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DeLee and Drez's Orthopaedic Sports Medicine E-Book

DeLee and Drez's Orthopaedic Sports Medicine E-Book

Mark D. Miller | Stephen R. Thompson

(2009)

Additional Information

Book Details

Abstract

Here's the New Edition of the must-have reference in sports medicine! Covering all athletes throughout their lifespan, this 2-volume reference explores the pathophysiology, diagnosis, and treatment of the full spectrum of sports-related injuries and medical disorders. It provides the most clinically focused, comprehensive guidance available in any single source, with contributions from the most respected authorities in the field. Thoroughly revised and updated, you’ll find state-of-the-art coverage in an all-new full-color format and access to the complete contents online, with video clips and more!

  • Encompasses imaging techniques, the management of both adult and child/adolescent injuries, and sports-related fractures to help you meet for every clinical challenge.
  • Includes coverage of important non-orthopaedic conditions in the management of the athlete for a complete guide to treatment.
  • Integrates coverage of pediatric and aging athletes to help you meet the unique needs of these patients.
  • Covers rehabilitation and other therapeutic modalities in the context of return to play.
  • lDelivers new and expanded coverage of arthroscopic techniques, including ACL reconstruction, allograft cartilage transplantation, rotator cuff repair, and complications in athletes, as well as injury prevention, nutrition, pharmacology, and psychology in sports.
  • Offers unprecedented reference power with access to the full text online, with links to PubMed, an image library, self-assessment material, and more.
  • Includes video clips demonstrating arthroscopic and open surgical techniques on the website to enhance your mastery of essential skills.
  • Offers a new full-color design and format including over 3000 superb illustrations, intraoperative and clinical photos, and boxed and color-coded text features to clarify key concepts, diagnostic landmarks, and operative techniques.

Table of Contents

Section Title Page Action Price
e9781416031437v1.pdf 1
Front Cover\r 1
OrthopaedicSports Medicine 4
Copyright\r 5
Dedicate\r 6
CONTRIBUTORS\r 8
PREFACE\r 20
CONTENTS\r 22
Part I \rBasics 28
CHAPTER 1 BASIC SCIENCE AND \rINJURY OF MUSCLE TENDON AND LIGAMENT 30
SECTION A Physiology of Injuryto \rMusculoskeletal Structures 30
1. Muscle and Tendon Injury 30
SKELETAL MUSCLE\r 30
TENDON 47
SUMMARY 58
2. Ligamentous Injury 59
TYPES OF LIGAMENTS 59
STRUCTURE OF LIGAMENTS 59
SUBSTANCE OF LIGAMENTS 59
INSERTIONS 60
COMPOSITION OF LIGAMENTS 60
3. Articular Cartilage Injury 67
HEALING OF LIGAMENTS 61
LIGAMENT GRAFTS 62
COLLAGENS 69
PROTEOGLYCANS 71
CARTILAGE INJURY AND REPAIR 75
CARTILAGE GRAFTS 80
CONCLUSIONS 82
4. Meniscus Injury 83
COMPOSITION 84
STRUCTURE 85
MECHANICAL PROPERTIES 86
BLOOD SUPPLY 88
NERVE SUPPLY 89
INJURY AND REPAIR 89
CONCLUSIONS 91
5. Bone Injury 92
HISTOLOGY OF BONE 92
NORMAL BONE MINERAL METABOLISM 97
BONE GRAFTING 108
DISTRACTION OSTEOGENESIS 108
HETEROTOPIC OSSIFICATION 109
BONE INFECTIONS 109
BASIC CONCEPTS 112
SECTION B Fundamentals of \rBiomechanics 112
STATICS 113
DYNAMICS 114
MECHANICS OF MATERIALS 120
CONCLUSIONS 123
SECTION C Design and Statistics \rin Sports Medicine 124
THE RESEARCH PROCESS 124
INTRODUCTION TO STATISTICS 126
STUDY DESIGN 128
STATISTICS AND TESTS 139
SUMMARY 141
CHAPTER 2 SURGICAL PRINCIPLES\r 148
SECTION A Basic Arthroscopic \rPrinciples 148
OPERATIVE SUITE 148
ARTHROSCOPIC EQUIPMENT 148
ARTHROSCOPIC VISUALIZATION 149
ARTHROSCOPIC TECHNIQUE 149
ARTHROSCOPIC COMPLICATIONS 149
ARTHROSCOPIC APPLICATIONS 151
CONCLUSION 158
SUGGESTED READINGS 158
REFERENCES\r 158
SECTION B Suture Materials \r 159
IMPOSED DEMANDS ON SUTURE MATERIALS 159
BIOLOGIC CHARACTERISTICS AND BIOCOMPATIBILITY 159
MECHANICAL CHARACTERISTICS 160
DEFORMATION UNDERTENSILE LOAD 161
MAINTENANCE OF MECHANICAL PROPERTIES IN VIVO 161
KNOTTING PROPERTIES 162
HANDLING PROPERTIES 163
SUGGESTED READINGS 163
REFERENCES\r 163
SECTION C Allograft Tissues \r 164
HISTORY 164
PROCUREMENT 165
STERILIZATION 166
STORAGE 167
RISK FOR INFECTION 168
ALLOGRAFTS FOR LIGAMENT RECONSTRUCTION 169
MENISCAL ALLOGRAFTS 170
OSTEOCHONDRAL ALLOGRAFTS 171
SUMMARY 172
SUGGESTED READINGS 172
REFERENCES\r 172
CHAPTER 3 NONORTHOPAEDIC CONDITIONS\r 174
SECTION A Infectious Disease \rand Sports 174
EFFECTS OF TRAININGAND COMPETITION ONTHE IMMUNE SYSTEM 174
EPIDEMIOLOGY OF OUTBREAKS 176
RESPIRATORY INFECTIONS 176
INFECTIOUS MONONUCLEOSIS 177
CARDIAC INFECTIONS 178
INFECTIOUS DIARRHEA 179
URINARY TRACT INFECTIONS 179
BLOOD-BORNE INFECTIONS 180
SUGGESTED READINGS\r 183
REFERENCES\r 183
SECTION B Management of \rHypertension in Athletes 183
CLASSIFICATION OF BLOODPRESSURE 183
BLOOD PRESSURE MEASUREMENTAND THE DIAGNOSISOF HYPERTENSION 184
WHITE COAT HYPERTENSION 184
SECONDARY HYPERTENSIONIN ATHLETES 185
CLINICAL EVALUATION 185
TREATMENT OF HYPERTENSIONIN ATHLETES 185
RECOMMENDATIONS FORATHLETIC PARTICIPATIONIN HYPERTENSIVE ATHLETES 188
SUGGESTED READINGS\r 189
REFERENCES\r 189
SECTION C Sudden Death in \rAthletes: Causes, ScreeningStrategies, Use of Participation Guidelines,and Treatment of Episodes 189
DEFINITION AND CAUSES 189
EFFICACY OF CURRENTSCREENING STRATEGIES 194
PREVENTION OF SUDDEN DEATHAND SUDDEN CARDIAC ARRESTDUE TO VENTRICULARFIBRILLATION 196
TREATMENT OF SUDDENDEATH DUE TO SUDDENCARDIAC ARREST 198
SUGGESTED READINGS\r 199
REFERENCES\r 199
SECTION D Diabetes Mellitus \r 199
RELEVANT PHYSIOLOGYAND PATHOPHYSIOLOGY 200
CLINICAL EVALUATION 202
TREATMENT 203
CRITERIA FOR SPORTSPARTICIPATION 206
SUGGESTED READINGS\r 207
REFERENCES\r 207
SECTION E Exercise-Induced \rBronchospasm 207
DEFINITION AND PREVALENCE 207
SPECIFIC ATHLETICPOPULATIONS AT RISK 207
CLINICAL PRESENTATION 208
DIAGNOSIS 208
TREATMENT OPTIONS 209
SIDELINE MANAGEMENT 211
POTENTIAL COMPLICATIONS 212
CRITERIA FOR RETURN TO PLAY 212
SUGGESTED READINGS\r 212
REFERENCES\r 212
SECTION F Sports and \rEpilepsy 212
HISTORICAL BACKGROUND 212
TERMINOLOGY 213
EXERCISE AND SEIZURE CONTROL 214
TREATMENT 215
CLINICAL EVALUATION OFTHE SPORTS PARTICIPANT 217
SUMMARY 219
SUGGESTED READINGS\r 219
REFERENCES\r 219
SECTION G Dermatologic \rDisorders 220
ANATOMY OF THE SKIN 220
SKIN INFECTIONSAND INFESTATIONS 220
BACTERIAL DERMATOSES 220
VIRAL DERMATOSES 223
FUNGAL DERMATOSES 225
PARASITIC INFESTATIONS 227
SKIN INJURIES 228
INFLAMMATORY SKINCONDITIONS 231
SUMMARY 233
SUGGESTED READINGS\r 233
REFERENCES\r 233
CHAPTER 4 EXERCISE PHYSIOLOGY\r 234
SKELETAL MUSCLE PHYSIOLOGY 234
MUSCLE RESPONSE TO TRAINING 240
NEUROMUSCULAR ADAPTATION TO EXERCISE 241
HORMONAL ADAPTATIONSTO EXERCISE 244
CARDIORESPIRATORY RESPONSE TO EXERCISE 245
SUGGESTED READINGS 247
REFERENCES\r 247
CHAPTER 5 REHABILITATION AND \rTHERAPEUTIC MODALITIES 248
SECTION A Language of \rExerciseand Rehabilitation 248
KINETIC CHAIN\r 248
MUSCLE ATROPHY—INHIBITION 251
SUMMARY 255
BIOFEEDBACK 260
SECTION B Use of Modalities in \rSports 256
ELECTRICAL CURRENTS 256
IONTOPHORESIS 260
CRYOTHERAPY 261
LASER 262
ULTRASOUND 263
ELBOW COMPLEX 277
KNEE 282
SECTION C Therapeutic Exercise \rPrescription 265
ANKLE 299
EXERCISE APPLICATION 303
CORE TRAINING 304
Acknowledgment 320
SECTION D Proprioception and \rJoint Dysfunction 321
PROPRIOCEPTION OF THE KNEE 321
PROPRIOCEPTION OF THE ANKLE 325
SECTION E Return-to-Sport \rPlyometric Training in theRehabilitation of Athletes Following Anterior Cruciate Ligament Reconstruction 327
SUMMARY 326
CONCLUSION 348
Acknowledgments 348
CHAPTER 6 PRINCIPLES OF INJURY PREVENTION\r 360
SECTION A Anterior Cruciate Ligament Tear Preventionin the Female Athlete\r 360
ETIOLOGY \r 360
RATIONALE FOR PREVENTION PROGRAMS 361
PREVENTION PROGRAM RESULTS 361
CONCLUSIONS 361
REFERENCES 361
SECTION B Preventing Hamstring \rStrains 362
CAUSES—INJURY MECHANISMSAND RISK FACTORS 362
CAUSES—RISK FACTORS 362
METHODS TO PREVENT HAMSTRING STRAINS 363
REFERENCES 364
SECTION C \rAnkle Instability Prevention 365
ANATOMY 365
MECHANISM OF INJURY 365
ASSOCIATED INJURIES 366
DIAGNOSIS 366
MEDIAL ANKLE INSTABILITY 366
INITIAL TREATMENT 366
PREVENTION OF MECHANICAL ANKLE INSTABILITY 367
OPERATIVE TREATMENT 367
REFERENCES 368
SECTION D Spine-Related Injury Prevention in the Athlete: Trunk Stabilization\r 368
STABLIZATION EXERCISES 370
UPPER EXTREMITY POSTURAL EXERCISES 375
WEIGHT TRAINING 376
AEROBIC CONDITIONING 376
SUGGESTED READINGS 376
CHAPTER 7 COMPLICATIONS\r 378
SECTION A\rComplex Regional Pain SyndromesIncluding Reflex Sympathetic Dystrophyand Causalgia 378
INTRODUCTION AND TERMINOLOGY\r 378
PERTINENT ANATOMYAND PHYSIOLOGY REVIEW 380
THEORIES OF THE PATHOPHYSIOLOGICMECHANISM 380
SYMPATHETIC VASOMOTORAND SUDOMOTORABNORMALITIES 382
CLINICAL PRESENTATION 382
DIAGNOSTIC PROCEDURES 385
TREATMENT PRINCIPLESAND METHODS 388
COMPLEX REGIONAL PAIN SYNDROMES IN CHILDREN 394
PATIENT EDUCATIONAND INFORMATION 396
SUGGESTED READINGS 396
SECTION B Deep Venous Thrombosis andPulmonary Embolism\r 397
RELEVANT ANATOMYAND PHYSIOLOGY 397
EVALUATION: CLINICAL PRESENTATION—HISTORY AND PHYSICAL EXAMINATION 401
TESTING FOR VENOUS THROMBOEMBOLISM 403
THROMBOEMBOLIC TREATMENT OPTIONS 405
SUMMARY 412
SECTION C Infection: Prevention, Control, and Treatment\r 413
ANTIBIOTIC PROPERTIES AND ADMINISTRATION 413
SHOULDER INFECTIONS 416
INFECTED ANTERIOR CRUCIATE LIGAMENT GRAFTS 418
HARDWARE INFECTIONS 421
COMMUNITY-ACQUIRED STAPHYLOCOCCAL AUREUSAMONG ATHLETES 422
UNUSUAL INFECTIONS 424
SUGGESTED READINGS 425
CHAPTER 8 NUTRITION, PHARMACOLOGY, AND PSYCHOLOGY IN SPORTS\r 426
SECTION A Nutrition for sports\r 426
GOALS OF SPORTS NUTRITION\r 426
ENERGY SUBSTRATES 426
BONE HEALTH 433
WEIGHT MANAGEMENT ISSUES 433
SUPPLEMENT USE 433
SUMMARY 436
SECTION B Pharmacology\r 437
1. Sports Pharmacology: ErgogenicDrugs in Sports 437
HISTORY OF TESTOSTERONE 438
MECHANISM OF ACTION AND EFFICACY OF ANABOLIC-ANDROGENIC STEROIDS 441
ANDROGENS AND ATHLETIC PERFORMANCE 441
ADVERSE EFFECTS OFANABOLIC-ANDROGENIC STEROIDS 442
STEROID SUPPLEMENTS 444
FUTURE ISSUES: GENE THERAPY 449
CONCLUSION 450
2. Sports Pharmacology: Recreational Drug Use 451
ALCOHOL 451
MARIJUANA 452
TOBACCO 453
COCAINE 455
INHALANTS 456
CONCLUSION 457
SECTION C Psychological \rAdjustment to Athletic Injury 458
PREVALENCE OF ATHLETIC INJURY 459
THE INJURY EXPERIENCE AND THE REHABILITATION PROCESS 460
THE INJURY EXPERIENCE:A CLOSER LOOK 463
SPORT PSYCHOLOGY 464
CONCLUSION 467
ONE FINAL NOTE 467
SECTION D Sleep and \rChronobiology in Sports 468
CHRONOBIOLOGY 468
SLEEP AND SLEEP DISORDERS 472
GOALS OF A SPORTS CHRONOBIOLOGY CONSULTATION 477
MEASUREMENT OF SLEEPINESS AND ALERTNESS 477
ALERTNESS-ENHANCING DRUGS 478
SLEEP-WAKE CONSIDERATIONS IN ATHLETES WITH MOOD DISORDERS 479
JET LAG 484
SUGGESTED READINGS 488
REFERENCES\r 488
CHAPTER 9 THE YOUNG ATHLETE\r 490
rEPIDEMIOLOGY 490
EXERCISE PHYSIOLOGY 491
PSYCHOSOCIAL ASPECTSOF SPORTS PARTICIPATION 493
NUTRITION 494
PERFORMANCE-ENHANCING SUBSTANCES 494
ARTHROSCOPY IN CHILDREN 495
CONCLUSIONS 499
SUGGESTED READINGS 500
REFERENCES 500
CHAPTER 10 THE FEMALE ATHLETE\r 502
CONCEPT OF SEX AND GENDER DIFFERENCES AND THEIR INFLUENCE ON HEALTH, DISEASE, AND SPORT PERFORMANCE 503
CONDITIONING 506
MENOPAUSE AND EXERCISE 507
PREGNANCY AND EXERCISE 508
MUSCULOSKETAL INJURIES 510
SUGGESTED READINGS 518
REFERENCES 518
CHAPTER 11 ENVIRONMENTAL STRESS\r 520
SECTION A Heat Illness \r 520
EPIDEMIOLOGY OF HEAT-\rRELATED ILLNESS IN SPORTS 520
PHYSIOLOGIC MECHANISMS OF HEAT PRODUCTION AND DISSIPATION 520
PHYSIOLOGIC ADAPTATIONS TO EXERCISING IN THE HEAT 520
RISK FACTORS FOR HEAT ILLNESS AND PREVENTION 521
SECTION B - Cold Injury\r 525
PHYSIOLOGY OF COLD INJURY 527
HYPOTHERMIA 529
DEFINITIONS OF ALTITUDE 532
PHYSICAL FEATURES OF A HIGH-ALTITUDE ENVIRONMENT 532
SECTION C Altitude\r 529
TRAINING AT HIGH ALTITUDE 531
ADVERSE EFFECTS OF HIGH ALTITUDE 531
CURRENT RECOMMENDATIONS 532
SUGGESTED READINGS 532
REFERENCES\r 532
CHAPTER 12 THE TEAM PHYSICIAN: PREPARTICIPATION EXAMINATION,ON-FIELD EMERGENCIES AND ETHICAL AND LEGAL ISSUES\r 534
THE TEAM PHYSICIAN 534
QUALIFYING ATHLETES TO PLAY 534
PREPARTICIPATION EXAMINATION 535
MEDICAL SUPERVISION OF ATHLETES 543
ON-FIELD EMERGENCIES 543
ETHICAL AND LEGAL CONSIDERATIONS 557
SUGGESTED READINGS 559
REFERENCES 559
CHAPTER 13 BASIC IMAGING TECHNIQUES\r 560
SECTION A Basic Imaging \rTechniques in the Adult 560
IMAGING TECHNIQUES 560
IMAGING OF SPECIFICSPORTS-RELATED INJURIES 579
ORTHOPAEDIC INTERVENTIONS 609
SUGGESTED READINGS 613
REFERENCES\r 613
SECTION B Imaging \rConsiderations in the SkeletallyImmature Patient 614
SKELETAL MATURATION 614
IMAGING CONSIDERATIONS 615
IMAGING TECHNIQUES 617
IMAGING SPECIFIC PEDIATRIC STRUCTURES 618
IMAGING PEDIATRIC MUSCULOSKELETAL PROCESSES 620
SUGGESTED READINGS 637
REFERENCES\r 637
CHAPTER 14 OVERUSE INJURIES\r 638
TENDINOPATHIES 638
STRESS FRACTURES 659
SUGGESTED READINGS 680
REFERENCES 680
Part II \rAnatomic Site of Injury 682
CHAPTER 15 HEAD INJURIES\r 684
RELEVANT ANATOMYAND BIOMECHANICS 684
CLASSIFICATION 685
WEIGHING THE EVIDENCE 689
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT,AND POTENTIAL COMPLICATIONS 689
SUGGESTED READINGS 690
REFERENCES\r 690
CHAPTER 16 SPINAL INJURIES\r 692
SECTION A \rCervical Spine Injuries 692
1. Cervical Spine Injuries in the Adult 692
EMERGENCY MANAGEMENT 692
THE AMBULATORY PATIENT 696
CERVICAL SPINE INJURIES 697
PREVENTION 713
PATHOPHYSIOLOGY OFCERVICAL CORD INJURY AS IT RELATES TO THE PRINCIPLESOF CORD RESUSCITATION 717
CRITERIA USED TO GAUGE RETURN TO CONTACT ACTIVITIES AFTER CERVICAL SPINE INJURY 718
SUGGESTED READINGS 728
REFERENCES\r 728
2. Cervical Spine Injuries in the Child 728
ANATOMY OF THE CERVICAL SPINE 729
RECOGNITION AND PRIMARY TREATMENT 730
ACUTE SOFT TISSUE INJURY 730
FRACTURES AND DISLOCATIONS 731
SPINAL CORD INJURY 736
CONGENITAL ANOMALIES 738
CONCLUSION 739
SUGGESTED READINGS 740
REFERENCES\r 740
SECTION B Thoracolumbar \rInjuries 741
1. Thoracolumbar Spine Injuries in the Adult 741
ANATOMY 742
BIOMECHANICS 745
CLINICAL EVALUATION 746
History 746
Physical Examination 747
Diagnostic Testing 750
REHABILIATION CYCLE 755
LUMBAR SPINE STABILIZATION (CORE STRENGTHENING) 755
COLD THERAPY AND HEAT THERAPY 758
MEDICATIONS 758
INJECTION: DIAGNOSTIC AND THERAPEUTIC IN THE THORACIC AND LUMBAR SPINE 758
TRIGGER POINT INJECTION 759
THORACOLUMBAR SPRAINSAND STRAINS 759
THORACIC AND LUMBAR FRACTURES 760
THORACIC DISK HERNIATION 765
THORACIC SPINAL STENOSIS 765
LUMBAR DEGENERATIVE DISK DISEASE 767
LUMBAR DISK HERNIATION 768
LUMBAR SPINAL STENOSIS 771
RETURN-TO-PLAY DECISIONS 777
CONCLUSION 779
REFERENCES 780
2. Thoracolumbar Spine Injuries in the Child 781
RELEVANT ANATOMY AND BIOMECHANICS 781
CLASSIFICATION 782
EVALUATION 784
TREATMENT OPTIONS 789
WEIGHING THE EVIDENCE 793
CRITERIA FOR RETURN TO PLAY 794
CONCLUSION 795
SUGGESTED READINGS 795
REFERENCES\r 795
CHAPTER 17 SHOULDER \r 796
SECTION A Anatomy and \rBiomechanics 796
1. Functional Anatomy and Biomechanics of the Adult Shoulder 796
DEFINITIONS 796
GLENOHUMERAL JOINT ANATOMY 797
KINEMATICS 802
SUMMARY 805
SUGGESTED READINGS 805
REFERENCES\r 805
2. Anatomy, Biomechanics, and Kinesiology of the Child’s Shoulder 806
SPECIAL FEATURES OF PEDIATRIC ANATOMY 806
DEVELOPMENTAL ANATOMY 807
ANATOMY 807
BIOMECHANICS 813
KINESIOLOGY 817
SUGGESTED READINGS 818
REFERENCES\r 818
SECTION B Injuries to the \rSternoclavicular Jointin the Adult and Child 818
SURGICAL ANATOMY 819
MECHANISM OF INJURY 821
CLASSIFICATION OF PROBLEMS OF THE STERNOCLAVICULAR JOINT 825
INCIDENCE OF INJURY TO THE STERNOCLAVICULAR JOINT 826
SIGNS AND SYMPTOMS OF INJURIES TO THE STERNOCLAVICULAR JOINT 829
RADIOGRAPHIC EVALUATION OF INJURIES TO THE STERNOCLAVICULAR JOINT 829
TREATMENT OF TRAUMATIC INJURIES\r 832
PHYSEAL INJURIES 838
TREATMENT OF ATRAUMATIC \rPROBLEMS 838
COMPLICATIONS OF INJURIES TO THE STERNOCLAVICULAR JOINT 848
COMPLICATIONS OF OPERATIVE PROCEDURES 850
SPECIAL CONSIDERATIONS IN THE PEDIATRIC ATHLETE 851
CRITERIA FOR RETURN TO SPORT 852
SUGGESTED READINGS 852
REFERENCES\r 852
SECTION C Injuries to the AcromioclavicularJoint in Adults and Children\r 853
RELEVANT ANATOMYAND BIOMECHANICS 853
CLASSIFICATION OF ACROMIOCLAVICULAR DISLOCATION 855
EVALUATION 855
TREATMENT 863
WEIGHING THE EVIDENCE 871
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS 878
CRITERIA FOR RETURN TO PLAY 881
SPECIAL POPULATIONS AND SPECIAL INJURIES TO THE ACROMIOCLAVICULAR JOINT 881
SUGGESTED READINGS 883
REFERENCES\r 883
SECTION D Injuries to the \rGlenoid, Scapula, and Coracoid 884
1. Glenoid and Scapula Fractures in Adults and Children 884
ANATOMY 885
CLINICAL EVALUATION 887
RADIOGRAPHIC EVALUATION 888
TREATMENT OPTIONS IN ADULTS 889
TREATMENT OPTIONSIN CHILDREN 899
SUGGESTED READINGS 902
REFERENCES\r 902
2. Fractures of the Coracoid in Adults and Children 903
MECHANISM OF INJURY 903
PATTERN OF CORACOID FRACTURE 904
CLINICAL FEATURESOF CORACOID FRACTURES 904
POSTOPERATIVE MANAGEMENT AND REHABILITATION 911
SECTION E Scapulothoracic \rDisorders in Athletes 912
ANATOMY AND BIOMECHANICS OF THE SCAPULOTHORACIC ARTICULATION 912
SCAPULOTHORACIC CREPITUS 913
SCAPULOTHORACIC BURSITIS 916
SCAPULOTHORACIC DYSKINESIS 918
SUMMARY 919
SUGGESTED READINGS 920
REFERENCES\r 920
SECTION F Sternum and Rib \rFractures in Adults and Children 920
RIB FRACTURES 920
STERNUM FRACTURE 923
SUGGESTED READINGS 927
REFERENCES\r 927
SECTION G Muscle Ruptures \rother than the Rotator Cuff 927
PECTORALIS MAJOR 927
LATISSIMUS DORSI 934
SUGGESTED READINGS 935
REFERENCES\r 935
SECTION H Glenohumeral \rInstabilities 936
1. Glenohumeral Instability in Adults 936
ANATOMY AND BIOMECHANICS 936
Normal Anatomy of the Shoulder 936
BIOMECHANICS OF SHOULDER STABILITY 939
PATHOANATOMY 939
CLASSIFICATION OF SHOULDER INSTABILITY 940
CLINICAL PRESENTATIONOF SHOULDER INSTABILITY 940
TREATMENT 943
WEIGHING THE EVIDENCE 954
POSTOPERATIVE MANAGEMENT AND RETURN TO PLAY 956
COMPLICATIONS 956
SPECIAL POPULATIONS 957
SUGGESTED READINGS 958
REFERENCES\r 958
2. Glenohumeral Instability in the Child 959
RELEVANT ANATOMYAND BIOMECHANICS 959
TRAUMATIC ANTERIOR INSTABILITY 960
TRAUMATIC POSTERIOR INSTABILITY 963
RECURRENT TRAUMATIC ANTERIOR INSTABILITY 965
RECURRENT TRAUMATIC POSTERIOR INSTABILITY 968
ATRAUMATIC INSTABILITY 969
SUGGESTED READINGS 973
REFERENCES\r 973
3. Imaging of the Glenohumeral Joint 974
CONVENTIONAL IMAGINGOF THE SHOULDER 974
IMAGING OF SPECIFIC SHOULDER ABNORMALITIES 981
SUGGESTED READINGS 1012
REFERENCES\r 1012
SECTION I Rotator Cuff \r 1013
1. Impingement Lesions in Adult and Adolescent Athletes 1013
HISTORICAL REVIEW 1013
EPIDEMIOLOGY 1013
PERTINENT ANATOMY 1016
RELEVANT BIOMECHANICS 1017
CLINICAL EVALUATION 1021
TREATMENT OPTIONS 1028
NONOPERATIVE MANAGEMENT 1038
SURGICAL MANAGEMENT 1038
SUGGESTED READINGS\r 1042
REFERENCES\r 1042
r2. Superior Labral Injuries 1043
RELEVANT ANATOMYAND BIOMECHANICS 1043
CLASSIFICATION 1048
EVALUATION 1048
TREATMENT OPTIONS 1053
WEIGHING THE EVIDENCE 1055
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS 1058
SUGGESTED READINGS 1059
REFERENCES\r 1059
SECTION J Injuries of the Proximal \rHumerus 1060
1. Injuries of the Proximal Humerus in Adults 1060
PROXIMAL HUMERUS FRACTURES 1060
REHABILITATION 1083
MUSCLE RUPTURES INCOLING THE PROXIMAL HUMERUS REGION EXCLUDING THE ROTATOR CUFF\r 1084
SUGGESTED READINGS 1093
REFERENCES\r 1093
2. Injuries of the Proximal Humerus in the Skeletally Immature Athlete 1093
PHILOSOPHY OF TREATING FRACTURES OF THE PROXIMAL HUMERUS IN CHILDREN 1093
STRUCTURE OF THE PROXIMAL HUMERUS 1096
INCIDENCE OF FRACTURES OF THE PROXIMAL HUMERUS 1099
SPECIFIC FRACTURE PATTERNS 1099
FRACTURES OF THE PROXIMAL HUMERAL PHYSIS 1099
METAPHYSEAL FRACTURESOF THE PROXIMAL HUMERUS 1112
STRESS FRACTURES OF THE PROXIMAL HUMERAL PHYSIS 1117
SUGGESTED READINGS 1120
REFERENCES\r 1120
SECTION K\rAdhesive Capsulitis 1121
RELEVANT ANATOMYAND BIOMECHANICS 1121
EVALUATION\r 1122
TREATMENT OPTIONS\r 1122
POSTOPERATIVE PRESCRIPTION\r 1123
RESULTS\r 1130
SECTION L\rGlenohumeral Arthritis in the Athlete 1131
CLASSIFICATION\r 1131
PATIENT EVALUATION\r 1134
TREATMENT\r 1136
REHABILITATION\r 1143
COMPLICATIONS\r 1145
SECTION M\rNerve Lesions of the Shoulder 1147
SUPRASCAPULAR NERVE PALSY\r 1147
rLONG THORACIC NERVE PALSY 1151
ACCESSORY NERVE PALSY\r 1152
SECTION N\rThoracic Outlet Syndrome 1154
HISTORY\r 1154
ANATOMY\r 1154
SYMPTOMS\r 1156
PHYSICAL EXAMINATION\r 1158
PROVOCATIVE SIGNS\r 1158
DIAGNOSTIC STUDIES\r 1160
NONSURGICAL TREATMENT\r 1161
SURGICAL TREATMENT\r 1161
CRITERIA FOR RETURN TO SPORTS PARTICIPATION 1161
SECTION O\rVascular Problems of the Shoulder 1164
ANATOMY\r 1164
CLINICAL PRESENTATION\r 1165
PHYSICAL EXAMINATION\r 1165
IMAGING\r 1166
VASCULAR TRAUMA\r 1166
VASCULAR INJURYIN THE ATHLETE 1167
SECTION P\rParsonage-Turner Syndrome 1170
RELEVANT ANATOMYAND BIOMECHANICS\r 1170
CLASSIFICATION\r 1171
EVALUATION\r 1171
PHYSICAL EXAMINATIONAND TESTING 1171
TREATMENT OPTIONS\r 1172
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS 1172
CRITERIA FOR RETURN TO PLAY\r 1172
SPECIAL POPULATIONS\r 1173
SECTION Q\rDevelopment of Skills for Shoulder Surgery 1173
SHOULDER ARTHROSCOPY\r 1174
DEFINITIONS AND PRINCIPLES\r 1174
METHODS OF LEARNING\r 1174
ORGANIZATION\r 1176
ROTATOR CUFF REPAIR\r 1176
ANTERIOR LABRAL REPAIR\r 1178
OPEN SHOULDER SURGERY\r 1178
SIMULATED SHOULDER ARTHROPLASTY USING A MODEL 1178
SUMMARY\r 1180
e9781416031437v2 1183
Front Cover\r 1183
Orthopaedic Sports Medicine\r 1186
Copyright\r 1187
Dedicate\r 1188
CONTRIBUTORS\r 1190
PREFACE\r 1202
CONTENTS\r 1204
CHAPTER 18 ARM \r 1210
SOFT TISSUE INJURY AND FRACTURES OF THE ARMIN THE ADULT 1210
TENDON AND MUSCLE RUPTURES\r 1215
FRACTURES\r 1225
CHAPTER 19\rELBOW AND FOREARM 1242
SECTION A\rBiomechanics of the Elbow and Forearm 1242
JOINT SURFACES \r 1242
JOINT MOTION\r 1243
ELBOW STABILITY\r 1245
TRICEPS TENDINITIS AND RUPTURE\r 1259
SECTION B\rTendinopathies around the Elbow 1250
LATERAL EPICONDYLITIS (TENNIS ELBOW) 1250
MEDIAL EPICONDYLITIS (GOLFER’S ELBOW) 1257
TRICEPS TENDINITISAND RUPTURE 1259
OLECRANON BURSITIS\r 1262
SEPTIC BURSITIS\r 1265
SECTION C\rThrowing Injuries 1267
1. Throwing Injuries in the Adult 1267
rBASIC SCIENCE 1267
EVALUATION\r 1268
SHOULDER DISORDERSIN THROWERS 1270
OTHER DISORDERSIN THROWERS 1279
SUMMARY\r 1279
2. Elbow Injuries in Children and Adolescents 1280
EPIPHYSEAL DEVELOPMENT\r 1280
PHYSICAL EXAMINATION\r 1282
RADIOGRAPHIC EXAMINATION\r 1282
ANATOMIC CONTRIBUTIONS TO ELBOW STABILITY 1283
ELBOW INJURY: THROWERS\r 1285
LITTLE LEAGUER’S ELBOW\r 1287
ELBOW INJURY\r 1289
MEDIAL ELBOW PATHOLOGY\r 1289
LATERAL ELBOW PATHOLOGY\r 1291
POSTERIOR ELBOW PATHOLOGY\r 1292
SECTION D\rOsteochondritis Dissecans of the Elbow 1294
RELEVANT ANATOMY AND BIOMECHANICS\r 1294
TREATMENT OPTIONS\r 1295
WEIGHING THE EVIDENCE\r 1297
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS 1297
CRITERIA FOR RETURN TO PLAY\r 1299
SPECIAL POPULATIONS\r 1299
SECTION E\rOlecranon Bursitis 1299
ANATOMY AND PATHOLOGY\r 1299
CLINICAL EVALUATION\r 1300
TREATMENT\r 1301
POSTOPERATIVE CARE AND REHABILITATION 1302
SECTION F\rForearm Fractures 1303
1. Fractures of the Elbow in the Adult 1303
FRACTURES OF THE DISTAL HUMERUS 1303
RADIAL HEAD FRACTURES\r 1311
TRAUMATIC ELBOW INSTABILITY\r 1315
REHABILITATION\r 1329
COMPLICATIONS\r 1330
2. Pediatric Elbow Fractures and Dislocations 1332
DISTAL HUMERUS FRACTURES\r 1334
LATERAL-SIDED FRACTURES\r 1337
MEDIAL-SIDED FRACTURES\r 1338
FRACTURES OF THE PROXIMAL FOREARM\r 1339
PEDIATRIC ELBOW DISLOCATIONS 1341
SECTION G\rHeterotopic Bone Around the Elbow 1342
PATHOPHYSIOLOGY\r 1342
ANATOMY\r 1343
HISTORY AND PRESENTATION\r 1343
RISK FACTORS AND ASSOCIATIONS 1343
PHYSICAL EXAMINATION\r 1344
DIAGNOSTIC TESTING\r 1345
DIFFERENTIAL DIAGNOSIS\r 1346
CLASSIFICATION\r 1346
PROPHYLAXIS\r 1347
TREATMENT\r 1348
POSTOPERATIVE MANAGEMENT\r 1350
COMPLICATIONS\r 1350
SUMMARY\r 1351
SECTION H\rElbow Dislocations in the Adult Athleteand Pediatric Patient 1353
INCIDENCE\r 1353
MECHANISM\r 1353
RELEVANT ANATOMY\r 1354
CLASSIFICATION\r 1356
EVALUATION\r 1357
ASSOCIATED INJURIES\r 1357
TREATMENT OPTIONS\r 1357
WEIGHING THE EVIDENCE\r 1359
POST-REDUCTION RECOMMENDATION 1359
POTENTIAL COMPLICATIONS\r 1359
CLINICAL PRESENTATIONOF RECURRENT INSTABILITY 1360
POSTOPERATIVE PRESCRIPTION\r 1363
CRITERIA FOR RETURN TO PLAY\r 1363
SECTION I\rEntrapment Neuropathies around the Elbow 1364
ELECTROPHYSIOLOGIC TESTING\r 1364
MAGNETIC RESONANCE IMAGING\r 1364
CUBITAL TUNNEL SYNDROME\r 1364
RADIAL TUNNEL SYNDROME\r 1368
THE PRONATOR SYNDROME\r 1370
CHAPTER 20\rWRIST AND HAND 1372
SECTION A Wrist\r 1372
1. The Adult Wrist 1372
WRIST ANATOMYAND BIOMECHANICS 1372
VASCULAR ANATOMY\r 1373
PHYSICAL EXAMINATIONOF THE WRIST 1373
RADIOGRAPHIC EVALUATIONOF THE WRIST 1374
LIGAMENTOUS INJURIES\r 1374
BONY INJURIES\r 1388
TENDINITIS\r 1404
VASCULAR INJURIES\r 1410
SPORTS-RELATED NEUROPATHY\r 1412
WRIST SPLINTS AND SPORTS\r 1414
PLAYING CASTS\r 1415
TAPING\r 1415
REHABILITATION\r 1415
2. Wrist Injuries in the Child 1416
EPIDEMIOLOGY\r 1416
RISK FRACTURES FOR INJURY\r 1416
CATEGORIES OF INJURIES\r 1417
CARPAL DEVELOPMENT\r 1417
CARPAL FRACTURES\r 1417
SECTION B Hand\r 1432
1. Athletic Injuries of the Adult Hand\r 1432
EPIDEMIOLOGY\r 1432
CARING FOR THE ATHLETE\r 1432
OSSEOUS AND SOFT TISSUE \rINJURIES OF THE FINGERS 1432
INJURIES OF THE THUMB\r 1451
2. The Pediatric Hand 1457
ANATOMY\r 1457
EVALUATION \r 1457
FRACTURES OF THE HAND\r 1458
LIGAMENTOUS INJURIES OF THE HAND: DISLOCATIONS\r 1468
rTENDON INJURIES 1473
FINGERTIP INJURIES\r 1481
SECTION C Wrist Arthroscopy\r 1483
INDICATIONS\r 1483
EQUIPMENT\r 1483
PORTALS\r 1484
rOPERATIVE WRIST ARTHROSCOPY 1488
OSTECTOMY FOR ARTHRITIS\r 1502
CHAPTER 21\rHIP, PELVIS, AND THIGH 1504
SECTION A Hip and Pelvis\r 1504
JOINT ANATOMYAND BIOMECHANICS 1504
ADULT INJURIES 1508
PEDIATRIC INJURIES 1527
SECTION B \rThe Thigh 1530
FEMORAL SHAFT STRESSFRACTURES 1530
QUADRICEPS CONTUSIONSAND MYOSITIS OSSIFICANS 1534
MUSCLE STRAINS AND RUPTURE 1538
ADDUCTOR CANAL SYNDROME 1550
SECTION C Physical Activity and Sports Participationafter Total Hip Arthroplasty\r 1552
ETIOLOGY 1553
ANATOMY AND BIOMECHANICS 1553
CLASSIFICATION 1555
EVALUATION 1555
TREATMENT OPTIONS 1556
CHAPTER 22\rPATELLA 1566
SECTION A Patellar and Quadriceps Tendinopathiesand Ruptures\r 1566
RELEVANT ANATOMYAND BIOMECHANICS 1566
PATHOPHYSIOLOGYOF TENDON INJURY 1568
EVALUATION OF QUADRICEPS AND PATELLAR TENDINOSIS 1571
CLASSIFICATION OF QUADRICEPS AND PATELLAR TENDON RUPTURES 1574
EVALUATION OF QUADRICEPS AND PATELLAR TENDON RUPTURES 1575
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS 1578
SECTION B Osteochondroses\r 1579
OSGOOD-SCHLATTER DISEASE\r 1580
SINDING-LARSEN–JOHANSSON DISEASE 1582
SUPERIOR POLE OSTEOCHONDROSIS 1583
OSTEOCHONDRITIS DISSECANS OF THE PATELLA\r 1583
SECTION C Subluxation and Dislocation\r 1587
1. Patellofemoral Instability: Acute Dislocation of the Patella\r 1587
ANATOMY\r 1587
CLINICAL PRESENTATION\r 1589
PHYSICAL EXAMINATION\r 1591
ASSOCIATED INJURIES\r 1591
IMAGING\r 1591
NONOPERATIVE TREATMENT\r 1595
OPERATIVE TREATMENT\r 1597
REHABILITATION\r 1599
2. Patellofemoral Instability: Recurrent Dislocation of the Patella 1601
ANATOMY\r 1601
CLINICAL PRESENTATION\r 1606
PHYSICAL EXAMINATION\r 1606
IMAGING\r 1611
NONOPERATIVE TREATMENT\r 1619
OPERATIVE TREATMENT\r 1619
SECTION D Patellar Fractures\r 1625
ANATOMY AND BIOMECHANICS\r 1626
CLASSIFICATION\r 1626
EVALUATION\r 1626
TREATMENT OPTIONS\r 1627
POSTOPERATIVE PRESCRIPTION AND POTENTIAL COMPLICATIONS\r 1629
CRITERIA FOR RETURN TO PLAY\r 1629
PATELLA FRACTURE IN CHILDREN 1629
CHAPTER 23\rKNEE 1632
SECTION A\rRelevant Biomechanics of the Knee 1632
DESCRIPTION OF BIOMECHANICAL TECHNIQUES 1633
MODELING OF THE KNEE JOINT\r 1633
EXPERIMENTAL STUDIES OF THE ENTIRE KNEE\r 1634
EXPERIMENTAL STUDIESOF INDIVIDUAL LIGAMENTS 1634
LIGAMENT BIOMECHANICS\r 1635
MENISCAL BIOMECHANICS\r 1642
PATELLOFEMORAL JOINT BIOMECHANICS 1644
SUMMARY\r 1649
SECTION B\rMeniscal Injuries 1649
HISTORICAL PERSPECTIVE\r 1649
ANATOMY, STRUCTURE, BIOMECHANICS, AND FUNCTION OF THE MENISCUS 1650
EPIDEMIOLOGY\r 1653
CLINICAL EVALUATION OF MENISCAL INJURIES\r 1654
CLASSIFICATION OF MENISCAL TEARS 1656
TREATMENT OPTIONS \r 1657
AREAS OF FUTURE INTEREST\r 1675
SECTION C\rMedial Ligament Injuries 1677
1. Medial Collateral Ligament Injuries in Adults 1677
ANATOMY AND BIOMECHANICS\r 1677
CLASSIFICATION\r 1680
EVALUATION\r 1680
TREATMENT OPTIONS\r 1684
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS\r 1689
CRITERIA FOR RETURN TO PLAY\r 1690
2. Pediatric Medial Knee Injuries 1691
ANATOMY \r 1691
HISTORY AND PHYSICAL EXAMINATION 1691
INJURIES TO THE MEDIAL COLLATERAL LIGAMENT 1692
FRACTURES OF THE MEDIAL KNEE 1693
SECTION D\rAnterior Cruciate Ligament Injuries 1697
1. Anterior Cruciate Ligament Injuries in the Adult 1697
ANATOMY AND BIOMECHANICS\r 1697
BASIC SCIENCE OF THE ANTERIOR CRUCIATE LIGAMENT\r 1700
EPIDEMIOLOGY\r 1701
CLASSIFICATION\r 1701
EVALUATION\r 1701
TREATMENT CONSIDERATIONS\r 1704
TREATMENT OPTIONS\r 1708
CLINICAL OUTCOMES\r 1714
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS\r 1721
REHABILITATION CONSIDERATIONS\r 1723
2. Anterior Cruciate Ligament Injuries in the Child 1729
INCIDENCE 1729
MECHANISM OF INJURY, HISTORY, AND PHYSICAL EXAMINATION 1730
TIBIAL EMINENCE FRACTURES\r 1730
MIDSUBSTANCE ANTERIOR CRUCIATE LIGAMENT TEARS\r 1732
SECTION E\rPosterior Cruciate Ligament Injuries 1736
1. Posterior Cruciate Ligament Injuries in the Adult 1736
RELEVANT ANATOMY\r 1737
EVALUATION\r 1741
TREATMENT OPTIONS\r 1746
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS\r 1764
2. Posterior Cruciate Ligament Injuries in the Child 1766
ANATOMY OF THE YOUNG ATHLETE AND ASSOCIATEDKNEE INJURIES 1767
POSTERIOR CRUCIATE LIGAMENT INJURY 1767
SECTION F\rLateral and Posterolateral Injuries of the Knee 1771
ANATOMY\r 1771
FUNCTION AND BIOMECHANICS\r 1776
CLASSIFICATION\r 1778
HISTORY AND CLINICAL EVALUATION\r 1778
IMAGING\r 1781
TREATMENT\r 1784
POSTOPERATIVE REHABILITATION, OUTCOMES, AND COMPLICATION 1794
EVIDENCE-BASED MEDICINE\r 1796
SPECIAL CONSIDERATIONS\r 1797
SECTION G\rMultiple Ligament Knee Injuries 1800
RELEVANT ANATOMY AND BIOMECHANICS\r 1800
CLASSIFICATION\r 1802
EVALUATION\r 1802
TREATMENT OPTIONS\r 1806
REHABILITATION\r 1809
FUTURE DIRECTIONS\r 1815
rPOSTOPERATIVE PRESCRIPTION 1816
POTENTIAL COMPLICATIONS\r 1817
CRITERIA FOR RETURN TO PLAY\r 1818
CONCLUSIONS AND SUMMARY\r 1818
SUGGESTED READINGS 1819
REFERENCES\r 1819
SECTION H\rOsteochondritis Dissecans 1819
CLASSIFICATION 1819
EPIDEMIOLOGY 1820
ETIOLOGY 1821
NATURAL HISTORY 1821
CLINICAL TREATMENT 1822
CONCLUSION 1823
SUGGESTED READINGS 1823
SECTION I\rArticular Cartilage Lesion 1824
RELEVANT ANATOMYAND BIOMECHANICS 1824
CLASSIFICATION 1825
EVALUATION 1826
TREATMENT OPTIONS 1826
NEW DEVELOPMENTS\r 1828
WEIGHING THE EVIDENCE\r 1829
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS 1836
SUGGESTED READINGS 1839
SECTION J\rKnee Replacement in Aging Athletes 1840
CURRENT LITERATURE REVIEW REGARDING SPORTS AFTER KNEE ARTHROPLASTY 1840
RECOMMENDATIONSREGARDING SPORTS AFTERKNEE ARTHROPLASTY 1841
CLINICAL EVALUATION 1842
TREATMENT OPTIONS 1843
FUTURE DIRECTIONSAND TECHNOLOGY 1850
SUGGESTED READINGS 1854
SECTION K -\rHigh Tibial Osteotomy in the Anterior Cruciate Ligament–Deficient Knee with Varus Angulation 1854
BIOMECHANICS AND CLASSIFICATION 1854
EVALUATION 1856
TREATMENT OPTIONS 1867
WEIGHING THE EVIDENCE 1869
POTENTIAL COMPLICATIONS 1883
SPECIAL POPULATIONS 1886
SUGGESTED READINGS 1888
SECTION L\rVascular Problems—Popliteal Artery Entrapment 1889
HISTORICAL PERSPECTIVE 1889
RELEVANT ANATOMYAND BIOMECHANICS 1889
CLASSIFICATION 1889
EVALUATION 1890
TREATMENT OPTIONS 1895
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS 1899
Criteria for Return to Play 1900
SUGGESTED READINGS 1900
CHAPTER 24 LEG \r 1902
SECTION A Stress Fractures of the Leg\r 1902
RELEVANT ANATOMY AND BIOMECHANICS 1902
PREDISPOSING RISK FACTORS FOR FOOT AND ANKLE STRESS FRACTURES 1902
PATHOGENESIS OF STRESS FRACTURES 1903
CLASSIFICATION 1904
EVALUATION 1904
TREATMENT OPTIONS 1907
POSTOPERATIVE PRESCRIPTION AND OUTCOMES MEASUREMENT 1908
POTENTIAL COMPLICATIONS\r 1908
CRITERIA FOR RETURN TO PLAY 1909
SPECIAL POPULATIONS 1909
CHAPTER 24\rB Leg Pain and Exertional Compartment Syndromes 1910
RELEVANT ANATOMYAND BIOMECHANICS 1911
CLASSIFICATION 1911
EVALUATION 1912
TECHNIQUE OF INTRACOMPARTMENTALPRESSURE MEASUREMENT 1913
TREATMENT OPTIONS 1913
WEIGHING THE EVIDENCE 1914
POSTOPERATIVE PRESCRIPTION, OUTCOMES MEASUREMENT, AND POTENTIAL COMPLICATIONS 1916
CRITERIA FOR RETURN TO PLAY 1916
SUGGESTED READINGS 1917
REFERENCES\r 1917
CHAPTER 25 FOOT AND ANKLE \r 1918
SECTION A Biomechanics\r 1918
ANKLE JOINT 1918
SUBTALAR JOINT 1920
TRANSVERSE TARSAL JOINT 1922
WINDLASS MECHANISM AND METATARSAL BREAK 1923
LINKAGE OF THE FOOT AND ANKLE 1923
SUGGESTED READINGS 1925
SECTION B\rSports Shoes and Orthoses 1926
HISTORY 1926
ANATOMY OF THE SPORTS SHOE 1930
MATERIALS USED IN SHOES AND SHOE INSERTS 1943
Polymer Science, in Brief 1943
Rubber and Plastic Technology for the Outsole and Midsole 1944
Heel Counter Materials 1945
Upper Materials 1945
BIOMECHANICAL ASPECTS OF SHOES AND ORTHOSES 1949
PROPER FIT AND SHOE PURCHASE DECISIONS 1959
SUMMARY 1964
SECTION C - LIGAMENT \rINJURIES 1965
INJURY TO THE ANKLE LIGAMENTS 1965
INJURY TO THE FOOT LIGAMENTS 2000
VARIATIONS OF NORMAL ANATOMY 2013
SOFT TISSUE INJURIES 2016
FRACTURES AROUND THE ANKLE 2017
FRACTURES IN THE FOOT 2022
SYSTEMIC ILLNESS 2027
SHOES AND ORTHOTICS 2027
SUGGESTED READINGS 2027
SECTION D\rTendon Injuries of the Foot and Ankle 2028
INJURIES DEFINED 2028
ANTERIOR TIBIAL TENDON INJURIES 2028
POSTERIOR TIBIAL TENDON INJURIES 2030
POSTERIOR TIBIAL TENDINITIS 2034
FLEXOR HALLUCIS LONGUS INJURIES 2036
PERONEAL TENDON INJURIES 2040
PERONEAL TENDINITIS 2041
SUBLUXATION OF PERONEAL TENDONS 2043
ACHILLES TENDON INJURIES 2050
ACHILLES TENDON RUPTURES 2055
SUGGESTED READINGS\r 2064
SECTION E\rStress Fractures of the Foot and Ankle 2065
ANATOMY 2065
BIOMECHANICS 2066
RISK FACTORS 2066
DIAGNOSIS 2067
TREATMENT PRINCIPLES 2068
SPECIFIC FRACTURES AND THEIR TREATMENT 2070
SUGGESTED READINGS 2083
SECTION F\rHeel Pain 2083
RETROCALCANEAL BURSITIS (HAGLUND’S DISEASE, ENLARGEMENT OF THE SUPERIOR TUBEROSITY OF THE OS CALCIS) 2083
PLANTAR FASCIITIS ASSOCIATED WITH PAIN IN MEDIAL TUBEROSITY (HEEL SPUR SUBCALCANEAL PAIN SYNDROME) 2095
SUGGESTED READING\r 2109
SECTION G - Entrapment \rNeuropathies of the Foot 2110
TARSAL TUNNEL SYNDROME 2110
ENTRAPMENT OF THE MOTOR BRANCH TO THE ABDUCTOR DIGITI QUINTI 2112
SURAL NERVE INJURY 2113
DEEP PERONEAL NERVE ENTRAPMENT (ANTERIOR TARSAL TUNNEL SYNDROME) 2114
SUPERFICIAL PERONEAL NERVE ENTRAPMENT 2115
SUGGESTED READINGS 2116
SECTION H\rConditions of the Forefoot 2117
HALLUX VALGUS 2117
SESAMOID DYSFUNCTION 2140
INGROWN TOENAILS 2149
SUBUNGUAL EXOSTOSIS 2158
INTRACTABLE PLANTAR KERATOSES 2160
LESSER TOE ABNORMALITIES 2168
BUNIONETTES 2185
SUGGESTED READINGS 2195
REFERENCES\r 2195
SECTION I\rOsteochondroses and Related Problems of the Foot and Ankle 2195
OVERVIEW OF OSTEOCHONDROSIS 2195
OSTEOCHONDROSES OF THE FOOT AND ANKLE 2196
OTHER LESIONS THAT CAN MIMIC ANKLE SPRAINS 2206
OTHER APOPHYSITIS, OSTEOCHONDRITIS, AND DEVELOPMENTAL ANOMALIES OF THE FOOT THAT CAN CAUSE DISABILITY IN ATHLETES 2215
SUGGESTED READINGS 2224
REFERENCES\r 2224
SECTION J\rEtiology of Injury to the Foot and Ankle 2224
INCIDENCE 2227
FLEXIBILITY AND STIFFNESS 2229
SHOEWEAR-RELATED INJURY 2236
PLAYING SURFACES AND INJURY 2245
MECHANICAL FACTORS 2250
SUMMARY 2257
SUGGESTED READINGS 2258
REFERENCES\r 2258
Index 2259