Sports Medicine Book

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Sports Participation Disqualifiers

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  1. Clearance
    1. Denied participation: 0.3 to 1.3%
    2. Require further evaluation: 3.2 to 13.5%
    3. Eventually qualified for some activity: 99%
  2. Items that predict disqualification
    1. Dizziness with Exercise
    2. History of Asthma
    3. High Body Mass Index
    4. Elevated Systolic Blood Pressure
    5. Impaired Vision
    6. Heart Murmur
    7. Musculoskeletal Findings
    8. Reference
      1. Rifat (1995) J Fam Pract 41:42
  3. General Participation Recommendations
    1. No activity:
      1. Carditis
      2. Acute fever
    2. No contact OR strenuous activity
      1. Enlarged spleen
        1. Fragile during infection (e.g. Mononucleosis)
        2. May be stable if due to hereditary spherocytosis
      2. Hypertrophic Cardiomyopathy
    3. No contact or collision
      1. Liver Enlargement (below level of ribs)
      2. Spleen Enlargement (Acute OR Chronic stable)
      3. Atlantoaxial Instability
        1. No diving starts,
        2. No breaststroke
        3. No butterfly
      4. Bleeding Disorders
    4. No collision
      1. Single Kidney (Consider Flack Jacket)
  4. Special Situations
    1. Congenital Heart Disease
      1. See Bethesda guidelines
    2. Single Eye or Best corrected vision worse than 50/20
      1. No wrestling
      2. Eye Protection
        1. Football
        2. Hockey
        3. Basketball
        4. Soccer
    3. Poorly controlled Seizure disorder
    4. Poorly controlled Insulin Dependent Diabetes Mellitus
    5. Eating Disorder
    6. Retinal Detachment
    7. Sickle Cell Disease or Sickle Cell Trait at altitude

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