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The evidence base for orthopaedics and sports medicine: scandalously poor in parts.
PMID: 27080718 [PubMed - in process]
Source: British Journal of Sports Medicine - April 19, 2016 Category: Sports Medicine Authors: Lohmander LS, Roos EM Tags: Br J Sports Med Source Type: research
American Medical Society for Sports Medicine sports ultrasound curriculum for sports medicine fellowships
Br J Sports Med. 2021 May 9:bjsports-2021-103915. doi: 10.1136/bjsports-2021-103915. Online ahead of print.ABSTRACTSports ultrasound is commonly used by sports medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended sports ultrasound curriculum for sports medicine fellowships. Although written in the context of the American sports medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional sports ultrasound that may be applicable to the broader s...
Source: British Journal of Sports Medicine - May 10, 2021 Category: Sports Medicine Authors: Mederic M Hall David Bernhardt Jonathan T Finnoff Douglas Hoffman Melody Hrubes Kenneth Mautner Ashwin Rao Jeremiah Wayne Ray Jay Smith Anna Waterbrook Source Type: research
What is the role of 3 T MRI in sports medicine? Revisiting the marriage after the honeymoon
The first 3 T MRI systems were introduced to clinical practice over a decade ago, and access to these systems has become increasingly available worldwide. Although they were first used for neurological imaging, several studies have demonstrated the abilities and potential advantages of 3 T systems over conventional 1.5 T systems for musculoskeletal disorders, including for their use in sports medicine.1 2 The introduction of 3 T MRI generated great expectations in the field, with hope for marked improvement in the diagnosis of musculoskeletal disorders.3 What does ‘3T’ mean for a clinician? ...
Source: British Journal of Sports Medicine - July 14, 2016 Category: Sports Medicine Authors: Roemer, F. W., Guermazi, A. Tags: Editorial Source Type: research
American Medical Society for Sports Medicine Sports Ultrasound Curriculum for Sports Medicine Fellowships
Abstract:
Sports ultrasound is commonly used by sports medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended sports ultrasound curriculum for sports medicine fellowships. Although written in the context of the American sports medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional sports ultrasound that may be applicable to the broader sports medicine community. The curriculum is divided into 12 units with each unit including didactic i...
Source: Clinical Journal of Sport Medicine - July 1, 2021 Category: Sports Medicine Tags: Consensus Statement Source Type: research
Part I: Crossfit-Related Injury Characteristics Presenting to Sports Medicine Clinic
Conclusions:
CrossFit-related injury proportion presenting to a pediatric sports medicine clinic increased over time. A notable proportion of injuries occurred to the trunk and spine. Advanced imaging was obtained in approximately half of these youth athletes. Further research in youth CrossFit athletes is required surrounding mechanism of injury to prevent future injury in this mode of training for youth athletes.
Source: Clinical Journal of Sport Medicine - March 1, 2020 Category: Sports Medicine Tags: Original Research Source Type: research
Change in muscle thickness under contracting conditions following return to sports after a hamstring muscle strain injury—A pilot study
Publication date: Available online 25 February 2015 Source:Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology Author(s): Yasuharu Nagano , Ayako Higashihara , Mutsuaki Edama The purpose of this study was to measure the change in hamstring muscle thickness between contracting and relaxing conditions following a return to sports after a hamstring muscle strain and thereby evaluate muscle function. Six male track and field sprinters participated in this study. All had experienced a prior hamstring strain injury that required a minimum of 2 weeks away from sport participation. Transverse plan...
Source: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology - March 7, 2015 Category: Sports Medicine Source Type: research
Sport and exercise medicine (sem) in primary care: a novel dual armed approach to improving physical activity (pa) and musculoskeletal (msk) services in a hertfordshire general practice.
CONCLUSIONS: Novel service models marrying both musculoskeletal and physical activity promotion services can make sound economical and patient satisfaction positive outcomes within primary care settings. We present a reproducible model that has recently been commissioned as a service by the local clinical commissioning group.
PMID: 24159096 [PubMed - in process]
Source: British Journal of Sports Medicine - October 29, 2013 Category: Sports Medicine Authors: Chew S, Noake J Tags: Br J Sports Med Source Type: research
Comparison of Growth Plate Violations for Transtibial and Anteromedial Surgical Techniques in Simulated Adolescent Anterior Cruciate Ligament Reconstruction
Conclusion:
Results suggest that the AM approach produces growth plate violations that are larger and more lateral than the violations generated using the TT technique. AM approaches were more likely to remove more than 8% of the physeal volume, a level previously identified as posing a greater risk of growth disturbances. While the difference in the mean physeal volume removed between the approaches was small, the violations for the AM approach were much more lateral, a finding of potentially greater clinical significance.
Clinical Relevance:
As progressively younger patients are considered candidates for ACL reconstruct...
Source: The American Journal of Sports Medicine - February 1, 2016 Category: Sports Medicine Authors: Kachmar, M., Piazza, S. J., Bader, D. A. Tags: Biomechanics, general, Knee, general, Knee ligaments, ACL, Imaging, magnetic resonance, Pediatric sports medicine Source Type: research
Ultrasound in Sports Injuries
This article reviews the general ultrasound appearance of muscle, tendon, ligament, and nerve abnormalities in the athlete with a focus on sport-specific injuries.
Source: Clinics in Sports Medicine - September 9, 2021 Category: Sports Medicine Authors: Cristy N. French, Eric A. Walker, Shawn F. Phillips, Jayson R. Loeffert Source Type: research
The evidence base for orthopaedics and sports medicine: scandalously poor in parts
Medicine rests on an uneven evidence base. Some interventions are supported by large multicentre randomised controlled trials that have a low risk of bias and are powered for hard endpoints—a high level of evidence. Others depend on retrospective observational data that provide a lower level of evidence. Yet others were theorised and consid- ered biologically or mechanistically plausible and are heirlooms of "eminence based medicine." Some interventions are just plain wrong and have real costs and harms, without countervailing benefits. Medical reversals may occur when well done clinical trials, systematic reviews, a...
Source: British Journal of Sports Medicine - April 13, 2016 Category: Sports Medicine Authors: Lohmander, L. S., Roos, E. M. Tags: Republished editorial from The BMJ Source Type: research
Ionising radiation: three game-changing studies for imaging in sports medicine
It has been known for several years that there could be some cancer risk for young people from low-dose ionising radiation. With respect to diagnostic imaging, examinations such as nuclear medicine bone scans, CT, fluoroscopy and x-rays are all associated with exposure to ionising radiation.1 In 2001, Brenner et al2 found that there was a significant increase in lifetime cancer risk attributable to radiation from paediatric CT scans relative to adult CT scans. The Image Gently Campaign by the Alliance for Radiation Safety in Paediatric Imaging has aimed to raise public awareness of ‘opportunities to promote radiation...
Source: British Journal of Sports Medicine - March 23, 2014 Category: Sports Medicine Authors: Orchard, J. J., Orchard, J. W., Grenfell, T., Mitchell, A. Tags: Editorial Source Type: research
“We never thought we’d run again.”
For five years Hope Prockop, a competitive women’s squash player, battled chronic foot pain, while her daughter Lyle struggled with excruciating back pain. “It was really stressful to cope with both conditions,” says Hope. “I wondered if I would ever reach my goals.”
Mother and daughter found the care and support they needed at Boston Children’s Hospital, where a team of doctors got the pair running and helped Hope reach the pinnacle of her sport. She represented the U.S. on the Team USA national women’s squash team in 2006, 2008 and 2010 and won two U.S. Masters national titles and the Allam British Open 45+...
Source: Thrive, Children's Hospital Boston - December 21, 2015 Category: Pediatrics Authors: Lisa Fratt Tags: Diseases & Conditions Our Patients’ Stories Parenting herniated disk Mark Proctor Pierre d'Hemecourt plantar fasciitis Sports Medicine Thomas Vorderer Source Type: news
