Menu Expand
Sports Medicine, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book

Sports Medicine, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book

Brian Krabak

(2014)

Additional Information

Abstract

This issue is a comprehensive, multi-disciplinary state-of-the-art review focusing on the athlete as a whole. The articles explore the impact of excessive activity, new therapies and performance enhancement interventions on the musculoskeletal, neurological and psychological aspects of the athlete.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Sports Medicine i
Copyright\r ii
Contributors iii
Contents vii
Physical Medicineandrehabilitation\rClinics Of North America\r\r xi
Foreword\r\r xiii
Preface\r\r xvii
Evaluation and Treatment of the Concussed Athlete - Update 707
Key points 707
Introduction 707
Definition, demographics, epidemiology, pathophysiology 708
Preseason planning 709
On-the-field management 709
Clinical management 710
Return to play 714
Headache 715
Persistent postconcussion symptoms 716
Chronic neurologic impairment 717
Chronic traumatic encephalopathy 717
Prevention 718
Legislation 718
Counseling 718
Summary 719
References 719
Return to Play Considerations for Cervical Spine Injuries in Athletes 723
Key points 723
Introduction 723
Cervical fractures 724
Stingers 728
Cervical stenosis, transient quadriparesis, and cervical cord neuropraxia 728
Intervertebral disc herniation 730
Summary 731
References 731
Understanding and Evaluating Shoulder Pain in the Throwing Athlete 735
Key points 735
Introduction 735
Throwing biomechanics 736
Anatomic adaptations 737
Osseous Adaptations in the Humerus 737
Capsulolabral Adaptations 738
Muscular Adaptations 738
Diagnostic approach 739
Initial Evaluation 739
Physical Examination 740
Imaging 741
Common conditions 741
Glenohumeral Internal Rotation Deficit 741
Description 741
Examination 742
SLAP Lesions 743
Description 743
Pathophysiology 743
Examination 744
Prognosis 745
Rotator Cuff Lesions 746
Description 746
Examination 746
Scapular Dyskinesis 749
Description 749
Low Back Pain in the Adolescent Athlete 763
Key points 763
Introduction 763
Growth and development of the spine 764
Demographics 765
Radiologic findings 766
Considerations in the evaluation of low back pain in the adolescent athlete 766
Risk factors 767
Prevention 767
History and physical examination 768
Radiographic evaluation of the adolescent spine 770
Special considerations in the adolescent athlete 770
Specific spinal conditions and injuries 771
Spondylolysis and Spondylolisthesis 771
Posterior Element Overuse Syndrome 777
Disk Disease 777
Vertebral Body Apophyseal Avulsion Fracture 779
Scheuermann Kyphosis 779
SI Joint 781
Other Causes of Low Back Pain 782
Rehabilitation and return to play 782
Summary 783
References 783
Managing Hip Pain in the Athlete 789
Key points 789
Introduction 789
Differential diagnosis 790
History 790
Physical Examination 793
Diagnostic imaging 797
Diagnostic intra-articular hip injection 804
Management 804
Intra-articular processes 804
Prearthritic Hip Disorders 804
OA 805
Femoral Neck Stress Fracture 806
Hip Dislocation/Subluxation 806
Extra-articular hip disorders 806
Greater Trochanteric Pain Syndrome 806
Snapping Hip Syndrome 807
Muscle Strain/Tear 807
Sports Hernia 807
Osteitis Pubis 807
PRP 808
Summary 808
References 808
Anterior Cruciate Ligament Injury 813
Key points 813
Introduction 813
Epidemiology 814
Anatomy 815
Injury Risk Factors 816
Prevention 821
Summary 824
References 824
Foot and Ankle Problems in Dancers 829
Key points 829
Introduction 829
Ankle sprains 830
Achilles 831
Achilles Tendon Rupture 832
Sever disease 832
Plantar fascial strain 832
Ankle impingement syndromes 833
Posterior Ankle Impingement 833
FHL Tendinitis 835
Anterior Ankle Impingement 836
Cuboid Subluxation 837
Metatarsal 837
Fifth Metatarsal Fractures 837
Stress Fracture 838
Midfoot injuries: Lisfranc sprain/fracture 839
Hallux valgus 839
Hallux rigidus 839
Sesamoid Injuries 840
Summary 840
References 841
Evaluation and Treatment of Injury and Illness in the Ultramarathon Athlete 845
Key points 845
Introduction 845
Musculoskeletal injury 847
Achilles Tendinopathy/Tendonitis 847
Anterior Tibialis Tendinopathy/Tendonitis 848
Plantar Fasciitis 848
Patellofemoral Syndrome 850
Ankle Sprain 850
Muscle Strain 850
Iliotibial Band Problem 851
Back Injuries 851
Medical 851
Heat-related illness 852
Pathophysiology 852
Evaluation 852
Treatment 853
Hydration and EAH 853
Epidemiology 854
Pathophysiology 854
Evaluation 854
Treatment 855
Foot care 856
Evaluation 856
Hot Spot Treatment 856
Blister Treatment 857
Summary 859
References 860
Treatment of Tendinopathies with Platelet-rich Plasma 865
Key points 865
Causes of tendinopathy 865
History of tendinopathy management 866
What is PRP? 866
PRP Preparations 867
Platelet concentration 867
Leukocyte concentrations 868
Use of activators 868
pH of injectant 868
Local anesthetics 869
Basic Science Studies on PRP 869
Human Clinical Studies on PRP 870
Lateral epicondyle extensor tendinopathy 870
Patellar tendinopathy 871
Achilles tendinopathy 871
Rehabilitation Following PRP 872
Summary 874
References 874
The Role of Regenerative Medicine in the Treatment of Sports Injuries 881
Key points 881
Introduction 881
Regenerative biological treatments 883
Prolotherapy 884
Platelet-Rich Plasma 884
PRP and muscle 886
PRP and tendons 886
Rotator cuff 887
PRP and the knee 887
Patellar tendon 887
Meniscus 887
Anterior cruciate ligament 887
PRP and Achilles tendon 887
PRP and the elbow complex 888
Ulnar collateral ligament 888
Medial and lateral epicondylosis 888
PRP and osteoarthritis 888
Stem Cells 889
Summary 891
References 891
Performance-Enhancing Drugs 897
Key points 897
Introduction 897
Overview 898
Anti-Doping Programs 898
Prohibited Lists 898
Therapeutic Use Exemptions 900
What Happens to a Positive Test? 901
Selected drug classes 902
Stimulants 902
Legitimate medical indications 902
Misuse 902
Adverse effects 902
Anabolic Androgenic Steroids 903
Legitimate indications 903
Misuse 903
Adverse effects 903
Enhancement of Oxygen Transfer 904
Legitimate indications 904
Misuse 904
Adverse effects 905
Growth Hormone 905
Legitimate indications 905
Misuse 905
Adverse effects 906
Drug Detection in Doping Control 906
Extra risks 906
Dietary Supplements 906
Meat in Mexico or China 907
Whereabouts Requirements 907
More Ways to Break Anti-Doping Rules 907
Summary 908
References 908
Psychosocial Factors in Sports Injury Rehabilitation and Return to Play 915
Key points 915
Part 1: the research literature 915
Impact of Psychological Factors on Rehabilitation 915
Cognitions 915
Emotions 916
Behaviors 916
Social Factors Affecting Injury Rehabilitation 917
Patient-practitioner interactions 917
Social support 917
Performance Concerns Facing Returning Athletes 919
Methods for Assessing Psychological Readiness to Return 919
Part 2: clinical practices 920
Diagnosis and Triage 920
Treatment Intervention 921
Complications 923
Pain 923
Fear 924
Summary 925
References 926
Index 931