BRINGING SCIENCE TO TREATMENT

Diagnose & Treat

Obsessing about Osteochondritis Dissecans

in Anatomy, Knee injuries, Musculoskeletal injuries, Overuse injuries, Pre-hab and post-surgical rehab

Osteochondritis dissecans (OCD) of the knee is a pathological entity initially presenting as vague internal knee pain. Chris Mallac takes a deep dive into OCD and uncovers the clinical presentation and management. Introduction Osteochondritis Dissecans (OCD) primarily occurs when the subchondral bone undergoes blood flow disruption leading to ischemia and damage. It may present as... MORE

Getting to grips with the distal radioulnar joint

in Anatomy, Diagnose & Treat, Hand injuries, Joint injuries

Wrist injuries account for 3-9% of all sports injuries(1). Chris Mallac gets to grips with distal radioulnar joint injuries and discusses the presentation, diagnosis, and management in clinical practice.  Anatomy and Biomechanics The distal radioulnar joint (DRUJ) allows pronation and supination of the forearm. Along with the proximal radioulnar joint (PRUJ), these two uniaxial pivot... MORE

A hop, skip, and a jump: restoring function following...

in Acute injuries, Anatomy, Diagnose & Treat, Knee injuries, Musculoskeletal injuries, Pre-hab and post-surgical rehab, Uncommon injuries

Patellar tendon ruptures are rare, and the evidence guiding rehabilitation is not clear. With this in mind, Trevor Langford reviews the predisposing factors, clinical presentation, and rehabilitation options in patellar tendon rupture repairs. With an incidence of 0.6%, a healthy patellar tendon rupture is rare(1). Patellar tendon ruptures (PTR) are often the result of trauma (direct or... MORE

Stressed out: finding the optimal loading strategy for tibial...

in Diagnose & Treat, Female Athletes, Overuse injuries

Treating bone stress injuries usually involves a period of reduced weight-bearing and immobilization. However, bones benefit from bearing weight. Nicolaas van Dijk explores the benefits of early and optimal loading, leading to less time off from exercise and running. Between one to two-thirds of competitive cross-country and long-distance runners have a history of bone stress... MORE

Uncommon injuries: posterior cruciate ligament tears

in Diagnose & Treat, Knee injuries

Posterior cruciate ligament injuries are rare. Thus, many clinicians lack the experience and protocols to manage them. Trevor Langford reviews the anatomy, biomechanics, and mechanism of injury of the PCL and covers the rehabilitation plan for isolated PCL injuries.  Introduction The posterior cruciate ligament (PCL) is the strongest intraarticular ligament of the knee and a... MORE

Sure footing: why the foot is the foundation of...

in Ankle and foot injuries, Diagnose & Treat

The balance of the articular and muscular systems within the foot and ankle complex is crucial for optimal loading to withstand sporting demands. Tracy Ward explains the architecture, biomechanics, and clinical application to build the foundation from the foot up. The foot and ankle complex controls balance and posture and counteracts gravitational forces. The body’s... MORE

Thoracic outlet syndrome in the athlete

in Diagnose & Treat, Shoulder injuries

Injuries to the upper extremity’s nerves and blood vessels, although rare, can occur in the overhead athlete. Chris Mallac explores the different causes of thoracic outlet syndrome and the typical signs and symptoms that usually plague an athlete in this confusing, poorly defined, and difficult-to-diagnose problem. First described over 200 years ago and named as... MORE

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

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