Abstract：
:Medial epicondylitis and ulnar nerve problems are common in the throwing athlete, resulting from the tremendous valgus stress that occurs during the acceleration phase of pitching. They are too often ignored as a cause of medial pain in the throwing athlete in favor of the diagnosis of ulnar collateral ligament injury. The latter seems to be in vogue, and there is a virtual epidemic of reconstructive surgery to address this diagnosis. The question is whether more medial pain is caused by the former two diagnoses than the latter. We need to have a better understanding of the natural history and differential diagnosis of medial side pain, which, I hope, will come with time. Nonetheless, medial stress injuries occur in the throwing athlete, and can cause inflammation of the adjacent anterior capsule flexor pronator mass, the ulnar collateral ligament, and the ulnar nerve. This review highlights these problems, their anatomy, diagnosis, and management.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Grana Wdoi
10.1016/s0278-5919(05)70268-4subject
Has Abstractpub_date
2001-07-01 00:00:00pages
541-8issue
3eissn
0278-5919issn
1556-228Xpii
S0278-5919(05)70268-4journal_volume
20pub_type
杂志文章,评审abstract：:The preparticipation examination (PPE) is a widely practiced method of screening athletes for medical limitations before sports participation. Although the PPE is widely implemented, there is little consistency regarding content or method in providing this important service. This lack of uniformity undermines the over...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70227-1
更新日期：2000-10-01 00:00:00
abstract：:Rehabilitation after anterior cruciate ligament (ACL) reconstruction should consider control of postoperative pain and swelling, protection of the healing graft, restoration of full range of motion symmetric to the contralateral knee, strengthening of the muscles that stabilize the knee, hip, and trunk, enhancing neur...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2012.08.016
更新日期：2013-01-01 00:00:00
abstract：:The overall health benefits of cardiovascular exercise, such as running, are well established. However, it is also well established that in certain circumstances running can lead to overload injuries of muscle, tendon, and bone. In contrast, it has not been established that running leads to degeneration of articular c...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2010.03.006
更新日期：2010-07-01 00:00:00
abstract：:The authors discuss the clinical characteristics and treatment of such overuse injuries of the foot as plantar fasciitis, Haglund's syndrome, Jones' fracture, and tarsal navicular stress fractures. A consideration of orthotic devices is also provided. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1987-04-01 00:00:00
abstract：:A methodical approach to the evaluation of patients with anterior knee pain is extremely helpful. By exploring salient points from the patient's symptoms and history and adding important data from a comprehensive physical examination, the pieces of the puzzle can be fitted together and an accurate diagnosis can be mad...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1989-04-01 00:00:00
abstract：:Hip instability is uncommon because of the substantial conformity of the osseous femoral head and acetabulum. It can be defined as extraphysiologic hip motion that causes pain with or without the symptom of hip joint unsteadiness. The cause can be traumatic or atraumatic, and is related to both bony and soft tissue ab...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：10.1016/j.csm.2010.12.008
更新日期：2011-04-01 00:00:00
abstract：:We have provided an overview of the athlete's heart, focusing on the young athlete. Primary caretakers of athletes should know the major causes of exercise-related cardiac complications and sudden cardiac death and look for these conditions during preparticipation evaluations. We strongly suggest that coaches and othe...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70050-8
更新日期：1997-10-01 00:00:00
abstract：:Physical inactivity is a risk factor for cardiovascular disease. Regular aerobic and resistance training increases exercise capacity and plays a role both in the primary and secondary prevention of cardiovascular disease. Patients with coronary artery disease, peripheral vascular disease, or diabetes mellitus must be ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(02)00035-2
更新日期：2003-01-01 00:00:00
abstract：:Compressive neuropathies of the median and radial nerves in the region of the elbow are a frequent cause of pain and weakness as well as sensory complaints. The problems associated with these neuropathies can be as severe and disabling as the more commonly encountered ulnar nerve neuropathies discussed elsewhere in th...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1990-04-01 00:00:00
abstract：:The reproductive dysfunctions seen with exercise are reviewed. The three salient problems discussed are delayed menarche, secondary amenorrhea, and cycle dysfunction (including shortened luteal or prolonged follicular phases). These problems are probably multifactorial in origin and are not caused by exercise alone. T...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 00:00:00
abstract：:In cases of head trauma, the ear should be evaluated in all of its components. A good understanding of otologic and skull base anatomy enables a thorough trauma assessment of this complex anatomic region. Auricular laceration, abrasion, avulsion, hematoma, frostbite, otitis externa, exostosis, tympanic membrane perfor...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2016.11.005
更新日期：2017-04-01 00:00:00
abstract：:There is a distinct difference between ballet injuries and sports injuries in general, and the sports medicine physician needs to study the technique of dance and the specific injuries that it may produce in order to treat dancers effectively. In Australia, which is typical of other countries where ballet is performed...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1983-11-01 00:00:00
abstract：:Patellofemoral dysfunction is a common but not yet well-managed condition affecting a large number of athletes. It is important to perform a thorough evaluation of these athletes including soft-tissue imbalances and faulty movement patterns. It is also important to develop a comprehensive treatment plan that addresses...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1989-10-01 00:00:00
abstract：:All ingredients are there--philosophies and principles, models and examples, competent and committed professionals, ready and willing agencies and organizations, and anxious-to-get-involved persons with handicapping conditions. The time has never been so right to go forward and onward to the heights with sport, recrea...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 00:00:00
abstract：:The operative technique and indications for shoulder arthroscopy have been reviewed, with a description of proper technique and instrumentation. Visualization within the joint is usually superior to visualization with arthrotomy. With the refinement of techniques and equipment, it is expected that the frequency of tra...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
abstract：:Sports medicine literature often refers to "swimmer's shoulder." Increasingly, however, it is evident that swimmer's shoulder is a spectrum of maladies whose underlying origins may be incidental to athletic activity. Those dealing with the treatment of swimmers should have a thorough understanding of the differential ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70150-2
更新日期：1999-04-01 00:00:00
abstract：:Stress fractures are common injuries, particularly in endurance athletes. Stress fracture management should take into consideration the injury site (low risk versus high risk), the grade (extent of microdamage accumulation), and the individual's competitive situation. The authors briefly discuss the pathophysiology an...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2005.08.012
更新日期：2006-01-01 00:00:00
abstract：:In recent years, reproductive disorders in athletes have been observed in increasing numbers and proportions as larger numbers of women are participating in more strenuous athletic activities. Clinical problems with infertility and decreased bone density have been reported in this group, which has prided itself on its...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1986-07-01 00:00:00
abstract：:The treatment of chondral hip injuries is challenging. However, for young patients with hip disorders, orthopedic surgeons now have the opportunity to intervene early in the development of debilitating joint disease. As understanding of the hip joint continues to evolve, more effective treatment strategies are emergin...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2016.02.005
更新日期：2016-07-01 00:00:00
abstract：:Physical activity provides the biologic stimulus for a number of body adaptive mechanisms and therefore is a potent force in both prevention and treatment of sports injury. It has been shown, however, that therapeutic exercise must be prescribed with precision and care if it is to be of optimal value. There are no "ge...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1985-07-01 00:00:00
abstract：:Osteochondritis dissecans (OCD) can affect both adults and children, however the imaging characteristics and significance of imaging findings can differ in the juvenile subset with open physes. Radiography and magnetic resonance imaging (MRI) are the primary modalities used to aid in diagnosis, to define a treatment p...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2013.12.002
更新日期：2014-04-01 00:00:00
abstract：:Injuries to the posterior cruciate ligament (PCL) are an uncommon but significant instability pattern that eventually deteriorates the articular surface of the PLC-deficient knee. Although controversy persists regarding the appropriate treatment for the isolated PCL tear, patients with combined ligament injuries are b...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：:It is important to include psychological and physiologic rehabilitation in addition to rehabilitation of the injured area. Motion that does not stress repairs of either ligament or bone is not contraindicated. Exercises that aggravate patellofemoral problems should be modified to avoid areas in the range of motion tha...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1982-07-01 00:00:00
abstract：:Optimization of treatment of the tennis player with an upper extremity overuse injury requires a thorough understanding and analysis of the biomechanical and physiologic stresses inherent in the game of tennis. Anatomic adaptations found in the upper extremity of elite tennis players provide the framework for evaluati...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1995-01-01 00:00:00
abstract：:The shoulder is the most commonly dislocated joint in the body, with a greater incidence of instability in contact and collision athletes. In contact and collision athletes that have failed nonoperative treatment, the most important factors to consider when planning surgery are amount of bone loss (glenoid, humeral he...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2013.07.007
更新日期：2013-10-01 00:00:00
abstract：:Presently there are no universally accepted definitions of the grades of concussion or criteria for when to allow the athlete to return to competition after a head injury. What is agreed upon is that in order to avoid cumulative brain damage and the second impact syndrome, no athlete still suffering post-concussion sy...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70060-0
更新日期：1998-01-01 00:00:00
abstract：:As in all other medical evaluations, the evaluation of the cardiovascular system in the competitive athlete or the nonathlete wishing to exercise must begin with a carefully performed history and physical examination. Subsequent studies, including chest radiograph and electrocardiogram, may be waived in certain popula...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1984-01-01 00:00:00
abstract：:Certain topics and controversies involving young athletes are addressed, including unclear criteria for volume and intensity of training and acute and overuse injuries of the knee. Osteochondritis dissecans, tibial spine avulsions, peri-pelvic apophyseal avulsions, and back injuries are discussed. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1995-07-01 00:00:00
abstract：:Ankle arthroscopy has evolved over the past decade to address many acute and chronic injuries in the athlete. Although similar outcomes are reported with established open procedures, arthroscopic intervention confers the advantages of decreased postoperative morbidity and earlier return to sports activity. Arthroscopi...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1996-10-01 00:00:00
abstract：:The advances in the field of arthroscopy have been keyed to the development of instrumentation. The most significant innovation has occurred in conjunction with the visualization system itself--cutting instrumentation for resection of soft tissues in bone and, more recently, in joints other than the knee. A brief hist...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1987-07-01 00:00:00
