Welcome to our latest Horizons round-up.

Unbelievably, we’re nearly at the end of another challenging year! Our members really have gone above and beyond, and all deserve something merry in recognition of the resilience shown.

There are some questions around risk and the scope of indemnity that crop up time and again, so we start this edition with four key recommendations that anyone should be asking their indemnifier. https://www.sempris.co.uk/2021/11/18/four-questions-to-ask-a-medical-indemnifier-before-signing/

Here are some of the research and articles that caught our attention in November

Research, Articles and Podcasts


Hip Pain – Femoroacetabular impingement syndrome and labral injuries: grading the evidence on diagnosis and non-operative treatment—a statement paper https://bjsm.bmj.com/content/55/22/1301

RTP – Return to sport decisions after acute lateral ankle sprain injury: introducing the PAASS framework https://bjsm.bmj.com/content/55/22/1270

Ice Hockey – Epidemiology of traumatic and overuse injuries in Swiss male players https://www.researchgate.net/publication/344898872_Epidemiology_of_Traumatic_and_Overuse_Injuries_in_Swiss_Professional_Male_Ice_Hockey_Players

ACLR Rehab – Suggestions and considerations for clinicians, with greater attention for female athletes https://pubmed.ncbi.nlm.nih.gov/31667569/

Back Pain – Determining the prevalence of Tarlov cysts https://www.birpublications.org/doi/10.1259/bjr.20210505

Recurrence of ACL ­Injury – Second injury prevalence post ACL reconstruction in male professional footballers: an updated longitudinal analysis https://bjsm.bmj.com/content/bjsports/55/23/1350.full.pdf


Football and Concussion – Brain lesions on MRI linked to years of playing football https://www.sciencedaily.com/releases/2021/11/211124172157.htm

Cricket and Helmet Strikes  –  Observable player behaviours and playing performance following helmet strikes in elite cricket https://bmjopensem.bmj.com/content/7/4/e001128

Alzheimer’s – Research on disease progression https://theconversation.com/alzheimers-our-research-sheds-light-on-how-the-disease-progresses-in-the-brain-170683

Concussion Assessment – A tool for rapid on-field assessment https://blogs.bmj.com/bjsm/2019/05/13/assessing-concussion-as-easy-as-abc-dr-jim-bovard-episode-380/

Concussion and Teenage Brain Development – Effect of multiple concussions on default mode network https://appliedradiology.com/communities/MR-Community/multiple-concussions-can-disrupt-brain-connectivity-in-teens

Prevention –  The effect of a neck collar on brain turgor  https://bjsm.bmj.com/content/early/2021/11/24/bjsports-2021-103961-0?hwshib2=authn:1638013471:20211126%253A0ae41e1a-941c-4286-b3ab-643fa5ef7fe0:0:0:0:XpegnTYLZcvY4567Ol6vXw%3D%3D

Neck Strength – The risk factor of poor isometric neck extension strength for concussion in male rugby players https://twitter.com/Theo_Farley/status/1464660191543283713?s=20


Acute Respiratory Illness – Return to sport: a systematic review and meta-analysis https://bjsm.bmj.com/content/early/2021/11/17/bjsports-2021-104719

Case Analysis – World Rugby v. Rassie Erasmus and South Africa Rugby Union http://rugbyandthelaw.com/2021/11/19/case-analysis-world-rugby-rassie-erasmus-sa-rugby-misconduct-disciplinary-sanction-lions-tour-referee-abuse-video-ban-suspension/

Cricket Injury – Incidence within male elite New Zealand cricket from the early T20 era https://bmjopensem.bmj.com/content/7/4/e001168

Return to Sport Post-partum – The 6Rs framework https://bjsm.bmj.com/content/early/2021/11/25/bjsports-2021-104877

Data Reporting – An IOC consensus statement on methods for recording and reporting of epidemiological data on injury and illness in sport  https://bjsm.bmj.com/content/54/7/372

Lower Airway Dysfunction – Prevalence in athletes: a systematic review and meta-analysis https://bjsm.bmj.com/content/early/2021/12/07/bjsports-2021-104601


Some websites, podcasts and resources you might find useful:

ISEH Video Resourceshttps://www.youtube.com/results?search_query=iseh

Groin Pain in Athleteshttps://www.youtube.com/watch?v=U465xx-qcKs


We couldn’t resist sharing … the golf shot of shots? https://twitter.com/DrJN_SportsMed/status/1461652344857370624

Who hasn’t been here? https://twitter.com/MegZavala/status/1461975530459185157

And some surgeon visual humour… https://twitter.com/dgrog/status/1462844277453697025?s=12

We wish you and your loved ones a wonderful Christmas!

Do let us know your feedback, and any suggestions you have for websites, apps or networks for inclusion in future bulletins.

DISCLAIMER: Horizons is intended as a helpful round-up for members of potentially interesting articles/opinions that have been shared online. SEMPRIS are not qualified to make/infer any clinical judgements, and the inclusion of content, events and resources does not imply endorsement.

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