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Age at the time of injury is a positive predictor of career length and the ability to return to sport.
27%
591/2225
Following this injury, the likelihood of remaining active within professional sports remains relatively constant over the first 2 years from injury.
32%
715/2225
The number of games played prior to injury is a positive predictor of ability to return to play following this injury.
33%
725/2225
This patient is more likely to return to play than players of another professional sport.
2%
47/2225
This patient would experience less of a treatement effect from surgery compared to players of other professional sports.
6%
128/2225
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Studies evaluating return to play among professional athletes following lumbar disc herniation have found that player experience, specifically a higher number of games played prior to injury, was a positive predictor of return to play. Despite this finding, age was conversely associated with a worse prognosis. While the impact of lumbar disc herniation on the general population is well-studied, there is a paucity of literature on outcomes following these injuries in professional sports. Due to the intense physical demands on elite athletes as well as the nature of their respective sports, this patient population is more prone to these injuries and are more significantly affected by their morbidity. However, due to greater physical capabilities than the general population, professional athletes are more able to adapt and accommodate for pain or strength deficits following these injuries. Hsu et al. retrospectively evaluated the clinical outcomes following lumbar disc herniation in professional athletes. The authors showed just over an 80% successful return to sport for all-comers, with a survivorship analysis demonstrating only 62% remaining active at 2 years after the diagnosis. Increasing age negatively affected the ability to return to sport, while experience and number of games played increased the likelihood of returning. Specifically, professional football players had a significantly lower return to play but experienced the greatest benefit following surgery for lumber disc herniation in regard to career length. Nair et al. performed a systematic review evaluating the return to play in elite athletes following lumbar discectomy. The authors found that at least 75% were able to return to elite competition, and baseball players were able to do so to a significantly greater extent than players of other professional sports, including football. However, performance after return to play was variable. Figures A and B are MRI images demonstrating a paracentral lumbar disc herniation. Incorrect answers: Answer 1: Age at the time of diagnosis of a lumbar disc herniation is a negative predictor for ability to return to play. Answer 2: The likelihood of returning to play across all professional sports is approximately 80%, with only about 60% remaining active at 2 years. Answer 4: Professional football players are less likely to return to play compared to players of other sports following lumbar disc hernation. Answer 5: However, professional football players are were found to experience the greatest positive effect from surgery for lumbar disc herniation compared to players of other professional sports.
1.6
(31)
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