Page 67 - Athletic Health Handbook
P. 67
such as coughing, wheezing, Screening Tests
or shortness of breath. For more
serious illnesses, such as hepatitis Besides the PPE, there are no
or HIV, the athlete can play after agreed-upon screening tests for
the acute phases pass, if the athlete sports participation. There have
is asymptomatic. Because of the been controversial recommendations
concern of transmission of serious for pre-participation EKGs,
infections to other players, universal echocardiograms, blood tests
precautions should always be including sickle cell trait, ferritin
employed, which means covering and hemoglobin (for anemia), and
of all wounds and strict clean-up urinalysis. Of course, if a potential
of any blood or body fluids. issue is raised during the PPE,
certain tests will then be indicated.

Asthma, diabetes, and epilepsy Summary
These conditions, if treated and
well-controlled, do not preclude The PPE assesses the safety of
sports participation. athletes to participate in their chosen
sport. Although pre-participation
Loss or absence of paired organ screening is important, much research
Loss of absence of a paired organ, is needed to improve our ability
such as an eye, kidney, testicle, to accurately detect potentially
or ovary, should be treated on an dangerous conditions in athletes.
individual basis. Contact or collision A standardized PPE is a possibility
sports may put the remaining in the future.
well-functioning organ at risk,
but this risk is very low. For more information on PPEs,
the latest PPE monograph, and
Eating disorders to download forms for assessments,
Any athlete may suffer from an visit the AOSSM website and click
eating disorder, but female athletes on “Medical Professionals” then
in endurance and performance sports “Educational Resources.”
such as cross country, gymnastics,
figure skating, and dance are
particularly susceptible. The
female athlete triad, which includes
menstrual irregularities, disordered
eating, and osteoporosis, is a
syndrome that is a well-described
syndrome. If an eating disorder is
suspected, athletic participation
should be suspended until the
condition is properly treated.

Sickle Cell Trait ©AMERICAN ORTHOPAEDIC SOCIETY FOR SPORTS MEDICINE, 2011, ALL RIGHTS RESERVED

Athletes with sickle cell trait (one
normal hemoglobin gene and one
abnormal gene) can be cleared for all
sports. Although controversial, some
data suggest that extra precautions
should be taken regarding proper
hydration, avoiding altitude illness,
and avoiding heat illness.

THE PRE-PARTICIPATION PHYSICAL EVALUATION AND CONDITIONS RESULTING IN DISQUALIFICATION FROM SPORTS 67
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