INCREASED RISK OF MUSCULOSKELETAL INJURIES AFTER CONCUSSION

Elsevier

Available online 17 January 2022, 150896

Operative Techniques in Sports MedicineABSTRACT

The incidence of lower extremity injury among athletes returning to play following concussion has been increasingly reported over the past several years. The literature investigating this association is robust and has been reported across sports, levels of competition, and ages. However, the underlying mechanisms for this increased risk of injury are not fully understood. This review will provide a summary of the current literature surrounding the association of concussion and lower extremity injury risk and discuss theories for why this relationship may exist, including lingering deficits that are not detected with common concussion assessments. Further, we will discuss clinical implications for the increased injury risk after concussion, including limitations of traditional concussion evaluation strategies for detecting individuals at high risk for future injury. In addition to discussing current knowledge gaps, we will explore potentially useful assessment strategies that may inform return to play decision making in the context of increased subsequent injury risk.

Keywords

concussion

musculoskeletal injury

lower extremity injury

neuromuscular control

sports injury

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© 2022 Published by Elsevier Inc.

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