ArticleClinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine2015
Risk of athletes with Chiari malformations suffering catastrophic injuries during sports participation is low.
Article in Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 32 citations in OpenAlex.
- Return to sports after pediatric traumatic brain injury: An expert panel survey.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Chiari Type 1 Malformation and Syringomyelia in Children: Classification and Treatment Options.Advances and technical standards in neurosurgery · 2023Review
- Chiari Malformation Type 1 and Syringomyelia: Why Do Patients Claim for International Guidelines? Commentary on the 2021 Chiari and Syringomyelia Consensus Document.Acta neurochirurgica. Supplement · 2023Article
- Considerations for Pediatric Retirement from Athletics Following Repetitive Concussive Traumatic Brain Injury: Incorporating the Right to an Open Future.International journal of environmental research and public health · 2021Article
- Natural History and Conservative Treatment Options in Chiari Malformation Type I in Adults: A Literature Update.Cureus · 2020Review
- Patient advice regarding participation in sport in children with disorders of cerebrospinal fluid (CSF) circulation: a national survey of British paediatric neurosurgeons.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Article
- A "scattered" SCAT in a football goalkeeper: a case report.South African journal of sports medicine · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo estimate the risk of athletes with Chiari malformations sustaining a catastrophic injury.
designRetrospective, descriptive cohort study.
participantsAll patients diagnosed with Chiari malformation at our institution between June 2008 and November 2011. ASSESSMENT OF RISK FACTORS: Participants were mailed a questionnaire regarding the number of seasons they participated in organized athletics. Magnetic resonance images were reviewed to describe the characteristics of respondent's Chiari malformations.
main outcome measuresWhether or not the patient had sustained an injury resulting in death, coma, or paralysis.
resultsWe had a 53% (N = 147) response rate. Respondents were of a mean age of 15 years (SD, 2 years) at the time of diagnosis. The mean length of protrusion of the cerebellar tonsils below the foramen magnum was 11.2 mm (SD, 5.7 mm). Most of the respondents had pointed cerebellar tonsils and some degree of crowding within the foramen magnum. During a total of 1627 athletic seasons played by patients with Chiari malformation, 0 respondents [95% confidence interval (CI), 0.0000-0.0023] sustained an injury resulting in death, coma, or paralysis. Likewise, during 191 collision sport athletic seasons, 0 (95% CI, 0.0000-0.0191) respondents sustained an injury resulting in death, coma, or paralysis.
conclusionsThe risk of athletes with Chiari malformations suffering catastrophic injuries during sports participation is low. This estimate of risk should be considered when making return-to-play decisions. Given the variability of anatomical consideration for patients with Chiari malformations, however, each return-to-play decision must continue to be made on a case-by-case basis, considering all of the available information. CLINICAL RELEVANCE: The low risk of athletes with Chiari malformations suffering catastrophic injuries in sports should be considered when making return-to-play decisions.
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