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https://www.readbyqxmd.com/read/27792055/diagnosis-treatment-and-return-to-play-for-four-common-sports-injuries-of-the-hand-and-wrist
#1
Charles A Goldfarb, Sameer K Puri, Michelle Gerwin Carlson
Hand and wrist injuries in the high-level athlete are challenging because they may be underestimated by the patient, family, and team, and return to play may be longer than desired. The needs of the player and the team must be balanced with the long-term functional ramifications of the injury. Four common soft-tissue sports injuries are flexor digitorum profundus avulsion, flexor pulley rupture, extensor carpi ulnaris dislocation, and thumb metacarpophalangeal joint ulnar collateral ligament injury. For each of these injuries, the assessment, treatment, and considerations for return to play should be individualized on the basis of the patient, the sport, and the timing of the injury...
December 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27726754/imaging-of-sports-related-injuries-of-the-lower-extremity-in-pediatric-patients
#2
M Cody O'Dell, Diego Jaramillo, Laura Bancroft, Laura Varich, Gregory Logsdon, Sabah Servaes
With increasing participation and intensity of training in youth sports in the United States, the incidence of sports-related injuries is increasing, and the types of injuries are shifting. In this article, the authors review sports injuries of the lower extremity, including both acute and overuse injuries, that are common in or specific to the pediatric population. Common traumatic injuries that occur in individuals of all ages (eg, tears of the acetabular labrum and anterior cruciate ligament) are not addressed, although these occur routinely in pediatric sports...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27694582/management-of-sports-injuries-of-the-foot-and-ankle-an-update
#3
C C Hong, C J Pearce, M S Ballal, J D F Calder
Injuries to the foot in athletes are often subtle and can lead to a substantial loss of function if not diagnosed and treated appropriately. For these injuries in general, even after a diagnosis is made, treatment options are controversial and become even more so in high level athletes where limiting the time away from training and competition is a significant consideration. In this review, we cover some of the common and important sporting injuries affecting the foot including updates on their management and outcomes...
October 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27676875/prevalence-of-vitamin-d-deficiency-in-high-level-athletics-athletes
#4
Pascal Edouard, Jean-Michel Serra, Marie Lafleur, Frédéric Depiesse
OBJECTIVE: Vitamin D works on many biological parameters, functions and pathophysiological phenomena, such as bone metabolism but also extra-osseous metabolism (muscular role immunomodulator, cardiac, infectious). In France, the prevalence of vitamin D deficiency is estimated between 36% and 79-81% based on a threshold set at 50nmol/L or 75nmol/L, respectively. Due to these effects, vitamin D seems necessary to the health of athletes. The objective of this study was to determine the vitamin D status of in athletics athletes, and to analyse the possibilities of a screening questionnaire of vitamin D deficiency...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27636554/impact-of-a-submaximal-warm-up-on-endurance-performance-in-highly-trained-and-competitive-male-runners
#5
Michael C Zourdos, Caleb D Bazyler, Edward Jo, Andy V Khamoui, Bong-Sup Park, Sang-Rok Lee, Lynn B Panton, Jeong-Su Kim
PURPOSE: The purpose of this investigation was to examine the effects of a submaximal running warm-up on running performance in male endurance athletes (n = 16, Mage = 21 ± 2 years, MVO2max = 69.3 ± 5.1 mL/kg/min). METHOD: Endurance performance was determined by a 30-min distance trial after control and submaximal running warm-up conditions in a randomized crossover fashion. The warm-up began with 5 min of quiet sitting, followed by 6 min of submaximal running split into 2-min intervals at speeds corresponding to 45%, 55%, and 65% maximal oxygen consumption (VO2max)...
September 16, 2016: Research Quarterly for Exercise and Sport
https://www.readbyqxmd.com/read/27563477/a-scaphoid-stress-fracture-in-a-female-collegiate-level-shot-putter-and-review-of-the-literature
#6
Jessica M Kohring, Heather M Curtiss, Andrew R Tyser
Scaphoid stress fractures are rare injuries that have been described in young, high-level athletes who exhibit repetitive loading with the wrist in extension. We present a case of an occult scaphoid stress fracture in a 22-year-old female Division I collegiate shot-putter. She was successfully treated with immobilization in a thumb spica splint for 6 weeks. Loaded wrist extension activities can predispose certain high-level athletes to sustain scaphoid stress fractures, and a high index of suspicion in this patient population may aid prompt diagnosis and management of this rare injury...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27462543/arthroscopic-debridement-of-pediatric-accessory-anterolateral-talar-facet-causing-impingement
#7
Julie A Neumann, Sandeep Mannava, Christopher E Gross, Benjamin M Wooster, Michael T Busch
Symptomatic subfibular and/or lateral talocalcaneal impingement in pediatric patients may result from an accessory anterolateral talar facet (AALTF). This impingement may cause pain and disability and may limit athletic performance in high-level athletes. We report the case of a 12-year-old female competitive gymnast who had refractory, lateral-sided right ankle pain for 4 months and underwent right ankle arthroscopic resection of the AALTF causing impingement. Standard medial and anterolateral portals with the addition of an accessory anterolateral-distal portal were used in conjunction with a 30° 2...
April 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27395448/sports-related-testing-protocols-are-required-to-reveal-trunk-stability-adaptations-in-high-level-athletes
#8
David Barbado, Luis C Barbado, Jose L L Elvira, Jaap H van Dieën, Francisco J Vera-Garcia
Trunk/core stability is considered a key component of training programs, because it could contribute to prevention of low-back and lower-limb injuries and to sports performance. Based on the specificity principle, sports-related trunk stability tests would be required in elite sports performance. However, there may be some generic qualities underlying trunk stability that can be assessed with nonspecific protocols, which are broadly used in sport and rehabilitation. To assess whether specific tests are needed in a high-performance context, we analyzed the influence of specialization in sports with large but qualitatively different balance control demands (judo and kayaking) on trunk stability and compared high-performance athletes with recreational athletes without a specific training history...
September 2016: Gait & Posture
https://www.readbyqxmd.com/read/27335810/medial-ulnar-collateral-ligament-reconstruction-of-the-elbow-in-major-league-baseball-players-where-do-we-stand
#9
REVIEW
Brandon J Erickson, Bernard R Bach, Charles A Bush-Joseph, Nikhil N Verma, Anthony A Romeo
The ulnar collateral ligament (UCL) is a vital structure to the overhead athlete, especially the baseball pitcher. For reasons not completely understood, UCL injuries have become increasingly more common in major league baseball (MLB) pitchers over the past 10 years. UCL reconstruction (UCLR) is the current gold standard of treatment for these injuries in MLB pitchers who wish to return to sport (RTS) at a high level and who have failed a course of non-operative treatment. Results following UCLR in MLB pitchers have been encouraging, with multiple RTS rates now cited at greater than 80%...
June 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27326963/etiology-of-adult-onset-stress-fracture-in-the-lumbar-spine
#10
Fumitake Tezuka, Koichi Sairyo, Toshinori Sakai, Akira Dezawa
STUDY DESIGN: Case series. OBJECTIVE: The purpose of this paper is to present a case series of fresh stress fractures (spondylolysis) in the lumbar spines of adult athletes. SUMMARY OF BACKGROUND DATA: Lumbar spondylolysis is a stress fracture of the pars interarticularis, which is generally considered a disease of children or adolescence. There is only one case series written in English reporting on adult-onset fresh spondylolysis. METHODS: Eleven patients aged 20-27 years are included in this case series...
June 20, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27269801/upper-extremity-physical-performance-tests-in-college-athletes
#11
Jeffrey B Taylor, Alexis A Wright, James M Smoliga, J Tyler DePew, Eric J Hegedus
CONTEXT: Physical-performance tests (PPTs) are commonly used in rehabilitation and injury-prevention settings, yet normative values of upper-extremity PPTs have not been established in high-level athletes. OBJECTIVE: To establish normative data values for the Closed Kinetic Chain Upper-Extremity Stability Test (CKCUEST) and Upper-Quarter Y-Balance Test (UQYBT) in college athletes and compare results between sports and to analyze the relationship between the 2 tests...
May 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27231334/time-to-be-honest-regarding-outcomes-of-acl-reconstructions-should-we-be-quoting-55-65-success-rates-for-high-level-athletes
#12
EDITORIAL
Robert G McCormack, Mark R Hutchinson
No abstract text is available yet for this article.
October 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27194616/a-new-jump-landing-protocol-identifies-differences-in-healthy-coper-and-unstable-ankles-in-collegiate-athletes
#13
Kathy Liu, Caitlin Dierkes, Logan Blair
Ankle sprains are the most common injury in sport. With stability being an important risk factor for ankle sprains, a jump-landing protocol that can elicit differences in time-to-stabilisation (TTS) is necessary. The objective of this study was to develop a jump-landing protocol that could identify differences in TTS among healthy, 'coper', and unstable ankles of high-level athletes. 61 Division I collegiate athletes (32 females, 29 males; age: 19.9 ± 1.2 years; height: 176.6 ± 9.5 cm; mass: 74.3 ± 10...
September 2016: Sports Biomechanics
https://www.readbyqxmd.com/read/27032913/cervical-spine-surgery-in-professional-athletes-a-systematic-review
#14
Andrei F Joaquim, Wellington K Hsu, Alpesh A Patel
Cervical surgery is one of the most common surgical spinal procedures performed around the world. The authors performed a systematic review of the literature reporting the outcomes of cervical spine surgery in high-level athletes in order to better understand the nuances of cervical spine pathology in this population. A search of the MEDLINE database using the search terms "cervical spine" AND "surgery" AND "athletes" yielded 54 abstracts. After exclusion of publications that did not meet the criteria for inclusion, a total of 8 papers reporting the outcome of cervical spine surgery in professional or elite athletes treated for symptoms secondary to cervical spine pathology (focusing in degenerative conditions) remained for analysis...
April 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/26863894/athletes-at-high-altitude
#15
Morteza Khodaee, Heather L Grothe, Jonathan H Seyfert, Karin VanBaak
CONTEXT: Athletes at different skill levels perform strenuous physical activity at high altitude for a variety of reasons. Multiple team and endurance events are held at high altitude and may place athletes at increased risk for developing acute high altitude illness (AHAI). Training at high altitude has been a routine part of preparation for some of the high level athletes for a long time. There is a general belief that altitude training improves athletic performance for competitive and recreational athletes...
March 2016: Sports Health
https://www.readbyqxmd.com/read/26837511/-apophyseal-avulsions-of-the-hip-region-in-adolescents
#16
T Wirth
BACKGROUND: In daily practice apophyseal avulsions of sportive adolescents are frequently being diagnosed with a time delay and treated heterogeneously. GOAL: Using the most actual literature and the own experience the current diagnostic and therapeutic strategies are put into perspective with regards of the needs of the adolescent athlete. MATERIAL AND METHODS: The apophyseal lesions of the hip area in adolescence are separated in those at the pelvis and those at the proximal femur...
March 2016: Der Orthopäde
https://www.readbyqxmd.com/read/26829609/impact-of-patellar-tendinopathy-on-knee-proprioception-a-cross-sectional-study
#17
Rui Torres, João Ferreira, Diogo Silva, Elisa Rodrigues, Isabel M Bessa, Fernando Ribeiro
OBJECTIVE: To determine whether high-level athletes with patellar tendinopathy have diminished knee proprioceptive acuity. DESIGN: Cross-sectional study. SETTING: University research laboratory (institutional). PARTICIPANTS: Twenty-one basketball and volleyball players with patellar tendinopathy (13 men and 8 women; mean age 24.5 ± 3.6; body mass index = 22.5 ± 2.0 kg/m) and an equal number of athletes without symptoms of patellar tendinopathy injury were included in this study...
January 19, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/26721313/baicalein-reverts-l-valine-induced-persistent-sodium-current-up-modulation-in-primary-cortical-neurons
#18
Silvia Caioli, Elena Candelotti, Jens Z Pedersen, Luana Saba, Alessia Antonini, Sandra Incerpi, Cristina Zona
L-valine is a branched-chain amino acid (BCAA) largely used as dietary integrator by athletes and involved in some inherited rare diseases such as maple syrup urine disease. This pathology is caused by an altered BCAA metabolism with the accumulation of toxic keto acids in tissues and body fluids with consequent severe neurological symptoms. In animal models of BCAA accumulation, increased oxidative stress levels and lipid peroxidation have been reported. The aim of this study was to analyze both whether high BCAA concentrations in neurons induce reactive oxygen species (ROS) production and whether, by performing electrophysiological recordings, the neuronal functional properties are modified...
April 2016: Biochimica et Biophysica Acta
https://www.readbyqxmd.com/read/26712509/considerations-in-the-use-of-stimulants-in-sport
#19
LETTER
Claudia L Reardon, Robert M Factor
Medication treatment of adult athletes with attention-deficit/hyperactivity disorder (ADHD) is controversial. Some articles and guidelines support the use of stimulant medications in this population, while others advise against it. We believe that the important issues regarding the use of stimulant medications in athletes include the likelihood of performance enhancement, poor inter-rater reliability of ADHD diagnosis in relation to therapeutic use, policies of sport-governing bodies, psychiatric treatment of mental illness, and dangerous consequences of use...
May 2016: Sports Medicine
https://www.readbyqxmd.com/read/26710938/acute-modification-in-plasma-lipid-levels-in-ultramarathon-runners
#20
Luiz Gustavo Marin Emed, Daniela Gunther Passaglia, Surya T Guerios, Paula G D João, André I S Moser, Dulcinéia S P Abdalla, Luis Cesar Guarita-Souza, Emanuella Stella Mikilita, Cristina Pellegrino Baena, Ana Beatriz Brenner Affonso da Costa, José Rocha Faria-Neto
We aimed to evaluate the effects of a 24-h ultramarathon, an aerobic test of high physical load, on lipid profile and apolipoproteins B (ApoB) and A1 (ApoA1) levels, minimally modified low-density lipoprotein (LDL), and oxidised LDL. Prospective evaluation of 16 male athletes who participated in an ultramarathon run, where the objective was to run the greatest distance possible in 24 h. Fourteen participants completed the run. The mean distance achieved was 133.1 km (maximum of 169.6 km). There was a trend in reduction of triglycerides and total cholesterol (P = 0...
September 2016: Journal of Sports Sciences
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