POSTER ABSTRACTS - ISAKOS

sequences. The pre- and post run scans failed to
demonstrate marrow oedema, periosteal stress
reactions or joint effusions in 7 runners. One
patient who underwent a reconstruction of his
anterior cruciate ligament 18 months ago
demonstrated a small effusion in the
reconstructed knee before and after the race. Six
of the beginners demonstrated minimal effusions
in the hip and knee joints. However no bone
oedema was seen in any of the beginners. Our
results suggests that the high impact forces in
long distance running are well tolerated and
subsequently not demonstrate on MR iamges in
experienced runners. Beginners do demonstrate
the impact stresses to a certain extend and it is
postulated that long distance runners undergo a
natural selection process
E-poster w/ Standard #1110
Do Athletes use Analgetics during Training and
Competition?
Sven Jonhagen, Bromma, SWEDEN, Presenter
Per A. Renstrom, Stockholm, SWEDEN
Karolinska Institutet, Stockholm, SWEDEN
Pain is often considered as a natural result of hard
athletic training. Athletes often suffer from major
or minor injuries, and treatment and
rehabilitation of injuries from the
muskuloskeletal system is common. Our aim was
to study the use of analgetics during training and
competition, and if coaches suggest the athletes
to take analgetics to be able to participate in
competitions.
Method: 500 track and field athletes were sent a
questionnaire. The athletes were chosen from
different Swedish national teams, the athletic
sport high schools and from a few major clubs.
The subjects were asked about their consumption
of analgetics during the last year and the number
of injuries during the last year.
Results: 315 (63%) subjects replied. 61% reported
one or more injuries during the last year. The
most common injuries reported were muscle
ruptures (12%) and achillodynia (9%). A majority
of the subjects (85%) had used analgetics for
longer or shorter periods during the last year.
Most of them (69%) used analgetics for less than a
week, and only 4% took analgetics for a longer
period than one month. Analgetics used were
mainly NSAID (179 subjects), paracetamol (154)
and Cox-2 inhibitors (22). 24% reported that one
time or more during their carreer they had taken
analgetics to be able to compete and 8% reported
that the coach had told them to take the
analgetics.
20% of the subjects reported that they had
suffered from side effects from the analgetics,
most common were gastrointestinal problems
(13%).
Conclusions: Analgetics use is common among
athletes in the Swedish athletic community,
however analgetics are mainly consumed for very
short periods. Very few athletes use analgetics to
mask pain during competition, and not many have
been told by their coaches to do so.
E-poster w/ Standard #1111
Differential Sensitivity of Symptoms and
Neuropsychological testing following Sport-
Related concussion.
Derk Anton van Kampen, Deventer,
NETHERLANDS, Presenter
Mark R Lovell, Pittsburgh, PA USA
Michael W. Collins, Pittsburgh, PA USA
Jamie Stump, Pittsburgh, PA USA
Freddie H. Fu, Pittsburgh, PA USA
UPMC, Pittsburgh, PA, USA
Neuropsychological testing has become a
valuable tool in the diagnosis and management of
sports-related concussion and has become
particularly helpful in making return to play
decisions following injury. In fact,
neuropsychological testing has recently been
endorsed as the cornerstone of concussion
management by the Vienna Concussion in Sports
Group (CIS). Neuropsychological testing is
particularly important because athletes often
under-report or deny post-concussive symptoms
following injury. Merely relying on the athlete’s
report of symptoms may therefore result in the
premature return to play of the athlete to the
playing field, potentially exposing him/her to
additional injury. This study was designed to
evaluate the individual and combined sensitivity
of player symptom reporting and
neuropsychological testing in a group of high
school and collegiate athletes. Our hypothesis is
that the use of a computer-based
neuropsychological testing (ImPACT) would result
in an increased capacity to detect post-concussive
abnormalities, following injury. The subject pool
consisted of 201 athletes who had suffered a
concussion within the context of a high school or
collegiate sporting event. All athletes had
previously undergone baseline
neuropsychological testing and completed post-