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. 2012 Jul;4(4):319-27.
doi: 10.1177/1941738112439686.

Intramuscular ketorolac injections in the athlete

Gregory A Sawyer  1 , Brett C Anderson, Neha P Raukar, Paul D Fadale
Affiliations

Intramuscular ketorolac injections in the athlete

Gregory A Sawyer et al. Sports Health. 2012 Jul.

Abstract

Background: Pain control is a factor in the sideline treatment of competitive athletes. Ketorolac injections by team physicians as a pain control measure are seemingly becoming more mainstream, although there have been very little data published on its use.

Hypothesis: Intramuscular ketorolac injections are being used regularly by orthopaedic surgeons and primary care sports medicine physicians in their care of athletes.

Study design: Descriptive epidemiology study.

Methods: A 19-question survey was generated online for physician members of the American Orthopaedic Society for Sports Medicine, the Arthroscopy Association of North America, and the American Medical Society for Sports Medicine. The survey link was e-mailed, with reminders sent every 1 to 2 weeks, and results were collected from April to June 2011.

Results: The survey was e-mailed to 6950 physicians, with 1100 respondents completing it (60% orthopaedic surgeons, 40% nonsurgical sports medicine physicians). Approximately 49% use intramuscular ketorolac in the treatment of athletes, primarily at the collegiate and professional levels; 95.8% reported effective pain control after administration; 2.9% reported bleeding complications; and 1.9% reported kidney complications from its use.

Conclusion: Intramuscular ketorolac injections are used by approximately half of all team physicians in their sideline treatment of competitive athletes.

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Figures

Figure 1.
Figure 1.
Comparison of results for perceived efficacy of ketorolac use (left) and indications for ketorolac use (right). Multiple answers were allowed.
See this image and copyright information in PMC

References

    1. Agrawal A, Roberts Gerson C, Seligman I, Dsida RM. Postoperative hemorrhage after tonsillectomy: use of ketorolac tromethamine. Otolaryngol Head Neck Surg. 1999;120:335-339 - PubMed
    1. Alderman AK, Salem B. Survey research. Plast Reconstr Surg. 2010;126(4):1381-1388 - PubMed
    1. Concannon MJ, Meng L, Welsh CF, Puckett CL. Inhibition of perioperative platelet aggregation using toradol (ketorolac). Ann Plast Surg. 1993;3:264-266 - PubMed
    1. Dietzel DP, Hedlund EC. Injections and return to play. Curr Pain Headache Rep. 2005;9(11):11-16 - PubMed
    1. Douketis JD, Berger PB, Dunn AS, et al. The perioperative management of antithrombotic therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th edition). Chest. 2008;133(6)(suppl):299S-339S - PubMed