07/17/2018 |

Long head of biceps tendon – Part II :...

In the first part of his article, Chris Mallac took a detailed look at the anatomy and biomechanics of the long head of biceps tendon. In part two, he investigates the appropriate diagnostic tests and imaging modalities, and provides clinician with management protocols Athletes involved in sports that require a lot of overhead hand/arm position are... MORE

Joint injuries

07/3/2018 |

The Buford complex

Chris Mallac looks at a rare and under-recognised variant of normal shoulder anatomy known as the Buford complex. How does it differ from normal anterior shoulder anatomy and what are the implications for clinicians? The Buford complex is a relatively rare and under-recognised variant of normal shoulder anatomy that affects the antero-superior labrum and the middle... MORE

06/26/2018 |

Masterclass: AC joint reconstruction – Part I

In part 1 of this feature, Chris Mallac outlines the relevant anatomy and biomechanics of the ACJ, how they are injured, how to clinically assess injury and the relevant radiological requirements in determining the extent of injury. MORE

Diagnose & Treat

07/12/2018 | Ankle and foot injuries

Principles of tendon healing apply to the Achilles tendon

Achilles tendinopathy and tear. Photo Credit William Morrison, MD, @morrisonMSK The principles of tendon injury and healing apply to any injured tendon, even the Achilles. The largest tendon in the body, the Achilles is the connection for both the soleus and gastrocnemius muscle to the calcaneus. It functions in nearly every activity, including walking, running,... MORE

07/11/2018 | Acute injuries

NSAIDs: the magic pill for managing tendinopathy?

The natural tendency for many athletes in the acute stage of tendon injury is to manage the pain and possible swelling with non-steroidal anti-inflammatory (NSAIDs) medications. But is this the best approach? Andy Hamilton, editor of Peak Performance and frequent contributor to Sports Injury Bulletin, examines the role of NSAIDs in healing from injury here. As... MORE

07/8/2018 | Knee injuries

New thinking in management of ACL injury – Part...

In the first of this two-part series, Alicia Filley unravelled the mystery of the role of the ACL and anterolateral complex in knee stability. In this article, she evaluates the current thinking on conservative management, repair, and the required rehabilitation to successfully return athletes to sport The recent hubbub regarding the presence of the anterolateral ligament (ALL),... MORE

07/8/2018 | Improve

NSAIDs: the good, the bad and the ugly

Andrew Hamilton looks at recent research on non-steroidal anti-inflammatory medication; should it be considered a last resort for athletes rather than the first? Non-steroidal anti-inflammatory drugs (NSAIDs) are cornerstones of pain management in homes, clinics and hospitals worldwide. These agents are consumed or prescribed for diverse conditions ranging from mild intermittent to chronic musculoskeletal pain, as... MORE

07/7/2018 |

Chronobiology: rhythms and athletic injury

We may live in a high-tech 24/7 world, but fundamental biological rhythms remain deeply ingrained in our physiological makeup. Andrew Hamilton explains how these rhythms can affect injury risk, and the implications of this for coaches and clinicians Humans have evolved in and are surrounded by a world full of rhythms. It would be incredible therefore... MORE

07/3/2018 |

Text neck and the curse of thoracic dysfunction

Trevor Langford explores the biomechanical demands of the thoracic spine, provides examination and assessment guidelines and outlines methods for improving thoracic mobility. Thoracic spinal or mid back pain is a common complaint among a wide range of age groups within the general population, with adolescents and the elderly alike reporting pain. Shoulder biomechanics can be affected... MORE


Tendinopathy in the long head of the bicep

Previous newsletters have reviewed the mechanism of injury, pathophysiology, rehab approach, and use of non-steroidal anti-inflammatory medications in the treatment of tendon injuries. Physiotherapist and writer Chris Mallac recently took a deep dive looking at  the tendon of the long head of the biceps (LHB). Injuries to this tendon occur in overhead athletes, swimmers, and cross fit athletes. Be curious... MORE

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