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Imaging of American Football Injuries

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Imaging in Sports-Specific Musculoskeletal Injuries

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Abstract

American football games are a centerpiece of sports culture in the United States. The excitement and physicality make the sport attractive to fans, and yet the athletes put themselves at risk for injury with every snap of the football. While this is true for many sports, gridiron football has the highest rate of injury among all major sports. Catastrophic injuries have declined with improvements in equipment, coaching, and rule modification. At the same time, however, advancements in training methods over the past few decades have led to bigger, stronger, and faster players. The result is harder tackles and quicker cutting and pivoting movements that make the game more exciting to watch but lead to frequent musculoskeletal injuries. Lower extremity injuries are the most common, with the knee and ankle the most frequently injured. Sprains and strains occur more often than bone injuries or concussions. Given that more injuries involve the soft tissues, MRI has a distinct advantage over radiography and CT for direct evaluation of the injury. The high accuracy of MRI in diagnosis has lead to its increased utilization especially among professional athletes. In addition, concomitant injuries may be discovered that were unsuspected on physical exam and radiography. Ultimately, the player is the main determinant when deciding when to return to play from an injury, although imaging can assist in the treatment algorithm and help estimate the number of potential missed games.

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Authors and Affiliations

  1. Department of Radiology, Boston University School of Medicine, Boston, MA, USA

    Andrew J. Kompel MD & Akira Murakami MD

  2. Department of Radiology and Imaging, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY, USA

    John Carrino MD, MPH

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  1. Andrew J. Kompel MD
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  2. Akira Murakami MD
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Correspondence to Andrew J. Kompel MD .

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Editors and Affiliations

  1. Department of Radiology, Boston University School of Medicine , Boston, Massachusetts, USA

    Ali Guermazi

  2. Department of Radiology, Boston University School of Medicine , Boston, Massachusetts, USA

    Frank W. Roemer

  3. Department of Radiology, Boston University School of Medicine , Boston, Massachusetts, USA

    Michel D. Crema

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Kompel, A.J., Murakami, A., Carrino, J. (2016). Imaging of American Football Injuries. In: Guermazi, A., Roemer, F., Crema, M. (eds) Imaging in Sports-Specific Musculoskeletal Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-14307-1_6

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