Why the study?
Does operative intervention permit return to sporting achievement in athletes with arterial problems?
Does operative intervention permit return to sporting achievement in athletes with arterial problems?
Prompt recognition and operative intervention for unusual arterial problems in athletes can salvage their careers and allow return to high-level sports.
Prompt recognition of arterial trauma in athletes may preserve careers; leaves open need for prospective outcome data.
BACKGROUND: Athletes may present with arterial problems that are unusual in the typical patient with peripheral vascular disease. They are often handicapped only at the extremes of physical exertion and may have normal arterial pulses beyond any arterial occlusion. METHODS: A Medline search was undertaken for articles on arterial disease in athletes. Further papers were identified by cross-referencing from the reference lists. RESULTS: A variety of syndromes has been described that result from unusual trauma to arteries, causing occlusion or rupture. Frequently the blood flow and pressures distal to the arterial disease are normal at rest, and diagnosis is often confused with venous, musculoskeletal or nerve disease. A variety of operative interventions has been described. CONCLUSION: Athletes may experience arterial problems that may jeopardize their careers. If recognized promptly, operative intervention may permit a return to the highest level of sporting achievement.
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J G Mosley (2003) studied this question.
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