Abstract：
:In a time of declining reimbursement for patient care services, establishing an in-office IME company enables orthopedic practices to generate additional revenue to subsidize clinical activities without compromising the credibility and integrity of their physicians; however, the decision to enter the medical/legal consultation business should be considered carefully. A thorough analysis of the industry, applicable laws, costs-versus-benefits, and the local marketplace is critical in helping the practice to evaluate the feasibility of establishing the new business and develop a product that is well differentiated. The practice should approach the day-to-day management of the IME company with the same careful attention that it pays to the management of its orthopedic service. This includes creating a staffing and information technology infrastructure that supports the new business and allows for its growth. An attitude of continuous learning whereby the physician-reviewer seeks out information about the customer's needs and market shifts enables the practice to respond swiftly to these needs and shifts and further position itself as an innovative provider of medical/legal services.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Hamilton Mdoi
10.1016/s0278-5919(01)00004-7subject
Has Abstractpub_date
2002-04-01 00:00:00pages
289-303issue
2eissn
0278-5919issn
1556-228Xpii
S0278-5919(01)00004-7journal_volume
21pub_type
杂志文章abstract：:The etiologies of low back pain and the biomechanics and pathology of the lumbar spine as they relate to tennis stroke mechanics have been reviewed, and a treatment protocol has been presented. A recent survey of the Men's Professional Tennis Tour is the only article found that discusses low back pain in tennis player...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1988-04-01 00:00:00
abstract：:Multidirectional instability of the shoulder is a condition defined by symptoms of shoulder instability in more than one direction. Patients typically have generalized ligamentous laxity and may be involved in repetitive overhead activities. Initial treatment is with a physical therapy program. Patients who fail non-o...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2008.07.002
更新日期：2008-10-01 00:00:00
abstract：:Complications associated with hip arthroscopy occur between 1.6% and 5%. Fortunately, with the greater understanding of the causes and advancements in techniques and equipment, the incidence is declining. Most of the complications were transient neuropraxias and fluid extravasations resulting in no permanent damage. S...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：10.1016/s0278-5919(05)70288-x
更新日期：2001-10-01 00:00:00
abstract：:Primary ACL repair with or without extra-articular augmentation can be functionally and statically successful based on our experience in high-performance athletes. Proper surgical technique, appropriate rehabilitation, and excellent quality of the tissue being repaired are required to achieve these results. Several no...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:Athletes' skin is subject to a distinct array of physical and environmental stressors. Trauma, the elements, and pathogenic organisms constantly challenge the skin's integrity. This article intends to arm the clinician with a fundamental knowledge of infections, mechanical injuries, and environmental insults common to...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2005.03.008
更新日期：2005-07-01 00:00:00
abstract：:Military service members comprise a young and physically active population who are at increased risk for musculoskeletal injuries and conditions related to sports and physical training. Even during times of war, musculoskeletal injuries and conditions related to sports and physical training, not associated with combat...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2014.06.004
更新日期：2014-10-01 00:00:00
abstract：:The specter of catastrophic cervical neurotrauma resulting from athletic participation, although infrequent, has been consistently associated with football, water sports, gymnastics, rugby, and ice hockey. Injury involving intracranial hemorrhage can result in death or permanent neurologic impairment, whereas certain ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1987-01-01 00:00:00
abstract：:Medical supervision of cardiac exercise programs should be individualized to each patient's needs. In order for this to be done, several factors must be considered, including the nature of increased risk during exercise due to coronary heart disease, ways to minimize the risk of cardiovascular complications during exe...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1984-04-01 00:00:00
abstract：:The conservative management of shoulder instability depends on a well-defined program that emphasizes early diminution in the patient's symptoms, appropriate immobilization, and a well-defined precise rehabilitation program that can be individually tailored to meet the patient's needs. Immobilization should be conside...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1995-10-01 00:00:00
abstract：:Traumatic injuries of the acromioclavicular and sternoclavicular joints are discussed. Treatment of acromioclavicular trauma is symptomatic, except for type III injuries with marked prominence of the clavicle, for which open reduction and internal fixation are recommended. Sternoclavicular injury with no instability r...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
abstract：:This article provides an understanding of patient-based shoulder outcome tools and the conceptual framework of disablement models from which the patient-based outcome tools are based. To allow for the evaluation of function, disability, and health-related quality of life in patients suffering from shoulder pain and in...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2008.03.001
更新日期：2008-07-01 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：:Ulnar-sided wrist pain has long been a diagnostic problem, partly because of the complex anatomy and many possible causes of pain in this region. This article discusses anatomy, pathophysiology, and imaging appearance of the more common causes, including tears of the triangular fibrocartilage complex, disorders of the...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2006.02.008
更新日期：2006-07-01 00:00:00
abstract：:The unique role of the chief ethics officer in a sports medicine office is described and guided by the four principles of ethics, as well as the principles and codes of ethics of the American Medical Association, the International Sports Medicine Federation, and the American Academy of Orthopaedic Surgeons. The chief ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：10.1016/j.csm.2004.01.006
更新日期：2004-04-01 00:00:00
abstract：:The lumbar spine is resistant to serious injury in normal athletic activity, but it can often be symptomatic. Although the symptoms are frequently musculotendinous in origin, it is important that structural causes be recognized early, particularly in the skeletally immature athlete. In the mature athlete, it is import...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1989-01-01 00:00:00
abstract：:This article reviews basic concepts in fundamental elbow biomechanics, particularly how they relate to the skeletally immature elbow in throwing athletes. Adult phases of throwing and the forces generated in each phase are compared with the developmental phases of throwing in children. The impact of elevated forces, p...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2004.06.005
更新日期：2004-10-01 00:00:00
abstract：:Shoulder problems in the overhead and throwing athlete can result in rotator cuff tendinitis. Biomechanically, there is a delicate balance between mobility and stability of the shoulder complex. Repetitive overhead stressful motion can lead to overuse tendinitis, subtle instability, labral changes, and eventual fiber ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1991-10-01 00:00:00
abstract：:In summary, arthroscopic evaluation of the athlete's knee joint provides a highly accurate means of diagnosing intra-articular lesions. It provides valuable information regarding treatment and prognosis. In addition, if arthroscopic surgical treatment is possible, even greater benefits in regard to more rapid return t...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1985-04-01 00:00:00
abstract：:An increased knowledge of the biomechanics of normal walking and running will improve our understanding of the possible mechanisms of pathology and ultimately improve the treatment of pathology and injury. Running, a natural extension of walking, involves increased velocities, joint range of motion, forces, muscle act...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1994-10-01 00:00:00
abstract：:This review focuses on travel stress in athletes. An outline of the circadian system is presented, followed by an explanation of how disturbances to its regulation are related to jet lag. There are consequences of jet lag that affect exercise performance and health. Measures to ameliorate adverse effects of jet lag in...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2004.12.004
更新日期：2005-04-01 00:00:00
abstract：:Patella instability can cause significant pain and functional limitations. Several factors can predispose to patella instability, such as ligamentous laxity, increased anterior TT-TG distance, patella alta, and trochlear dysplasia. Acquired factors include MPFL injury or abnormal quadriceps function. In many cases, fi...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2014.03.011
更新日期：2014-07-01 00:00:00
abstract：:Stress fractures are overuse injuries of bone. Basketball players are particularly prone to develop the notoriously "troublesome" stress fractures of the foot and leg. This article reviews the pathogenesis, epidemiology, diagnosis, and treatment of stress fractures, with specific emphasis on the care of the basketball...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 00:00:00
abstract：:Focal cartilage defects in the knee are commonly found on MRI and arthroscopically. When these lesions are symptomatic and fail nonoperative management several surgical strategies are available. Common surgical techniques include reparative (ie, microfracture) and restorative procedures (ie, autologous chondrocyte imp...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2017.12.008
更新日期：2018-04-01 00:00:00
abstract：:Since its introduction, unicompartmental knee arthroplasty has been controversial because of poor early clinical outcomes due to implant design, bony fixation, surgical instrumentation, and technique. Improvements in surgical technique and implant design have resulted in improved results and greater survivorship. The ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2013.08.007
更新日期：2014-01-01 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：:Athletes consistently recruit or transfer high levels of repetitive force through the spine. Proper force transmission from the legs to the hips and pelvis and through the trunk is vital. Hip and pelvis joint restrictions and muscle strength deficits coupled with poor endurance of the trunk muscle will lead to spinal ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2012.03.003
更新日期：2012-07-01 00:00:00
abstract：:With the increasing reliance on tissue allografts in orthopedic reconstructive and sports surgery, there is a realistic concern on behalf of both the surgeon and the patient as to the safety of these implanted tissues and the possibility of disease transmission. New Food and Drug Administration guidelines in associati...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2008.08.002
更新日期：2009-01-01 00:00:00
abstract：:Hip joint problems in the athlete can be disabling, yet remain elusive to investigation. The arthroscope has proved essential in both the detection and treatment of many of these disorders. Less invasive methods with quicker return to safe competition has been a sine qua non of sports medicine. The incentive to return...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2005.12.007
更新日期：2006-04-01 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
abstract：:Research during the past decade has elucidated the structure and function of the knee joint meniscus, and both clinical and experimental studies have demonstrated the importance of this structure. Recent advances, such as the use of an exogenous fibrin clot, have allowed preservation of an increasingly greater proport...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1996-07-01 00:00:00
