BRINGING SCIENCE TO TREATMENT

Diagnose & Treat

Little leaguer’s elbow: a growing concern

in Diagnose & Treat, Elbow and arm injuries

While practice might make perfect, too much preparation can damage growing bones. Chris Mallac explains how pitching mechanics and skeletal immaturity contribute to little leaguer’s elbow. 2019 South Williamsport, PA, pitcher Egan Prather (24) throws a pitch in the third inning against the Caribbean Region during the Little League World Series. Credit: Evan Habeeb-USA TODAY... MORE

The young and reckless: the influence of age on...

in Musculoskeletal injuries, Prevent

Age and maturity may put younger athletes at risk for certain types of injuries. Jason Tee explains how development impacts injury risk and examines how to support young athletes for life-long activity. While increasing age increases overall injury risk in athletes, clinicians may misinterpret that fact and ignore the injury risk in the young(1). Indeed,... MORE

Sesamoid stress fracture: no small issue

in Ankle and foot injuries, Diagnose & Treat

Sesamoid bones are some of the smallest in the body. Yet, they can pose a big problem when injured. Trevor Langford discusses the anatomy, biomechanics, and clinical relevance of a stress fracture of the sesamoid bones and reviews management options. Sports such as running, dancing, and gymnastics often require forceful forefoot dorsiflexion while in a weight-bearing... MORE

Periodization in the rehabilitation of anterior cruciate ligament injuries

in Joint injuries, Knee injuries, Pre-hab and post-surgical rehab

Knowingly or not, sports physiotherapists use periodization principles when they implement post-operative protocols. Jessica Montgomery explains how capitalizing on periodized training can improve ACL injury outcomes. To successfully return to play, athletes recovering from anterior cruciate ligament (ACL) injuries must regain their preinjury level of strength, neuromuscular control, and power. These elements are necessary for... MORE

Unusual Injuries: Quadrilateral Space Syndrome

in Diagnose & Treat, Shoulder injuries, Uncommon injuries

Athletes with persistent and undiagnosed shoulder pain may suffer from the rare but painful quadrilateral space syndrome. Chris Mallac unravels this complex diagnosis and offers practical treatment solutions. Quadrilateral Space Syndrome (QSS), first described in 1983, is a rare and unusual shoulder pathology primarily seen in male volleyballers, swimmers, and baseball pitchers(1,2). Athletes with QSS... MORE

Row, row, row the boat – the consequences of...

in Anatomy, Core injuries, Diagnose & Treat

Tracy Ward considers the biomechanical and physical aspects of rowing and their contribution to upper extremity injuries and explores injury prevention strategies, including targeted strength and conditioning. Rowing is a repetitive, weight-supported sport where the high training volumes are similar to cycling, kayaking, and swimming(1). Despite being non-contact and low-impact, rowers are still subject to... MORE

Pulling your leg: Hip avulsion injury is no joke

in Diagnose & Treat, Hip injuries

In the first of a two-part series, Andrew Hamilton looks at common hip avulsion injuries in athletes, the relationship between injury mechanism and location, and guidelines for avulsion injury diagnosis. An avulsion injury occurs when large or chronic forces transmitted through muscles, tendons, and connective tissue pull a fragment of bone away at the site... MORE

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