Litigation involving sports-related spinal injuries: a comprehensive review of reported legal claims in the United States in the past 70 years

Zhang, Justin K.; Alimadadi, Alborz; ReVeal, Matthew; Valle, Armando J. del; Patel, Mayur; O'Malley, Deborah S.; Mercier, Phillipe J.; Mattei, Tobias A.

doi:10.1016/j.spinee.2022.08.012

Cited by 6 publications

(2 citation statements)

References 65 publications

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“…While this percentage implies a high rate of DM practice, it is far less compared to the US and Japan studies; it was up to 90% [1][2][3]. In addition, areas such as obstetric anesthesia was found to be the main source of malpractice liability [21,22]. This difference could be attributed to the nature of the sample taken, the sensitivity of the working place (Army hospitals vs others), variety specialties, and the level of freedom the physician could have.…”

Section: Discussionmentioning

confidence: 89%

The practice of defensive medicine among Jordanian physicians: A cross sectional study

Al-Balas,

Altawalbeh,

Rinaldi

et al. 2023

PLoS ONE

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Background Defensive medicine (DM) is a deviation from medical practice that is induced primarily by a threat of liability. While the DM behavior is well studied in the developed countries, little is known in developing countries and never been evaluated in Jordan. Objective To evaluate the prevalence of DM practice in Jordan among physicians and to investigate reasons behind its practice and potential strategies to alleviate this practice. Methods In this Cross-sectional study, self-administered questionnaire was distributed to a sample of physicians in both public and private sectors in Jordan. The collection period was from Jan 2021 to June 2021. The prevalence of DM practice was estimated among the study sample. Frequency scores of different DM behaviors, reasons of DM behaviors, and effectiveness of strategies in changing DM behaviors were summarized as average frequency scores with standard deviations. Multivariable linear regression models were conducted to evaluate potential predictors of total assurance and avoidance behavior scores. Results A total of 175 Jordanian physicians completed the survey. The prevalence of adopting (or witnessing) DM behaviors among the study sample was 68% (n = 119). Diagnostic laboratory exams followed by prescribed medications were the most practiced behaviors in excessive rate during a typical working week. Unfavorable legislation for the physician was reported as the headmost reason for practicing DM, followed by pressure from the public and mass media opinion. Continuous update of knowledge, abilities, and performance and following specific protocols and/or appropriate clinical evidence and appropriate multidisciplinary and multi-professional communication were the most effective strategies that can mitigate DM behaviors. Conclusions Defensive medicine practice is common among Jordanian physicians with concerns about increasing pattern in the future.

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Section: Discussionmentioning

confidence: 89%

The practice of defensive medicine among Jordanian physicians: A cross sectional study

Al-Balas,

Altawalbeh,

Rinaldi

et al. 2023

PLoS ONE

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“…The numerical analysis aimed to provide relevant data for the design of safety measures for players and for injury prevention in individuals with intervertebral disc wear. By better understanding the injury mechanisms and how they interact with disc wear, the development of effective strategies could be improved to minimize risks and progress safety for players playing this sport at a professional level [20]. Biomodels allow us to observe the behaviors of bone structures exposed to impact in a real situation since they are based on the use of tomography in medical diagnosis.…”

Section: Maskmentioning

confidence: 99%

Numerical Evaluation Using the Finite Element Method on Frontal Craniocervical Impact Directed at Intervertebral Disc Wear

Trejo-Enriquez,

Urriolagoitia-Sosa,

Romero-Ángeles

et al. 2023

Applied Sciences

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Traumatic cervical pathology is an injury that emerges due to trauma or being subjected to constant impact loading, affecting the ligaments, muscles, bones, and spinal cord. In contact sports (the practice of American football, karate, boxing, and motor sports, among others), the reporting of this type of injury is very common. Therefore, it is imperative to have preventive measures so players do not suffer from such injuries, since bad practices or accidents can put their lives at risk. This research evaluated cervical and skull biomechanical responses during a frontal impact, taking into consideration injury caused by wear on the intervertebral disc. Intervertebral disc wear is a degenerative condition that affects human mobility; it is common in people who practice contact sports and it can influence the response of the cervical system to an impact load. The main objective of this work is to evaluate the effects caused by impact loading and strains generated throughout the bone structure (composed of the skull and the cervical spine). The numerical evaluation was developed using the finite element method and the construction of the biomodel from computational axial tomography. In addition, the numerical simulation allowed us to observe how the intervertebral disc’s wear affected the cervical region’s biomechanical response. In addition, a comparison could be made between a healthy system and a disc that had suffered wear. Finally, the analysis provided information valuable to understanding how an impact, force-related injury can be affected and enabled us to propose better physiotherapeutic procedures.

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Worker’s compensation and no-fault insurance are associated with decreased patient reported outcomes and higher rates of revision at 2 and 5 years follow-up compared to patients with commercial insurance undergoing hip arthroscopy for femoroacetabular impingement

Moore,

Mongomery,

Perez

et al. 2024

Arch Orthop Trauma Surg

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Litigation involving sports-related spinal injuries: a comprehensive review of reported legal claims in the United States in the past 70 years

Cited by 6 publications

References 65 publications

The practice of defensive medicine among Jordanian physicians: A cross sectional study

The practice of defensive medicine among Jordanian physicians: A cross sectional study

Numerical Evaluation Using the Finite Element Method on Frontal Craniocervical Impact Directed at Intervertebral Disc Wear

Worker’s compensation and no-fault insurance are associated with decreased patient reported outcomes and higher rates of revision at 2 and 5 years follow-up compared to patients with commercial insurance undergoing hip arthroscopy for femoroacetabular impingement

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