Abstract
The pre-participation evaluation of the athlete deals with the epidemiological group with which most physicians do not have the opportunity to deal, that is the "healthy" and physically active population between age 10 and 30. Even though the likelihood of significant medical conditions being found in this group is relatively uncommon, it is not rare. Specifically speaking the concern is exercise-related sudden death and significant musculo-skeletal disability, but also issues of increased likelihood of injuries, alcohol and drug abuse, suicide, mood disorders, pregnancy, and sexually transmitted diseases are also key to the appropriate evaluation and counseling of this group (1-4).
The intent of this article to present a synthesized pre-participation evaluation that identifies medical conditions that may limit participation, predispose to injury or illness, evaluate risky behaviors, counsel on health-related issues, and ideally evaluate fitness level and performance. This will include a focused history, physical examination, and the appropriate indications for laboratory testing. We will also discuss those medical conditions that might disqualify an athlete from specific athletic participation.