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Sports medicine

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112 papers 1000+ followers MH Residency - Sports Medicine
https://www.readbyqxmd.com/read/28903012/in-vitro-chondrotoxicity-of-nonsteroidal-anti-inflammatory-drugs-and-opioid-medications
#1
Geoffrey D Abrams, Wenteh Chang, Jason L Dragoo
BACKGROUND: A variety of medications are administered to the intra-articular space for the relief of joint pain. While amide-type local anesthetics have been extensively studied, there is minimal information regarding the potential chondrotoxicity of nonsteroidal anti-inflammatory drugs (NSAIDs) and opioid medications. PURPOSE: To investigate the in vitro chondrotoxicity of single-dose equivalent concentrations of ketorolac, morphine, meperidine, and fentanyl on human chondrocytes...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28827315/pain-in-elite-athletes-neurophysiological-biomechanical-and-psychosocial-considerations-a-narrative-review
#2
REVIEW
Brian Hainline, Judith A Turner, J P Caneiro, Mike Stewart, G Lorimer Moseley
Pain is a common problem among elite athletes and is frequently associated with sport injury. Both injury and pain interfere with peak performance. Pain management should be based on the physiological, anatomical and psychosocial influences on the individual's pain and is not equivalent to injury management, which focuses on musculoskeletal recovery and return-to-play. This narrative review provides a foundation for understanding the differing causes and types of pain in elite athletes, thereby serving as a springboard for comprehensive pain management...
September 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28646100/the-athlete-monitoring-cycle-a-practical-guide-to-interpreting-and-applying-training-monitoring-data
#3
EDITORIAL
Tim J Gabbett, George P Nassis, Eric Oetter, Johan Pretorius, Nick Johnston, Daniel Medina, Gil Rodas, Tom Myslinski, Dan Howells, Adam Beard, Allan Ryan
No abstract text is available yet for this article.
June 23, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28274916/why-do-workload-spikes-cause-injuries-and-which-athletes-are-at-higher-risk-mediators-and-moderators-in-workload-injury-investigations
#4
EDITORIAL
Johann Windt, Bruno D Zumbo, Ben Sporer, Kerry MacDonald, Tim J Gabbett
No abstract text is available yet for this article.
July 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28575638/elbow-injuries-in-professional-baseball-epidemiological-findings-from-the-major-league-baseball-injury-surveillance-system
#5
Michael G Ciccotti, Keisha M Pollack, Michael C Ciccotti, John D'Angelo, Christopher S Ahmad, David Altchek, James Andrews, Frank C Curriero
BACKGROUND: Elbow injuries cause significant disability for the throwing athlete. Scant data are available on the distribution and characteristics of these injuries in elite baseball players. No study exists that focuses solely on the epidemiological characteristics of elbow injuries in professional baseball players using a comprehensive injury surveillance system. HYPOTHESIS: Professional baseball players have a high occurrence of elbow injuries influenced by factors including length of time playing, time period within the annual baseball season, and specific position played...
August 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28596288/should-exercises-be-painful-in-the-management-of-chronic-musculoskeletal-pain-a-systematic-review-and-meta-analysis
#6
REVIEW
Benjamin E Smith, Paul Hendrick, Toby O Smith, Marcus Bateman, Fiona Moffatt, Michael S Rathleff, James Selfe, Pip Logan
BACKGROUND: Chronic musculoskeletal disorders are a prevalent and costly global health issue. A new form of exercise therapy focused on loading and resistance programmes that temporarily aggravates a patient's pain has been proposed. The object of this review was to compare the effect of exercises where pain is allowed/encouraged compared with non-painful exercises on pain, function or disability in patients with chronic musculoskeletal pain within randomised controlled trials. METHODS: Two authors independently selected studies and appraised risk of bias...
June 8, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28530451/effect-of-high-volume-injection-platelet-rich-plasma-and-sham-treatment-in-chronic-midportion-achilles-tendinopathy-a-randomized-double-blinded-prospective-study
#7
Anders Ploug Boesen, Rudi Hansen, Morten Ilum Boesen, Peter Malliaras, Henning Langberg
BACKGROUND: Injection therapies are often considered alongside exercise for chronic midportion Achilles tendinopathy (AT), although evidence of their efficacy is sparse. PURPOSE: To determine whether eccentric training in combination with high-volume injection (HVI) or platelet-rich plasma (PRP) injections improves outcomes in AT. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: A total of 60 men (age, 18-59 years) with chronic (>3 months) AT were included and followed for 6 months (n = 57)...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28417330/management-of-nasal-fractures-in-sports
#8
Yashika Patel, Peter Goljan, Todd P Pierce, Anthony Scillia, Kimona Issa, Vincent K McInerney, Anthony Festa
Nasal fractures represent approximately 60% of all maxillofacial injuries that occur in athletic activities; however, there are no current guidelines regarding immediate sideline management of these injuries. Therefore, the purpose of this article was to (1) summarize the anatomy, etiology, and incidence of nasal fractures, and (2) evaluate the current body of literature regarding immediate on-field and subsequent outpatient management. It is imperative to establish that the athlete's airway is not compromised and there are no other severe concomitant injuries, such as a concussion, ocular injury, or leakage of cerebrospinal fluid...
April 17, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28407652/smartphone-enabled-heart-rate-variability-and-acute-mountain-sickness
#9
Adrian Mellor, Josh Bakker-Dyos, John OʼHara, David Richard Woods, David A Holdsworth, Christopher J Boos
INTRODUCTION: The autonomic system and sympathetic activation appears integral in the pathogenesis of acute mountain sickness (AMS) at high altitude (HA), yet a link between heart rate variability (HRV) and AMS has not been convincingly shown. In this study we investigated the utility of the smartphone-derived HRV score to predict and diagnose AMS at HA. METHODS: Twenty-one healthy adults were investigated at baseline at 1400 m and over 10 days during a trek to 5140 m...
April 12, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27479833/cervical-spine-injuries-in-the-athlete
#10
Gregory D Schroeder, Alexander R Vaccaro
Cervical spine injuries are extremely common and range from relatively minor injuries, such as cervical muscle strains, to severe, life-threatening cervical fractures with spinal cord injuries. Although cervical spine injuries are most common in athletes who participate in contact and collision sports, such as American football and rugby, they also have been reported in athletes who participate in noncontact sports, such as baseball, gymnastics, and diving. Cervical spine injuries in athletes are not necessarily the result of substantial spine trauma; some athletes have chronic conditions, such as congenital stenosis, that increase their risk for a serious cervical spine injury after even minor trauma...
September 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/23314078/return-to-play-after-cervical-spine-injury-in-sports
#11
REVIEW
Robert C Cantu, Yan Michael Li, Mohamed Abdulhamid, Lawrence S Chin
Spinal cord injuries (SCIs) resulting from sports now represent 8.9% of the total causes of SCI. Regardless of cause, there are bound to be return-to-play decisions to be made for athletes. Since catastrophic cervical spine injuries are among the most devastating injuries in all of sports, returning from a cervical spine injury is one of the most difficult decisions in sports medicine. Axial loading is the primary mechanism for catastrophic cervical spine injuries. Axial loading occurs as a result of intentional or unintentional head-down contact and spearing...
January 2013: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/26502187/return-to-play-recommendations-after-cervical-thoracic-and-lumbar-spine-injuries-a-comprehensive-review
#12
REVIEW
Philip Huang, Alireza Anissipour, William McGee, Lawrence Lemak
CONTEXT: Currently, there is a national focus on establishing and disseminating standardized guidelines for return to play for athletes at all levels of competition. As more data become available, protocols and guidelines are being refined and implemented to assist physicians, coaches, trainers, players, and parents in making decisions about return to play. To date, no standardized criteria for returning to play exist for injuries to the spine. EVIDENCE ACQUISITION: Electronic databases including PubMed and MEDLINE and professional orthopaedic, neurosurgical, and spine organizational websites were reviewed between 1980 and 2015...
January 2016: Sports Health
https://www.readbyqxmd.com/read/23703513/emergency-preparedness-in-high-school-based-athletics-a-review-of-the-literature-and-recommendations-for-sport-health-professionals
#13
REVIEW
Robert P Olympia, Jodi Brady
Approximately 7.6 million high school students in the United States participate in sports. Although most sport-related injuries in adolescents are considered minor emergencies, life-threatening illnesses or injuries may occur, such as sudden cardiac arrest, heat stroke, status asthmaticus and exercise-induced asthma, catastrophic brain injuries, cervical spine injuries, heat- and cold-related illness, blunt chest/abdominal injuries, and extremity fractures resulting in compartment syndrome. Emergency preparedness in athletics involves the identification of and planning for medical services to promote the safety of the athlete, to limit injury, and to provide medical care at the site of practice or competition...
May 2013: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28288281/the-association-of-sport-specialization-and-training-volume-with-injury-history-in-youth-athletes
#14
Eric G Post, Stephanie M Trigsted, Jeremy W Riekena, Scott Hetzel, Timothy A McGuine, M Alison Brooks, David R Bell
BACKGROUND: Recommendations exist to encourage safe youth participation in sport. These recommendations include not specializing in 1 sport, limiting participation to less than 8 months per year, and limiting participation to fewer hours per week than a child's age. However, limited evidence exists to support or refute these recommendations. HYPOTHESIS: High levels of specialization will be associated with a history of injuries and especially overuse injuries, independent of age, sex, or weekly sport training hours...
May 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28259850/blood-flow-restriction-training-in-clinical-musculoskeletal-rehabilitation-a-systematic-review-and-meta-analysis
#15
REVIEW
Luke Hughes, Bruce Paton, Ben Rosenblatt, Conor Gissane, Stephen David Patterson
BACKGROUND AND OBJECTIVE: Low-load exercise training with blood flow restriction (BFR) can increase muscle strength and may offer an effective clinical musculoskeletal (MSK) rehabilitation tool. The aim of this review was to systematically analyse the evidence regarding the effectiveness of this novel training modality in clinical MSK rehabilitation. DESIGN: This is a systematic review and meta-analysis of peer-reviewed literature examining BFR training in clinical MSK rehabilitation (Research Registry; researchregistry91)...
July 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27660369/amssm-position-statement-on-cardiovascular-preparticipation-screening-in-athletes-current-evidence-knowledge-gaps-recommendations-and-future-directions
#16
Jonathan A Drezner, Francis G O'Connor, Kimberly G Harmon, Karl B Fields, Chad A Asplund, Irfan M Asif, David E Price, Robert J Dimeff, David T Bernhardt, William O Roberts
Cardiovascular screening in young athletes is widely recommended and routinely performed prior to participation in competitive sports. While there is general agreement that early detection of cardiac conditions at risk for sudden cardiac arrest and death (SCA/D) is an important objective, the optimal strategy for cardiovascular screening in athletes remains an issue of considerable debate. At the centre of the controversy is the addition of a resting ECG to the standard preparticipation evaluation using history and physical examination...
September 22, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27511985/the-response-of-muscle-protein-synthesis-following-whole-body-resistance-exercise-is-greater-following-40%C3%A2-g-than-20%C3%A2-g-of-ingested-whey-protein
#17
Lindsay S Macnaughton, Sophie L Wardle, Oliver C Witard, Chris McGlory, D Lee Hamilton, Stewart Jeromson, Clare E Lawrence, Gareth A Wallis, Kevin D Tipton
The currently accepted amount of protein required to achieve maximal stimulation of myofibrillar protein synthesis (MPS) following resistance exercise is 20-25 g. However, the influence of lean body mass (LBM) on the response of MPS to protein ingestion is unclear. Our aim was to assess the influence of LBM, both total and the amount activated during exercise, on the maximal response of MPS to ingestion of 20 or 40 g of whey protein following a bout of whole-body resistance exercise. Resistance-trained males were assigned to a group with lower LBM (≤65 kg; LLBM n = 15) or higher LBM (≥70 kg; HLBM n = 15) and participated in two trials in random order...
August 2016: Physiological Reports
https://www.readbyqxmd.com/read/27587835/exercise-not-a-miracle-cure-just-good-medicine
#18
EDITORIAL
Domhnall MacAuley, Adrian Bauman, Pierre Frémont
No abstract text is available yet for this article.
September 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27552452/platelet-rich-plasma-prp-in-orthopedic-sports-medicine
#19
REVIEW
Ryan A Mlynarek, Andrew W Kuhn, Asheesh Bedi
The use of platelet-rich plasma (PRP) injections in the treatment of musculoskeletal conditions has become more prevalent in recent years. Current literature has exhibited that PRP injections are relatively safe and can potentially accelerate or augment the soft tissue healing process. This review presents the most current literature update on the use of PRP in the treatment of rotator cuff tears, osteoarthritis of the knee, ulnar collateral ligament tears, lateral epicondylitis, hamstring injuries, and Achilles tendinopathy...
July 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27496908/the-effect-of-limited-perioperative-nonsteroidal-anti-inflammatory-drugs-on-patients-undergoing-anterior-cruciate-ligament-reconstruction
#20
Endre Soreide, Lars-Petter Granan, Geir A Hjorthaug, Birgitte Espehaug, Sigbjørn Dimmen, Lars Nordsletten
BACKGROUND: The administration of nonsteroidal anti-inflammatory drugs (NSAIDs) to patients undergoing anterior cruciate ligament reconstruction (ACLR) is controversial because it may impair tissue healing and clinical outcomes. PURPOSE: To assess the effect of NSAID administration on patients undergoing ACLR. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Included patients were aged >15 years and were registered in the Norwegian Knee Ligament Registry from 2008 until 2013 after the primary ACLR...
December 2016: American Journal of Sports Medicine
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