Document Detail

Determination of safe return to play for athletes recovering from infectious mononucleosis: a review of the literature.
MedLine Citation:
PMID:  16278543     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Infectious mononucleosis is an acute self-limited disorder diagnosed by clinical and hematologic measures. This paper reviews the literature regarding the decision-making process for return to play in individuals at risk for complications due to infectious mononucleosis. DATA SOURCES: Computerized literature search identified articles using the keywords infectious mononucleosis, athlete, injury, exercise, spleen rupture, and spleen radiography. Symptoms, physical examination, hematological markers, and radiographic evaluation were considered. CONCLUSIONS: No strong evidence-based information supports use of a single parameter to predict the safe return to sports participation. Current consensus supports that athletes be afebrile, well hydrated, and asymptomatic with no palpable liver or spleen. Clinical judgment incorporating these criteria 1 month after diagnosis has been suggested as a safe predictor for gradual return to competition. These conditions for return to play do not guarantee that the spleen has returned to normal size and compliance, or that the risk of spleen rupture has returned to baseline. For those athletes participating in contact sports who wish to return to sports in an earlier time frame, or those with an equivocal examination, radiographic modalities may be used to help determine liver and spleen size. Further studies are required to support this practice.
Kevin N Waninger; H Theodore Harcke
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine     Volume:  15     ISSN:  1050-642X     ISO Abbreviation:  Clin J Sport Med     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-09     Completed Date:  2006-03-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9103300     Medline TA:  Clin J Sport Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  410-6     Citation Subset:  IM    
Department of Family and Emergency Medicine, Saint Luke's Hospital, 2830 Easton Avenue, Bethlehem, PA 18017-4204, USA.
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MeSH Terms
Decision Making*
Disability Evaluation
Herpesvirus 4, Human*
Infectious Mononucleosis / complications,  rehabilitation*
Recovery of Function*
Risk Factors
Rupture, Spontaneous / etiology*
Spleen / injuries*
Sports / standards*
Sports Medicine / standards*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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