3.9 of 54 Ratings
A 14-year-old female presents to your office for a sports physical before lacrosse season begins. She is healthy overall, with her only complaint being intermittent neck stiffness. On evaluation you note limited cervical range of motion and a subtle webbed appearance to the neck. Cervical radiographs are ordered as seen in Figures A & B. Given these findings, what is the most appropriate advice regarding clearance for sports participation?
Cleared to return to sport after course of physical therapy
Cleared for full contact activity immediately
Refrain from returning to any contact sports
Refrain from contact sports until MRI can confirm there are no associated spinal cord abnormalities
Refrain from contact sports until 6 months after posterior spinal fusion
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The 10-year-old boy shown in Figures A-B wishes to participate in junior football. A cervical spine CT scan is shown in Figure C. His renal evaluation shows unilateral renal aplasia and his cardiac evaluation is normal. What is his most likely diagnosis and the most appropriate corresponding medical clearance decision for playing football?
Klippel-Feil syndrome with no participation in contact sports
Down's syndrome with no participation in contact sports
Holt-Oram syndrome with no participation in contact sports
Down's syndrome with full participation in contact sports only following skeletal maturity
Klippel-Feil syndrome with full participation in contact sports only following skeletal maturity