{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T04:44:52Z","timestamp":1793249092139,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T00:00:00Z","timestamp":1509926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2018,3]]},"abstract":"\n Background:<\/jats:title>\n Professional basketball players in the National Basketball Association (NBA) subject their lower extremities to significant repetitive loading during both regular-season and off-season training. Little is known about the incidence of lower extremity bony stress injuries and their impact on return to play and performance in these athletes.<\/jats:p>\n <\/jats:sec>\n \n Hypothesis:<\/jats:title>\n Stress injuries of the lower extremity will have significant impact on performance.<\/jats:p>\n <\/jats:sec>\n \n Study Design:<\/jats:title>\n Case series.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n Level 4.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n All bony stress injuries from 2005 to 2015 were identified from the NBA. Number of games missed due to injury and performance statistics were collected from 2 years prior to injury to 2 years after the injury. A linear regression analysis was performed to determine the impact of injury for players who returned to sport.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 76 lower extremity bony stress injuries involving 75 NBA players (mean age, 25.4 \u00b1 4.1 years) were identified. Fifty-five percent (42\/76) involved the foot, and most injuries occurred during the regular season (82.9%, 63\/76), with half occurring within the first 6 weeks. Among players who sustained a fifth metatarsal stress fracture, 42.9% were unable to return to professional play. Players who sustained stress injuries had reduced play performance, specifically related to number of games played ( P = 0.014) and number of steals per game ( P = 0.004). Players who had surgery had significantly better performance at 2 years than those who were managed nonoperatively, independent of the type of injury (\u03b2 = 4.561; 95% CI, 1.255-7.868).<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Lower extremity bony stress injuries may significantly affect both short- and long-term player performance and career length. Stress injuries result in decreased player performance, and surgical intervention results in improved performance metrics compared with those treated using conservative methods.<\/jats:p>\n <\/jats:sec>\n \n Clinical Relevance:<\/jats:title>\n Stress injuries result in decreased player performance, and surgical intervention results in improved performance metrics.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/1941738117738988","type":"journal-article","created":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T12:42:57Z","timestamp":1509972177000},"page":"169-174","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":75,"title":["Epidemiology and Impact on Performance of Lower Extremity Stress Injuries in Professional Basketball Players"],"prefix":"10.1177","volume":"10","author":[{"given":"Moin","family":"Khan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Madden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Tyrrell","family":"Burrus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph P.","family":"Rogowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Stotts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa J.","family":"Samani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robby","family":"Sikka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asheesh","family":"Bedi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,11,6]]},"reference":[{"key":"bibr1-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513490659"},{"key":"bibr2-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1177\/1941738115621011"},{"key":"bibr3-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1177\/1941738112467423"},{"key":"bibr4-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1097\/01.CSMR.0000306289.98127.23"},{"key":"bibr5-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.02.021"},{"key":"bibr6-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1177\/1941738109357303"},{"key":"bibr7-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2016.05.016"},{"key":"bibr8-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1177\/1558944716628500"},{"key":"bibr9-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261708"},{"key":"bibr10-1941738117738988","volume-title":"Pro Basketball Forecast","author":"Hollinger J.","year":"2005"},{"key":"bibr11-1941738117738988","volume-title":"DeLee & Drez\u2019s Orthopaedic Sports Medicine","author":"Miller MD","year":"2014"},{"key":"bibr12-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1177\/1941738115608361"},{"key":"bibr13-1941738117738988","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515623028"},{"key":"bibr14-1941738117738988","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-10-00322"}],"container-title":["Sports Health: A Multidisciplinary Approach"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941738117738988","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1941738117738988","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941738117738988","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:42:07Z","timestamp":1777588927000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1941738117738988"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,6]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1177\/1941738117738988"],"URL":"https:\/\/doi.org\/10.1177\/1941738117738988","relation":{},"ISSN":["1941-7381","1941-0921"],"issn-type":[{"value":"1941-7381","type":"print"},{"value":"1941-0921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,6]]}}}