Concussion Management for the Orthopaedic Surgeon.

JBJS Rev · Nov 2020 · Review

Jildeh TR, Shkokani L, Meta F, Tramer JS, Okoroha KR

Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, Michigan

General Orthopaedics

SUMMARY — THE REDUCTIONOrthopaedic team physicians must recognize concussion signs, perform sideline evaluation after ruling out serious injury, and implement evidence-based management protocols.
Abstract, as published

Orthopaedic surgeons functioning as team physicians are in a unique position to recognize subtle changes in an athlete's behavior and may be the first responders to concussions at sporting events. The rate of sports-related concussions has increased over the past few decades, necessitating that orthopaedic team physicians gain a greater understanding of the diagnosis and management of this condition. During the sideline evaluation, life-threatening injuries must be ruled out before concussion evaluation may take place. In most cases, patients experience a resolution of symptoms within a week; however, a smaller subset of patients experience persistent symptoms. Physicians covering sporting events must remain current regarding recommendations for treating sports-related concussions and must document their management plan to minimize potential harm to an athlete.

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