{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:50:58Z","timestamp":1760233858362,"version":"build-2065373602"},"reference-count":40,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T00:00:00Z","timestamp":1614211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Guidance regarding the decision to remove an adolescent from athletic competition immediately following an acute concussive injury and the safe return of play in the short term is widely accepted and supported by clinical evidence, local institutional policies, and state and federal laws. There is considerably less guidance regarding the decision to permanently retire an adolescent athlete for medical reasons due to concussive injuries. In this article, we discuss the clinical and non-clinical considerations that should guide clinicians in discussions regarding the adolescent athlete\u2019s permanent retirement by emphasizing the ethical obligation to protect the child\u2019s right to an open future as possibly determinative in otherwise ambiguous cases.<\/jats:p>","DOI":"10.3390\/ijerph18052266","type":"journal-article","created":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T21:16:53Z","timestamp":1614287813000},"page":"2266","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Considerations for Pediatric Retirement from Athletics Following Repetitive Concussive Traumatic Brain Injury: Incorporating the Right to an Open Future"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4426-8597","authenticated-orcid":false,"given":"Tyler S.","family":"Gibb","sequence":"first","affiliation":[{"name":"Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6899-8853","authenticated-orcid":false,"given":"Kathryn","family":"Redinger","sequence":"additional","affiliation":[{"name":"Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4092-6858","authenticated-orcid":false,"given":"Casey","family":"Fealko","sequence":"additional","affiliation":[{"name":"Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Parikh","sequence":"additional","affiliation":[{"name":"Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,2,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e20154635","DOI":"10.1542\/peds.2015-4635","article-title":"On behalf of the Seattle Sports Concussion Research Collaborative Sports- and Recreation-Related Concussions in US Youth","volume":"138","author":"Bryan","year":"2016","journal-title":"Pediatrics"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport\u2014The 5th international conference on concussion in sport held in Berlin, October 2016","volume":"51","author":"McCrory","year":"2017","journal-title":"Br. 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