You are here

Sports Physicals

Preparticipation Physical Exam

  • see Preparticipation Pysical Evaluation, ed 3. Minneapolis, MN, McGraw-Hill 2004.
  • AAFP PPE information

Diastolic Heart Murmer

  • incidence of cardiac valve lesions is high requiring evaluation by internists / cardiologist.

Down's Syndrome Athletes

  • require cervical spine radiographic (lateral flexion/extention views) screening before athletic competition. (Birrer RB, Clin Pediatr 2004;43:777).
  • Normal Atlanto-Dens Interval (ADI) is up to 4mm. Patients with Downs Syndrome and an ADI >5mm should not participate in contact sports or sports with a high risk of neck injury (diving, gymnastics, high jump or butterfly stroke) (Pediatrics 1995;96:151)
  • 15% of children with Down's have atlantoaxial instability, 45% have congenital heart disease.

Monocular Athletes

  • require eye protection for any athletic competition.

Renal

  • patients with a solitary kidney are at a theoretical risk of injury to the solitary kidney from contact sports. Sports relelaed nephrectomies have been reported for injuries sustained in sledding, skiing, rollerblading and equestrin activity.
  • Kidney injury in team sports is rare.
  • Patients with solitary kidneys should be council about the risks of playing contact sports, and allowed to participate as long as the understand the risks.
  • Johnson B, J Urol 2005;174:689
  • McAleer IM, J Urol 2002;168:1805

Screening Questions

  • History of dizziness with competition is closely correlated with sudden death during sports.

For info on Medical conditions affecting sports see: Risser WL, Pediatrics 1994;94:757.

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer