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That's another source of confusion. by No Right Turn on Red

Sports medicine sometimes has a few extra hoops to jump through for return to play as opposed to a return to activities of daily living. For example, return to the classroom from a broken ankle will be much sooner than playing a full basketball game.

The pediatrician can clear a kid to resume activities, but it is ultimately up to the school and sports medicine team there to determine cleared to practice and compete.