RT Journal Article
SR Electronic
T1 Medical retirement from sport after concussions
JF Neurology: Clinical Practice
FD Lippincott Williams & Wilkins
SP 40
OP 47
DO 10.1212/CPJ.0000000000000424
VO 8
IS 1
A1 Davis-Hayes, Cecilia
A1 Baker, David R.
A1 Bottiglieri, Thomas S.
A1 Levine, William N.
A1 Desai, Natasha
A1 Gossett, James D.
A1 Noble, James M.
YR 2018
UL http://cp.neurology.org/content/8/1/40.abstract
AB Purpose of review In patients with a considerable history of sports-related concussion, the decision of when to discontinue participation in sports due to medical concerns including neurologic disorders has potentially life-altering consequences, especially for young athletes, and merits a comprehensive evaluation involving nuanced discussion. Few resources exist to aid the sports medicine provider.Recent findings In this narrative review, we describe 10 prototypical vignettes based upon the authors' collective experience in concussion management and propose an algorithm to help clinicians navigate retirement discussions. Issues for consideration include absolute and relative contraindications to return to sport, ranging from clinical or radiographic evidence of lasting neurologic injury to prolonged concussion recovery periods or reduced injury threshold to patient-centered factors including personal identity through sport, financial motivations, and navigating uncertainty in the context of long-term risks.Summary The authors propose a novel treatment algorithm based on real patient cases to guide medical retirement decisions after concussion in sport.