A Review Of Spine Injuries And Return To Play
athletic injuries; cervical cord neurapraxia; cervical spine; children; low-back-pain; lumbar intervertebral-disk; management guidelines; natural-history; neck-injury; Orthopedics; pars interarticularis; Physiology; spine injuries; spondylolisthesis; spondylolysis; Sport Sciences
Eddy D; Congeni J; Loud K
Clinical Journal of Sport Medicine
2005
2005-11
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1097/01.jsm.0000186681.13416.0c" target="_blank" rel="noreferrer noopener">10.1097/01.jsm.0000186681.13416.0c</a>
Awareness Of Genital Health In Young Male Athletes
athletic; athletic cup; injuries; male genital injury; men; Orthopedics; Physiology; risk; Sport Sciences; supporter; testicular cancer; testicular torsion; testis; torsion; united-states
Congeni J; Miller S F; Bennett C L
Clinical Journal of Sport Medicine
2005
2005-01
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1097/00042752-200501000-00005" target="_blank" rel="noreferrer noopener">10.1097/00042752-200501000-00005</a>
Lumbar Spondylolysis - A Study Of Natural Progression In Athletes
low-back-pain; Orthopedics; pars interarticularis; Sport Sciences
Congeni J; McCulloch J; Swanson K
American Journal of Sports Medicine
1997
1997-03
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1177/036354659702500220" target="_blank" rel="noreferrer noopener">10.1177/036354659702500220</a>
Outbreak Of Acute Rheumatic-fever In Northeast Ohio
Pediatrics
Congeni B; Rizzo C; Congeni J; Sreenivasan V V
Journal of Pediatrics
1987
1987-08
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1016/s0022-3476(87)80063-x" target="_blank" rel="noreferrer noopener">10.1016/s0022-3476(87)80063-x</a>
Long-term functional and anatomical follow-up of early detected spondylolysis in young athletes
diagnosis; adolescents; Orthopedics; Sport Sciences; defects; degeneration; low-back-pain; nonoperative treatment; computed tomography (CT); functional outcome; interarticularis; lumbar spondylolysis; pars; scan; spondylolisthesis; spondylolysis
Background: Spondylolysis defects detected by nuclear scintigraphy but not by plain radiographs represent early lesions. Functional outcome and eventual bony union of these defects are unknown. Hypothesis: Defects with greater degree of healing shortly after treatment will proceed to full bony union and better long-term functional outcome. Study Design: Longitudinal cohort study. Methods: Forty young athletes with early detected spondylolysis (radiograph negative, nuclear scintigraphy positive) were divided into 3 stages of healing by computed tomography scan. Functional outcome was assessed 7 to 11 years later using the low back outcome score and other factors. Degree of bony healing was assessed in volunteers. Results: Thirty-two of 40 subjects (80%) completed the survey. Twenty-nine of 32 (91%) had good or excellent low back outcome scores. None required spinal fusion, but 1 required partial diskectomy. Functional outcome did not differ based on initial computed tomography results. Radiographic follow-up was obtained in 11 volunteers. None of the 7 bilateral defects healed, and 3 of these progressed to grade 1 spondylolisthesis. All 4 unilateral defects healed fully with bone. Conclusions: Most young athletes conservatively treated for early spondylolysis maintain good functional outcome up to 11 years later. Unilateral defects can undergo full bony healing but may take longer than 12 weeks. Bilateral defects may undergo further degeneration and slip with time.
Miller S F; Congeni J; Swanson K
American Journal of Sports Medicine
2004
2004-06
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1177/0363546503262194" target="_blank" rel="noreferrer noopener">10.1177/0363546503262194</a>
Male self health awareness
Pediatrics
Nasrallah P F; Nair G R; Bennett C; Congeni J; McMahon D R
Pediatrics
1999
1999-09
Journal Article
n/a
Evaluating spondylolysis in adolescent athletes: history and x-ray findings confirm the diagnosis.
Female; Male; Child; Adolescence; Diagnosis; Differential; Athletic Injuries – Diagnosis – In Adolescence; Fractures – In Adolescence; Low Back Pain – Diagnosis – In Adolescence; Lumbar Vertebrae – Injuries – In Adolescence; Orthoses – In Adolescence; Spondylolysis – Diagnosis – In Adolescence
Low back pain is less common in young people than in adults but more often can be traced to a specific cause. A common cause of back pain in adolescents is spondylolysis, a fatigue fracture of a lumbar vertebra that occurs most frequently in young athletes. This condition is caused by repetitive trunk hyperextension. Clinical detection of spondylolysis may involve physical examination, radiography, CT, or MRI. A careful differential diagnosis is necessary to distinguish spondylolysis from a number of other disorders that cause chronic back pain. A proper treatment protocol incorporates rest, NSAlDs, use of a brace, and physical therapy.
Congeni J
Journal of Musculoskeletal Medicine
2000
2000-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Testicular health awareness in pubertal males.
*Health Education; Adolescent; Attitudes; Awareness; Data Collection; Health Knowledge; Humans; Internet; Male; Ohio; Practice; Schools; Sports; Testicular Diseases/*diagnosis
PURPOSE: We examined the knowledge and understanding of male teenagers of the necessity for genital examination, and signs and symptoms of serious testicular pathology. Furthermore, current national guidelines for health education were reviewed to understand better the curriculum used by the educational system and to assess its effectiveness. MATERIALS AND METHODS: In 1998, a 5-question survey was administered privately and confidentially to male athletes before a sports physical examination. The athletes were 12 to 18 years old, attended middle or high school, and were sampled randomly. The National Health Education Standards benchmark for grades 9 through 11 was examined with specific attention to male self-health education standards. RESULTS: A total of 318 athletes responded revealing that 54% did not know why the genitals were examined on a sports physical examination, 45% did not use appropriate testicular protection and the majority did not respond appropriately to symptoms of serious testicular pathology. Despite the fact that 46% of respondents answered that checking for a hernia is reason for a genital examination there was no mention of tumor, infection or varicocele. Review of the benchmarks revealed no standards referring to a minimum understanding of anatomy or physiology. Generalized guidelines for high risk behaviors were provided without specific mention of testicular torsion, cancer, varicocele or sexually transmitted diseases. CONCLUSIONS: Young males are at higher risk for testicular torsion, cancer and varicocele than other age groups, and yet our population was universally unaware of these as a reason for genital examination. Furthermore, the majority did not respond appropriately to questions regarding serious testicular pathology. Review of national guidelines reveals poorly defined, nonspecific provisions for male self-health care. Therefore, we have developed a curriculum for male self-health to address this problem.
Nasrallah P; Nair G; Congeni J; Bennett C L; McMahon D
The Journal of urology
2000
2000-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/00005392-200009020-00049" target="_blank" rel="noreferrer noopener">10.1097/00005392-200009020-00049</a>