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
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
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
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
in Diagnose & Treat, Joint injuries, Shoulder injuries
Part one of this article series discussed the patho-anatomy of thoracic outlet syndrome (TOS) and the typical symptoms associated with the different neurological and vascular TOS subtypes. In part two, Chris Mallac outlines the clinical tests used to diagnose TOS and discusses conservative management and surgical options to treat this injury. Clinical Tests There are... MORE
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
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
in Anatomy, Diagnose & Treat, Female Athletes, Improve
Tighter is not better, and strengthening is not always the answer when muscles are stiff or sore. Sandra Hilton expounds on why this is as true for the pelvic floor as stiff backs, shoulders, or ankles. Treating pelvic pain is a unique challenge because its the association with bowel, bladder, and sexual function. A common misconception... MORE
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
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
