported to the medical staff during competition. Results: A total of 41 game injuries were identified (4.56 injuries/ game). 29 injuries (29/41; 71%) were identified by both the sideline medical providers and the Observer, 12 (12/41; 29%) were identified by only the sideline medical providers and no injuries were identified by only the Observer. A total of 95 game-related injuries were evaluated in the training room on the day after each game. 27 injuries (27/95; 28%) had been identified during the game (9 [33%] by the sideline medical team and 18 [67%] by both the sideline medical team and the Observer). Fourteen game injuries were not severe enough to require care the following day. There were 68 (68/95; 72%) delayed self-reported injuries treated by the training room staff the next day. Conclusions: A press box-based Medical Observer did not identify any injuries missed by the on-field medical staff. This study did, however, identify a large number of unreported game-day injuries that were treated the following day.Level of Evidence: II.
Background: Some NCAA conferences now require a press box-based Medical Observer for all football games to identify injuries missed by on-field providers. The objective of this study was to determine whether a Medical Observer identified injuries missed by the on-field medical personnel. Methods: This was a comparative observational study of injury identification methods which was done at nine NCAA football games. The athletes on a single institution's varsity football team participated. Eight games and one bowl game were studied. Observers were sports medicine Fellows (Orthopaedic, Primary Care). Injury logs were kept by the Medical Observer to document game day injuries. The athletic training staff collected injury reports in the days following games. These were compared with game day injury logs to identify any injuries that were not reported to the medical staff during competition. Results: A total of 41 game injuries were identified (4.56 injuries/ game). 29 injuries (29/41; 71%) were identified by both the sideline medical providers and the Observer, 12 (12/41; 29%) were identified by only the sideline medical providers and no injuries were identified by only the Observer. A total of 95 game-related injuries were evaluated in the training room on the day after each game. 27 injuries (27/95; 28%) had been identified during the game (9 [33%] by the sideline medical team and 18 [67%] by both the sideline medical team and the Observer). Fourteen game injuries were not severe enough to require care the following day. There were 68 (68/95; 72%) delayed self-reported injuries treated by the training room staff the next day. Conclusions: A press box-based Medical Observer did not identify any injuries missed by the on-field medical staff. This study did, however, identify a large number of unreported game-day injuries that were treated the following day.Level of Evidence: II.
Authors: Robert A Stern; David O Riley; Daniel H Daneshvar; Christopher J Nowinski; Robert C Cantu; Ann C McKee Journal: PM R Date: 2011-10 Impact factor: 2.298
Authors: Christine M Baugh; Julie M Stamm; David O Riley; Brandon E Gavett; Martha E Shenton; Alexander Lin; Christopher J Nowinski; Robert C Cantu; Ann C McKee; Robert A Stern Journal: Brain Imaging Behav Date: 2012-06 Impact factor: 3.978
Authors: Kimberly G Harmon; Jonathan A Drezner; Matthew Gammons; Kevin M Guskiewicz; Mark Halstead; Stanley A Herring; Jeffrey S Kutcher; Andrea Pana; Margot Putukian; William O Roberts Journal: Br J Sports Med Date: 2013-01 Impact factor: 13.800