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Kannapolis City Schools Sports Medicine. Type I CHIARI Malformation in a High School Football Player. Grady J. Hardeman, M.Ed., LAT, ATC. Kannapolis City Schools Sports Medicine. Case History. 14 year old male high school defensive lineman. - PowerPoint PPT Presentation
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Grady J. Hardeman, M.Ed., LAT, ATC
Type I CHIARI Malformation in a High School Football Player
Kannapolis City Schools Sports Medicine
Case History14 year old male
high school defensive lineman.
MOI: Direct force to the head from a team mate while attempting to make a tackle during a junior varsity football game.
Athlete denies any previous injuries or symptoms prior to this injury.
Kannapolis City Schools Sports Medicine
Kannapolis City Schools Sports Medicine
Initial EvaluationAthlete denied any
symptoms. (I feel fine)
Approximately 30 seconds later the athlete reported a headache and feeling like he was “out of it”.
Exhibited post impact memory deficits.
Cranial Nerve Assessment checked out normal.
Kannapolis City Schools Sports Medicine
A.M. Follow Up EvaluationAthlete still presented with mild post
concussion symptoms the following morning.HeadachePhotophobiaConcentration Difficulties
Athlete was referred to the primary care sports medicine physician for follow up evaluation.
Kannapolis City Schools Sports Medicine
Physician EvaluationConfirmed
ConcussionOrdered MRI due to
continued symptoms.
D/C all physical activities
Decreased work load in classes.
Placed on Shortened School Day.
MRI Outcome
BaselineKannapolis City Schools Sports Medicine
Post Injury #1Kannapolis City Schools Sports Medicine
Post Injury #2Kannapolis City Schools Sports Medicine
Post-Injury #3Kannapolis City Schools Sports Medicine
Post-Injury #4Kannapolis City Schools Sports Medicine
Kannapolis City Schools Sports Medicine
Neurosurgical ReferralPt was cleared from concussion 1 month post injury.
After discussion with parents, consultation with Neurosurgery to talk about ramifications of the Chiari malformation
Discuss risk in generalDiscuss risk with return to sports
Contact vs. Collision
Kannapolis City Schools Sports Medicine
Initial Clinical Evaluation
Kannapolis City Schools Sports Medicine
Initial Clinical Evaluation
Kannapolis City Schools Sports Medicine
Initial Clinical Evaluation
Kannapolis City Schools Sports Medicine
Initial Clinical Evaluation
Kannapolis City Schools Sports Medicine
Initial Clinical Evaluation
Kannapolis City Schools Sports Medicine
Initial Clinical Evaluation
Kannapolis City Schools Sports Medicine
Initial Clinical Evaluation
Kannapolis City Schools Sports Medicine
Initial Clinical Evaluation
OutcomeKannapolis City Schools Sports Medicine
“We Treat Our Students as People First and Athletes Second”