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Sports Medicine: Just the Facts

651 Pages · 2006 · 8.05 MB · English

  • Sports Medicine: Just the Facts

    SPORTS MEDICINE


    Just the Facts EDITORS


    Francis G. O’Connor, MD, FACSM


    Director, Sports Medicine Fellowship Program


    Associate Professor of Family Medicine


    Department of Family Medicine


    Uniformed Services University of the Health Sciences


    Bethesda, Maryland


    Robert E. Sallis, MD, FAAFP, FACSM


    Co-Director, Sports Medicine Fellowship


    Kaiser Permanente Medical Center


    Fontana, California


    Robert P. Wilder, MD, FACSM


    Associate Professor Physical Medicine and Rehabilitation


    Medical Director the Runner’s Clinic at UVA


    Team Physician, UVA Athletics, The University of Virginia


    Charlottesville, Virginia


    Patrick St. Pierre, MD


    Assistant Professor of Orthopedic Surgery


    Uniformed Series University of the Health Sciences


    Bethesda, Maryland


    Associate Director Nirschl Orthopedic


    Sports Medicine Fellowship


    Arlington, Virginia SPORTS MEDICINE


    Just the Facts


    Francis G. O’Connor


    Robert E. Sallis


    Robert P. Wilder


    Patrick St. Pierre


    The views in this manuscript are those of the authors and do not


    reflect the official policy or position of the US Army, US


    Department of Defense, or the US Government.


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    0-07-144632-X



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    DOI: 10.1036/007144632X For more information about this title, click here


    CONTENTS


    Contributors xi


    Preface xix


    Section 1


    GENERAL CONSIDERATIONS IN SPORTS MEDICINE 1


    1 The Team Physician Christopher B. Ranney,


    Anthony I. Beutler and John H. Wilckens 1


    2 Ethical Considerations in Sports Medicine


    Ralph G. Oriscello 4


    3 Legal Issues Aaron Rubin 8


    4 Field-Side Emergencies


    Michael C. Gaertner and Loren A. Crown 11


    5 Mass Participation Events Scott W. Pyne 20


    6 Catastrophic Sports Injuries Barry P. Boden 24


    7 Orthopedic Sports Medicine Terminology


    Scott A. Magnes 30


    8 Basics in Exercise Physiology


    Patricia A. Deuster and David O. Keyser 34


    9 Articular Cartilage Injury


    Stephen J. Lee and Brian J. Cole 46


    10 Muscle and Tendon Injury and Repair


    Bradley J. Nelson and Dean C. Taylor 55


    11 Bone Injury and Fracture Healing


    Carlos A. Guanche 61


    12 The Preparticipation Physical Examination


    Robert E. Sallis 66


    13 Basic Principles of Exercise Training


    and Conditioning Craig K. Seto 75


    14 Nutrition Nancy M. DiMarco and Eve V. Essery 83


    15 Exercise Prescription Mark B. Stephens 91


    v vi


    CONTENTS


    16 Exercise and Chronic Disease Karl B. Fields,


    Michael Shea, Rebecca Spaulding, and David Stewart 95


    17 Playing Surface and Protective Equipment


    Jeffrey G. Jenkins and Scott Chirichetti 102


    Section 2


    EVALUATION OF THE INJURED ATHLETE 107


    18 Diagnostic Imaging Leanne L. Seeger


    and Kambiz Motamedi 107


    19 Electrodiagnostic Testing Venu Akuthota


    and John Tobey 111


    20 Exercise Testing David E. Price, Kevin Elder,


    and Russell D. White 118


    21 Gait Analysis D. Casey Kerrigan


    and Ugo Della Croce 126


    22 Compartment Syndrome Testing


    John E. Glorioso and John H. Wilckens 130


    23 Exercise-Induced Asthma Testing


    Fred H. Brennan, Jr. 135


    24 Drug Testing Aaron Rubin 137


    Section 3


    MEDICAL PROBLEMS IN THE ATHLETE 141


    25 Cardiovascular Considerations


    Francis G. O’Connor, John P. Kugler,


    and Ralph P. Oriscello 141


    26 Dermatology Kenneth B. Batts 149


    27 Genitourinary Michael W. Johnson 157


    28 Ophthalmology Ronica A. Martinez


    and Kayvan A. Ellini 162


    29 Otorhinolaryngology Charles W. Webb 166


    30 Dental Elizabeth M. O’Connor 170


    31 Infectious Disease and the Athlete John P. Metz 173


    32 Endocrine Considerations


    William W. Dexter and Shireen Rahman 181


    33 Hematology in the Athlete William B. Adams 193


    34 Neurology Jay Erickson 199


    35 Gastroenterology David L. Brown


    and Chris G. Pappas 205


    36 Pulmonary Carrie A. Jaworski 211


    37 Allergic Diseases in Athletes


    David L. Brown, David D. Haight, and Linda L. Brown 220 vii


    CONTENTS


    38 Overtraining Syndrome/Chronic Fatigue


    Thomas M. Howard 228


    39 Environmental Injuries Brian V. Reamy 232


    Section 4


    MUSCULOSKELETAL PROBLEMS IN THE ATHLETE 239


    40 Head Injuries Robert C. Cantu 239


    41 Cervical Spine Gerard A. Malanga, Garrett


    S. Hyman, and Jay E. Bowen 243


    42 Thoracic and Lumbar Spine Scott F. Nadler


    and Michele C. Miller 248


    43 Magnetic Resonance Imaging: Technical Considerations


    and Upper Extremity Carolyn M. Sofka 257


    44 Shoulder Instability Robert A. Arciero 263


    45 Rotator Cuff Pathology Patrick St. Pierre 268


    46 Sternoclavicular, Clavicular, and Acromioclavicular


    Injuries Carl J. Basamania 273


    47 Shoulder Superior Labrum Biceps


    and Pec Tears Jeffrey S. Abrams 281


    48 The Throwing Shoulder Carlos A. Guanche 287


    49 Elbow Instability


    Derek H. Ochiai and Robert P. Nirschl 291


    50 Elbow Articular Lesions and Fractures


    Edward S. Ashman 293


    51 Elbow Tendinosis Robert P. Nirschl


    and Derek H. Ochiai 297


    52 Soft Tissue Injuries of the Wrist in Athletes


    Steven B. Cohen and Michael E. Pannunzio 299


    53 Soft Tissue Injuries of the Hand in Athletes


    Todd C. Battaglia and David R. Diduch 305


    54 Wrist and Hand Fractures


    Geoffrey S. Baer and A. Bobby Chhabra 311


    55 Upper Extremity Nerve Entrapment


    Margarete DiBenedetto and Robert Giering 320


    56 Magnetic Resonance Imaging: Lower Extremity


    Carolyn M. Sofka 329


    57 Pelvis, Hip, and Thigh Brett D. Owens


    and Brian D. Busconi 337


    58 Knee Meniscal Injuries John P. Goldblatt


    and John C. Richmond 342


    59 Knee Instability Alex J. Kline and Mark D. Miller 350


    60 The Patellofemoral Joint Robert J. Nicoletta


    and Anthony A. Schepsis 356 viii


    CONTENTS


    61 Soft Tissue Knee Injuries (Tendon and Bursae)


    John J. Klimkiewicz 359


    62 Ankle Instability Todd R. Hockenbury 366


    63 Surgical Considerations in the Leg


    Gregory G. Dammann and Keith S. Albertson 373


    64 Tibial and Ankle Fractures Edward S. Ashman


    and Brian E. Abell 377


    65 Foot Injuries Mark D. Porter, Joseph J. Zubak,


    and Winston J. Warme 382


    66 Lower Extremity Stress Fracture


    Michael Fredericson 390


    67 Nerve Entrapments of the Lower Extremity


    Robert P. Wilder, Jay Smith, and Diane Dahm 396


    Section 5


    PRINCIPLES OF REHABILITATION 405


    68 Physical Modalities in Sports Medicine


    Alan P. Alfano 405


    69 Core Strengthening Joel Press 412


    70 Medications and Ergogenics Scott B. Flinn 415


    71 Common Injections in Sports Medicine:


    General Principles and Specific Techniques


    Francis G. O’Connor 426


    72 Footwear and Orthotics Eric Magrum


    and Jay Dicharry 433


    73 Taping and Bracing


    Tom Grossman, Kate Serenelli, and Danny Mistry 442


    74 Psychologic Considerations in Exercise and Sport


    Nicole L. Frazer 446


    75 Complementary and Alternative Medicine


    Anthony I. Beutler and Wayne B. Jonas 453


    Section 6


    SPORTS-SPECIFIC CONSIDERATIONS 461


    76 Baseball James R. Morales and Dennis A. Cardone 461


    77 Basketball John Turner and Douglas B. McKeag 464


    78 Boxing: Medical Considerations


    John P. Reasoner and Francis G. O’Connor 470


    79 Crew Andrew D. Perron 473


    80 Cross-Country Ski Injuries Janus D. Butcher 475


    81 Bicycling Injuries Chad Asplund 480


    82 Figure Skating Roger J. Kruse and Jennifer Burke 485 ix


    CONTENTS


    83 Football John M. MacKnight 491


    84 Golfing Injuries Gregory G. Dammann


    and Jeffrey A. Levy 497


    85 Gymnastics John P. DiFiori and Julie Casper 500


    86 Ice Hockey Injuries Peter H. Seidenberg


    and Tory Woodard 506


    87 Rugby Injuries Peter H. Seidenberg


    and Rochelle Nolte 513


    88 Running Robert P. Wilder, Francis G. O’Connor 519


    89 Soccer Nicholas A. Piantanida 526


    90 Swimming Nancy E. Rolnik 531


    91 Tennis Robert P. Nirschl 534


    92 Triathlon Shawn F. Kane and Fred H. Brennan 538


    93 Weightlifting Joe Hart


    and Christopher D. Ingersoll 543


    94 Lacrosse Thad Barkdull 548


    95 Wrestling Michael G. Bowers


    and Thomas M. Howard 553


    Section 7


    SPECIAL POPULATIONS 559


    96 The Pediatric Athlete Amanda Weiss Kelly


    and Terry A. Adirim 559


    97 The Geriatric Athlete Cynthia M. Williams 565


    98 The Female Athlete Rochelle M. Nolte


    and Catherine M. Fieseler 573


    99 Special Olympics Athletes


    Pamela M. Williams and Christopher M. Prior 581


    100 The Disabled Athlete


    Paul F. Pasquina, Halli Hose, and David C. Young 586


    101 The Athlete with a Total Joint Replacement


    Jennifer L. Reed 594


    102 Cancer and the Athlete Brian Whirrett


    and Kim Harmon 598


    103 The Athlete with HIV


    Robert J. Dimeff and Andrew M. Blecher 602


    Appendix 609


    Index 615


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