Evidence map›Paper›PMID 25050097›Full record

ArticleHSS journal : the musculoskeletal journal of Hospital for Special Surgery2014

Corticosteroid and Anesthetic Injections for Muscle Strains and Ligament Sprains in the NFL.

Mark Drakos, Patrick Birmingham, Demetris Delos, Ronnie Barnes, Conor Murphy, Leigh Weiss, Russell Warren

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07566039 (Prospective Cohort Study of Athletes Following an Injection of Platelet-Poor Plasma Into an Acute Muscle Injury), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07566039 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prospective Cohort Study of Athletes Following an Injection of Platelet-Poor Plasma Into an Acute Muscle Injury

TypeinterventionalSponsorUniversity of Colorado, DenverRan2026 to 2030Enrolled90ConditionsLower Extremity InjuryArmsPlatelet Poor Plasma (PPP) Injection
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Medial Gastrocnemius Strain: Clinical Aspects and Algorithmic Approach.Medical journal of the Islamic Republic of Iran · 2024
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Current trends in the diagnosis and management of syndesmotic injury.Current reviews in musculoskeletal medicine · 2017
    Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Mark DrakosDepartment of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
Patrick BirminghamMedical College of Wisconsin, Milwaukee, WI USA.
Demetris DelosOrthopaedic and Neurosurgery Specialists, Greenwich, CT USA.
Ronnie BarnesNew York Giants Medical Services and Training, East Rutherford, NJ USA.
Conor MurphyDepartment of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
Leigh WeissNew York Giants Medical Services and Training, East Rutherford, NJ USA.
Russell WarrenDepartment of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
Hospital for Special Surgery · USMedical College of Wisconsin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdministering local anesthetic or corticosteroid injections in professional athletes to allow return to play is common but has traditionally been viewed as suspect and taboo. The skepticism surrounding therapeutic injections stems predominantly from anecdotal experience as opposed to scientific data. QUESTIONS/PURPOSES: The purpose of this paper is to evaluate the current use of corticosteroid injections for muscle strains and ligaments sprains in the National Football League to document player's ability to return to play and possible adverse effects. PATIENTS AND

methodsAthletes from a single National Football League team who received at least one corticosteroid or anesthetic injection for either a muscle strain or ligament sprain during three consecutive seasons were retrospectively reviewed. Thirty-seven injections were given over the three seasons. Injections were either performed blindly or by using ultrasound guidance.

resultsTwice as many defensive players were injected than offensive players. The average number of days of conservative treatment before injection was 6.5 days. All players returned to play after injection. There were no complications from any of the injections. Seventeen (55%) players did not miss a single game, and nine (30%) did not miss a single day. Quadriceps strains were associated with the most missed games (four) and the most missed days (36.5). Proximal hamstring strains were second with an average of three missed games and 28 missed days.

conclusionCorticosteroid injections are a safe and effective therapeutic intervention for treating muscle strains and ligament sprains in order to enable athletes to return to competition earlier.

Indexed as

corticosteroid injectionligament sprainmuscle strainnational football leagueultrasound guided

Identifiers

PMID25050097
PMCPMC4071464
OpenAlexW1982397908

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.