{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:34:05Z","timestamp":1784615645297,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine the return\u2010to\u2010sport (RTS) rate and time to RTS for National Collegiate Athletic Association (NCAA) football players and National Football League (NFL) players after suture\u2010button fixation for the treatment of unstable tibiofibular syndesmotic injuries and to identify possible risk factors associated with a delay in RTS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>NCAA and NFL players who underwent suture\u2010button fixation for an isolated syndesmotic ankle injury between 2017 and 2023 were evaluated. All player information and data were retrieved from publicly available internet sources. The following information was gathered on each player's career; NFL participation, number of seasons played before and after surgery, number of games played before and after surgery, and time between surgery and RTS. RTS was defined as the time until the first game after syndesmotic suture\u2010button fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seven NCAA and fourteen NFL players (21 ankles) were included. The mean age at surgery was 24.90 \u00b1 4.66 years (range, 18\u201034 years). One hundred percent of patients were able to RTS at their level of sport. The mean time between surgery and the first game played was 139.4 \u00b1 123.6 days (range, 12\u2010427 days). Players played in 23.48 \u00b1 21.9 games (range, 3\u201072 games) after surgery. NCAA players were able to RTS significantly earlier than NFL players (39.0 \u00b1 20.4 days vs 189.6 \u00b1 123.2 days,\n                      <jats:italic>P<\/jats:italic>\n                      = .005, with\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05 denoting significance). There was no significant difference in workload after surgery for both NCAA and NFL players.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this study, we found that athletes, regardless of whether they were NCAA or NFL players, were able to successfully return to their level of sport after ankle surgery. Whereas NCAA players returned to play significantly faster, both groups were able to achieve similar performance levels postoperatively in terms of the number of games played.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2025.101220","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T22:23:48Z","timestamp":1752618228000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Full Return to Sport in All Athletes After Suture\u2010Button Fixation for Syndesmotic Injuries; However, Faster Recovery Was Seen in National Collegiate Athletic Association Football Players Compared with National Football League Players"],"prefix":"10.1002","volume":"7","author":[{"given":"Alexander","family":"Ziedas","sequence":"first","affiliation":[{"name":"Henry Ford Providence Orthopaedic Surgery Residency Program Southfield Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Momin","family":"Nasir","sequence":"additional","affiliation":[{"name":"Henry Ford Providence Orthopaedic Surgery Residency Program Southfield Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Dub\u00e9","sequence":"additional","affiliation":[{"name":"Henry Ford Providence Orthopaedic Surgery Residency Program Southfield Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah","family":"Elagamy","sequence":"additional","affiliation":[{"name":"Henry Ford Providence Orthopaedic Surgery Residency Program Southfield Michigan 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