Champion Sports Medicine http://championsm.net Sports Medicine for Youth and the Young at Heart Thu, 17 May 2012 04:41:01 +0000 en hourly 1 http://wordpress.org/?v=3.2.1 Casting/Splinting Case Scenarios http://championsm.net/castingsplinting-case-scenarios http://championsm.net/castingsplinting-case-scenarios#comments Mon, 30 Apr 2012 04:21:50 +0000 Shaylon http://championsm.net/?p=4903  
2. Answer C.  Inversion injuries can result in distal fibula fractures, ankle sprains and midfoot sprains and/or fractures.  In this case she had an ...]]>
1. Answer D.  Despite normal x-rays the patient had clinical signs of fracture (pain and loss of ROM).  Many times, casting a patient to provide complete immobilization of the injured site is necessary for pain control and comfort.  Most x-rays will show some evidence of a fracture after one week but sometimes can take longer.

 

2. Answer C.  Inversion injuries can result in distal fibula fractures, ankle sprains and midfoot sprains and/or fractures.  In this case she had an ankle sprain in addition the the fibula fracture.  When patients are splinted/casted for an extended period of time they also develop muscle atrophy and have a decrease in proprioception.  Anytime a patient is splinted or casted we recommend strengthening (balance) exercises before returning to physical activity.

 

3. Answer C.  Triangular fibrocartilage complex tears occur due to compression and twisting motions of the wrist.  Sometimes the present as just vague wrist pain isolated to the ulnar side.  Small tears may respond to splinting but the recommended treatment for partial tears is a short arm cast for 6-12 weeks followed by strengthening exercises.  Complete tear usually require surgical repair.  If tear is suspected but not evident on MRI the arthrography is the evaluation method of choice.

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Jon B. Tinglestad Conference, East Carolina University http://championsm.net/jon-b-tinglestad-conference-east-carolina-university http://championsm.net/jon-b-tinglestad-conference-east-carolina-university#comments Thu, 19 Apr 2012 14:40:20 +0000 Shaylon http://championsm.net/?p=4898 1. PPE, Preparticipation Physical Exam, 4th Edition. American Academy of Pediatrics.
2. Essentials of Musculoskeletal Care, 4th Edition.  John F. Sarwark, Editor.
3. Tracking Neuropsychological Recovery Following Concussion in Sports. November 2004. Iverson, G. Et. al.
4. Overuse Injuries, Overtraining, and Burnout in Child and Adolescent Athletes. Brenner, Joel S.  Pediatrics 2007; 119;1242
5.  Training the Child Athlete for Prevention, Health Promotion, and Performance:  How Much Is Enough, How Much Is Too Much?  Carter and Micheli. Clin Sports Med ...]]>
REFERENCES:

1. PPE, Preparticipation Physical Exam, 4th Edition. American Academy of Pediatrics.

2. Essentials of Musculoskeletal Care, 4th Edition.  John F. Sarwark, Editor.

3. Tracking Neuropsychological Recovery Following Concussion in Sports. November 2004. Iverson, G. Et. al.

4. Overuse Injuries, Overtraining, and Burnout in Child and Adolescent Athletes. Brenner, Joel S.  Pediatrics 2007; 119;1242

5.  Training the Child Athlete for Prevention, Health Promotion, and Performance:  How Much Is Enough, How Much Is Too Much?  Carter and Micheli. Clin Sports Med 30 (2011) 679-690.

 

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PPE Case Scenarios http://championsm.net/ppe-case-scenarios http://championsm.net/ppe-case-scenarios#comments Fri, 06 Apr 2012 03:17:29 +0000 Shaylon http://championsm.net/?p=4880 The  answers to the scenarios may differ from one physician to the next.  Each answer could be easily supported.  The answers posted are based on the literature and some based on clinical experience.  Feel free to differ.
Case scenario 1:  Answer is D.  Based on the literature, the risk of losing a kidney secondary to trauma is very unlikely.  Some activities that resulted in kidney loss included bicycling (competitive), skiing and ...]]>
Lunch with the Sports Doc:  The Preparticipation Physical Exam

The  answers to the scenarios may differ from one physician to the next.  Each answer could be easily supported.  The answers posted are based on the literature and some based on clinical experience.  Feel free to differ.

Case scenario 1:  Answer is D.  Based on the literature, the risk of losing a kidney secondary to trauma is very unlikely.  Some activities that resulted in kidney loss included bicycling (competitive), skiing and horseback riding.  No reports of kidney loss or significant damage due to more common contact sports like football, soccer, and hockey.  Back plates can be used but their effectiveness hasn’t been proven.

Case Scenario 2:  Answer is A.  EIA is rare and there has been only one reported case of death.  Restrictions can be based on the frequency and severity of symptoms and how they respond to treatment.  For this particular athlete she quickly responded to epinephrine and the episodes are not frequent.  It was agreed upon by the patient, parents and school district that the child would be allowed to play if there was an epinephrine auto-injector available at all times, her workouts were overseen by a coach familiar with her condition, and utilized the buddy system where a close friend or teammate would be with her at all times during a workout in case of emergency. She also had to adhere to Allergist/Immunologist recommendations.

Case Scenario 3:  All of these answers are correct in this scenario.  We went with answer C.  ”Boxing is a sports whose goal is to score points by by hitting an opponent’s head, face, and upper torso. Concussions are the most common boxing injury.”  Despite the multiple concussions the patient had no changes on MRI (most individuals have no changes), he had a normal neuropsychological and neurological (including vestibular) testing.  He participated without known issues a full year in three sports with the highest rate of concussions.  There was no decrease in academic achievement.  With consultation with the school he was allowed to play but required yearly testing and could be pulled if he sustained another concussion.

All patients in the scenarios were required to submit an informed consent, in their own handwriting and in their own words that noted the risk of further injury if they were to participate.

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Lunch with the Sports Doc. Series for healthcare providers. http://championsm.net/breakfastlunch-sports-medicine-series-for-healthcare-providers http://championsm.net/breakfastlunch-sports-medicine-series-for-healthcare-providers#comments Tue, 18 Oct 2011 21:58:22 +0000 Shaylon http://championsm.net/?p=4833
Champion Sports Medicine presents “Lunch with the Sports Doc”
Wednesday, May 23, 2012 from 12:15 p.m. to 1:00 p.m. at the  Quarry Golf Club
 Topic: “Golf Injuries and Fitness”
 Please RSVP no later than Friday, May  18, 2012 to 210-340-1710 or email us at CME@ChampionSM.net

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  • Champion Sports Medicine presents “Lunch with the Sports Doc
  • Wednesday, May 23, 2012 from 12:15 p.m. to 1:00 p.m. at the  Quarry Golf Club
  •  Topic“Golf Injuries and Fitness”
  •  Please RSVP no later than Friday, May  18, 2012 to 210-340-1710 or email us at CME@ChampionSM.net
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