E2236. Spectrum of Imaging Findings in the NBA Bubble
  1. Herron Gomillion; AdventHealth
  2. Kadeem Walker; AdventHealth
  3. Andrew Cibulas; AdventHealth
  4. Gary LiMarzi; AdventHealth
  5. Kurt Scherer; AdventHealth
  6. Christopher Wasyliw; AdventHealth
The COVID-19 pandemic has had a profound, global impact upon many facets of life, with professional sports being no exception. When the National Basketball Association (NBA) announced plans to resume the regular season and begin post-season play, the decision was made to play all games in one centralized location in order to limit potential exposure to COVID-19—so was born the 2020 NBA Bubble in Orlando, FL. This was made a top priority to ensure success while providing excellent medical care, including diagnostic imaging, to the players and their loved ones who were displaced from their home institutions. Through the first seven weeks of training and games, 297 exams were performed by our institution, including 139 x-ray (XR), 15 computed tomography (CT), 10 ultrasound (US), and 133 magnetic resonance imaging (MRI) exams. An overview of the range of imaging findings encountered will be outlined, primarily focused on acute, sports-related injuries to the bones, muscles, ligaments, and tendons of the extremities.

Educational Goals / Teaching Points
We will highlight the broad range of injuries that have been encountered while imaging athletes in the NBA Bubble, with emphasis on what treating clinicians and surgeons need to know. This will include, but is not limited to: • Identification and evaluation of injuries to the quadriceps and hamstrings muscles. • Identification and evaluation of rupture of the extensor retinaculum and lateral capsule of the ankle. • Identification and evaluation of scapholunate ligament tears. • Identification and evaluation of sagittal band and collateral ligament tears of the finger. • Identification and evaluation of meniscal tears.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Acute, primarily-sports related, osseous, muscular, ligamentous, and tendinous injuries of the extremities encountered on XR, CT, US, and MRI.

The 2020 NBA Bubble presented a unique opportunity for our institution to image hundreds of elite level athletes in a very short period. This endeavor underscored the importance of the ability for diagnostic radiologists to rapidly identify and completely evaluate primary injuries, and alert treating clinicians and surgeons to secondary injuries, so that the appropriate treatment course is pursued.