Tough topics in sports medicine

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Format: Buch
Sprache:English
Veröffentlicht: Philadelphia [u.a.] Saunders 2000
Schriftenreihe:Physical medicine and rehabilitation clinics of North America 11,4
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Datensatz im Suchindex

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adam_text TOUGH TOPICS IN SPORTS MEDICINE CONTENTS Foreword xi George H. Kraft Preface xiii Jeffrey L. Young Cost Containment in Sports Rehabilitation 721 Joel M. Press and Annie O Connor Defining high quality care and cost effectiveness is not an easy task. In this article, the authors describe several strategies that have practical applicability for the clinician treating patients with sports related injuries. Integration of some of these strategies may allow the more quality based, cost efficient use of available resources in sports rehabilitation. Shoulder Instability in the Athlete 729 Paul S. Sherbondy and Edward G. McFarland This article reviews current concepts of shoulder instability, which are influenced by increasing knowledge of shoulder anatomy, biomechanics, and function. An overview of treatment options, including arthroscopic techniques, is discussed. The difference between shoulder laxity and instability and a review of arthro¬ scopic thermal capsulorrhaphy are highlighted. Shoulder Injury in the Throwing Athlete 745 David W. Altchek and Michael Levinson Successful nonoperative treatment of shoulder injury in the throwing athlete requires a team approach. The physician, physi¬ cal therapist, and athletic trainer work together with the athlete to determine a diagnosis and design a treatment protocol. Injury recovery requires restoration of muscle strength and balance fol¬ lowed by a careful return to a throwing program. PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA Scapular Instability: The Scapulothoracic Joint 755 Mark I. Ellen, James J. Gilhool, and Denis P. Rogers Instability of the scapula is increasingly recognized as a cause of shoulder and arm pain. There are several distinct causes for this malady, each of which requires appropriate work up. Treatment is focused to correct the cause of instability. Nonoperative mea¬ sures are the mainstay of most treatment regimens. This article describes possible causes and treatments of scapular instability and outlines an appropriate rehabilitation plan. Burners and Stingers 771 Joseph H. Feinberg The burner or stinger syndrome is one of the most common injuries seen in sports medicine. It has been reported to affect more than 65% of college football players. Athletes describe a burning or stinging pain that radiates down one upper limb. Symptoms are usually temporary, lasting only a few minutes, but can be recurrent and lead to permanent neurologic deficits. Burn¬ ers are primarily believed to be either an upper cervical root (C5 or C6), or upper brachial plexus trunk injury, but an injured peripheral nerve can cause similar symptoms. Early recognition, proper diagnosis, and appropriate management can help ensure a quick recovery and prevent a more catastrophic event. Spondylolysis 785 Christopher J. Standaert, Stanley A. Herring, Brian Halpern, and Osric King Spondylolysis is a relatively common radiographic finding and, although frequently asymptomatic, can cause significant low back pain. Isthmic spondylolysis likely represents a fatigue fracture in the region of the pars interarticularis, relative to repetitive stress of this region with spinal motion and weight bearing. Symptom¬ atic pars lesions are a clinical problem, particularly for adoles¬ cents, and show increased frequency of occurrence with a variety of sports activities. Epidemiology, pathophysiology, clinical pre¬ sentation, imaging, and treatment of this disorder are reviewed based on the available medical literature. Pelvis and Sacral Dysfunction in Sports and Exercise 805 Heidi Prather Pelvic and sacral dysfunctions resulting from sports related injur¬ ies are unusual. A simple groin pull, however, can prohibit an athlete from participating in sports activities for an extended period of time. Pelvic floor dysfunctions can be particularly im¬ pairing for women athletes, and are rarely discussed in sports literature. This article reviews the anatomy, biomechanics, com¬ mon injury patterns, and treatment options for athletic injuries related to the pelvis. Internal Disc Disruption and Axial Back Pain in the Athlete 837 Paul M. Cooke and Gregory E. Lutz Axial low back pain is a common complaint in the athlete. This article focuses on a commonly overlooked source of axial back pain; internal disc disruption and its inherent diagnostic and therapeutic challenges. The authors examine the biochemical and biomechanic theories of the pathogenesis of internal disc disrup¬ tion as they relate to the athletic population. The clinical presenta¬ tion and diagnostic tests for acute and chronic internal disc dis¬ ruption are discussed. Treatment options, including minimally invasive procedures, are reviewed, and a goal directed rehabilita¬ tion program tailored to the competitive athlete is outlined. Meniscal Tears in the Athlete: Operative and Nonoperative Management 867 Eric C. McCarty, Robert G. Marx, and Thomas L. Wickiewicz The meniscus has a dynamic role and contributes in many ways to the healthy condition of the human knee. An active individual with a tear in the meniscus may have meniscal dysfunction that can negatively alter their sport participation and performance. There are numerous factors to consider when treating an athlete with a suspected or known meniscal tear. These factors include chronicity of the tear, size, location, age of athlete, concurrent intra articular injuries, and desired timing of return to competi¬ tion. Some athletes can recover with nonoperative treatment, while others need operative intervention to recover and return to play. The Athlete with Early Knee Arthritis 881 Vijay B. Vad and Arul L. Bhat Athletes participating in contact sports, or activities such as exces¬ sive running, are at higher risk for the development of knee osteoarthritis. Newer advances in treatments, such as minimally invasive management, are helpful in getting people active earlier as compared with older, conventional methods. Anterior Cruciate Ligament Injuries: Operative and Rehabilitative Options 895 Robert S. Gotlin and Gordon Huie Though not life threatening, rupture of the anterior cruciate liga¬ ment (ACL) can be viewed as a debilitating injury. Instability of the knee can result in a diminished quality of life for the athletic individual, and changes in lifestyle for activities of daily living in others. Surgical and conservative treatment options are available with restoration to and improvement on premorbid status being the goal of treatment. Over 500 ACL reconstructions are per¬ formed annually at the authors institution and a strong emphasis is placed on rehabilitation techniques and strategies. Stress Injury to the Bone Among Women Athletes 929 Anne I. Zeni, Carole C. Street, Rania L. Dempsey, and Megan Staton Stress fractures in women athletes may be the presentation of more serious underlying medical conditions, such as the female athlete triad. This article presents a general overview of stress injury to the bone among women athletes. The history of women in sports, basic bone biology, the female athlete triad, and risk factors for stress fractures are discussed. Stress fractures can occur at any anatomic site in women; however, they tend to occur more frequently in the pelvis, sacrum, and femoral neck. Stress fractures at these sites, therefore, are discussed in detail. Surgical indications are also reviewed. Performance Enhancing Supplements 949 Matthew A. Pecci and John A. Lombardo The use of nutritional supplements commonly marketed as ergo genic agents has skyrocketed in the last ten years. Two of the most popular agents are creatine and androstenedione. This arti¬ cle explores the theoretic and biomechanic bases for the use of these agents, and data that support or refute their ergogenic claims. Safety issues associated with the use of these agents are also discussed. Pediatric Sports Emergencies 961 Andrea Stracciolini and Jordon D. Metzl This article reviews the major categories of sports related medical emergencies in young athletes. Sports participation is a healthy and generally safe activity for child and adolescent athletes, and should be encouraged by health care providers. Thankfully, medi¬ cal emergencies are rare events during youth sports participation. When these events occur, however, prompt recognition and ap¬ propriate treatment are of tremendous importance. Cumulative Index 2000 981 Subscription Information Inside back cover
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series Physical medicine and rehabilitation clinics of North America
series2 Physical medicine and rehabilitation clinics of North America
spellingShingle Tough topics in sports medicine
Physical medicine and rehabilitation clinics of North America
Muscles - traumatismes
Médecine du sport
Traumatisme du au sport
Athletic Injuries rehabilitation
Muscles injuries
Sports injuries Patients Rehabilitation
Sports medicine
Physikalische Therapie (DE-588)4045960-3 gnd
Sportschaden (DE-588)4129115-3 gnd
Sportverletzung (DE-588)4056436-8 gnd
subject_GND (DE-588)4045960-3
(DE-588)4129115-3
(DE-588)4056436-8
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title Tough topics in sports medicine
title_auth Tough topics in sports medicine
title_exact_search Tough topics in sports medicine
title_full Tough topics in sports medicine guest ed.: Jeffrey L. Young
title_fullStr Tough topics in sports medicine guest ed.: Jeffrey L. Young
title_full_unstemmed Tough topics in sports medicine guest ed.: Jeffrey L. Young
title_short Tough topics in sports medicine
title_sort tough topics in sports medicine
topic Muscles - traumatismes
Médecine du sport
Traumatisme du au sport
Athletic Injuries rehabilitation
Muscles injuries
Sports injuries Patients Rehabilitation
Sports medicine
Physikalische Therapie (DE-588)4045960-3 gnd
Sportschaden (DE-588)4129115-3 gnd
Sportverletzung (DE-588)4056436-8 gnd
topic_facet Muscles - traumatismes
Médecine du sport
Traumatisme du au sport
Athletic Injuries rehabilitation
Muscles injuries
Sports injuries Patients Rehabilitation
Sports medicine
Physikalische Therapie
Sportschaden
Sportverletzung
Aufsatzsammlung
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