BRINGING SCIENCE TO TREATMENT

Anatomy

Uncommon injuries: Don’t play with groin pain – femoral...

in Diagnose & Treat, Hip injuries, Uncommon injuries

Although relatively uncommon in athletes, the risk of a femoral neck stress fracture is nevertheless significant, especially in females. Andrew Hamilton explains the etiology of this debilitating injury, factors that aid a rapid and accurate diagnosis, and the nutritional defecits associated with its development. First reported by Asalin, a German military surgeon in 1905, a... MORE

Neuroplasticity in sports injury rehabilitation: Part I

in Anatomy, Improve

In the first part of a 2-part article, Chris Mallac explores the concept of neuroplasticity, and how a better understanding of its underlying principles improves rehab outcomes. Reinjury rates following return to sport are often quite high. In under-25 athletes for example, the incidence of another anterior cruciate ligament (ACL) rupture (or ACL failure) run... MORE

The 4 mechanism of shoulder injuries in rugby union...

in Email Newsletters, Shoulder injuries

A significant aspect of sports injury prevention is understanding the mechanism of injury. Knowing how the damage occurs leads to the development of strategies, such as increased strength or flexibility, which help the athlete either avoid the injury situation or cope with the incident in a better way. Researchers in Dublin sought such information regarding... MORE

Uncommon injuries: Posterior interosseous nerve dysfunction – a cause...

in Anatomy, Diagnose & Treat, Elbow and arm injuries

Lateral elbow and forearm pain can be maddening for racket athletes. In part I of this series on posterior interosseous nerve dysfunction, Chris Mallac explains how PIN injuries differ from typical ‘tennis elbow’ and offers thoughts on the differential diagnosis of forearm pain in athletes.  Lateral elbow pain around the extensor compartment of the forearm is typically attributed... MORE

Uncommon injuries: Pec minor – a diagnostic dilemma

in Diagnose & Treat, Shoulder injuries

Isolated pec minor injuries are rare, but present a diagnostic dilemma when they do occur. Andrew Hamilton explains how clinicians can diagnose and treat these injuries in athletes. A variety of conditions cause musculoskeletal shoulder pain which radiates to the anterior chest. These include contusions from trauma, costochondritis, pectoralis muscle strains, and tendon rupture. However, while rare... MORE

Uncommon Injuries: Subcoracoid impingement

in Diagnose & Treat, Shoulder injuries, Uncommon injuries

Chris Mallac explores the anatomy and biomechanics of subcoracoid impingement syndrome, including how clinicians can diagnose and most effectively manage this condition. Sub-coracoid impingement (SCI) syndromes are an uncommon cause of anterior shoulder pain in the athlete; the prevalence in the general population who complain of anterior shoulder pain is approximately 5%(1). Although originally identified... MORE

Walk it off! Guidelines for preventing overdiagnosis

in Ankle and foot injuries, Email Newsletters, Improve, Prevent

The British Journal of Medicine published two interesting articles this month. The first is an education review on the overdiagnosis and medicalization of athletes (and the public at large)(1). The authors cite several factors supporting this trend in sports medicine, including: The belief that more intervention improves outcomes. Making the definition of disease more inclusive.... MORE

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