Protracted Concussion in Youth Sports: Ladies First!


In the ever louder dialog about incidence of concussion in sports and its long-range implications, youth athletics is getting a closer look. Evidence that the effects of concussion continue toms of concussion in youth athletics, and some of the results are surprising.

Clinical Factoms

In a 2016 study researchers examined the post-concussion medical records of 1,953 young athletes who had been referred toms were evaluated within the first 30 days after the concussion incident.

Eighty-nine percent of the records cited a date when symptors.

The Study’s Key Findings:

● One of the biggest risk factoms.
● Reported emotional feelings of anxiety, irritability and sadness at the time of injury was a key predictoms.
● Early return tor over which we have control.

The three identified clinical factoms in young athletes.

Implications for Sports Concussion Specialists

Many factoms.

Considering that early return to sport.

The sports medicine team at NYDNRehab provides some of the best sports physical therapy in NYC. If you are looking for a sports concussion specialist in Manhattan, NYDNRehab offers state-of-the-art toms in young athletes.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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