Abstract:
:The classification system devised by Allman and Tossy, and revised by Rockwood, defines the extent of injury to the AC joint and helps to guide management of AC joint injuries [1,4,6]. In general, type I and II injuries may be treated nonoperatively with a sling, mainly for comfort, for a short period of time. Once this is removed, strength and motion are regained with rehabilitation. Patients typically have manageable long-term symptoms without any intervention, but some may require a steroid injection or distal clavicle excision for chronic pain from degenerative changes at the AC joint due to the injury. On the other end of the spectrum, type IV, V, and VI injuries nearly always require operative intervention. The surgical procedures for these injuries are performed in the acute phase if possible to minimize symptoms and maximize long-term function. Type III injuries are the center of the controversy for management of AC joint injuries. No perfect study exists which demonstrates clear superiority of surgical or nonsurgical treatment. Most of the studies in the literature support nonoperative treatment for most patients, however. Yet, other factors must be considered, including the patient's occupation and physical demands as well as the age of the injury. Overhead athletes and manual laborers place high demands on their shoulders, prompting some authors to consider acute surgical management for these patients. We, on the other hand, agree with the current consensus opinion that all type III injuries should initially be treated conservatively, regardless of occupation. The only advantage to operative intervention consistently borne out in the literature is an increased probability of anatomic reduction. There is no correlation between reduction and improvement in pain, strength, or motion, however. These patients usually are able to return to full sport with no deficits if rehabilitation is emphasized. For those patients who fail conservative management, a multitude of surgical techniques, such as the modified Weaver-Dunn procedure, exist to reconstruct the AC joint.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Bradley JP,Elkousy Hdoi
10.1016/s0278-5919(02)00098-4subject
Has Abstractpub_date
2003-04-01 00:00:00pages
277-90issue
2eissn
0278-5919issn
1556-228Xpii
S0278-5919(02)00098-4journal_volume
22pub_type
杂志文章,评审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::Climbing may be considered appropriate for the older athlete. The requisites, cardiovascular and musculoskeletal fitness, can be attained through training; the skills can be acquired through schools or guide services. Inherent risks can enhance the enjoyment. The motivational psychology for climbing usually reflects p...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract::Although the immediate neurocognitive effects of sports-related concussion are well known, less is known about the intermediate or long-term effects of sports-related concussions. A sample of selected studies of high-school and collegiate athletes is reviewed and the intermediate effects of concussive injuries are dis...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2010.09.002
更新日期:2011-01-01 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::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::Because both the young and aging population are showing increasing interest in sports participation, the number of sports related injuries and in particular anterior cruciate ligament (ACL) injuries have been increasing. Because of these injuries much time and energy has been focused on ACL reconstruction in order to ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2007.06.002
更新日期:2007-10-01 00:00:00
abstract::Attention to detail and anatomic precision is essential to accurate diagnosis. Accurate diagnosis is the keystone of care for the acute or chronic knee problem. The arthroscope is an essential diagnostic tool. Uniplanar instability can usually be treated nonoperatively with good results providing that secondary suppor...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1985-04-01 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::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::The use of implantation of allograft tissue in sports medicine has risen steadily over the last decade. Allograft tissues offer several advantages over autografts, including reduced donor-site morbidity and decreased operative time, and in some instances, no autograft option exists. However, with allografts, there is ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2008.10.009
更新日期:2009-04-01 00:00:00
abstract::Over the past several decades, research has shown the successful use of simple wedges, custom orthotics, and unloader braces in the treatment of athletes with DJD/angular deformity. This article reviews the use of these simple biomechanical devices in the treatment of these individuals. ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2004.08.012
更新日期:2005-01-01 00:00:00
abstract::Foot and ankle injuries are common in sport. Although many available imaging techniques can be useful in identifying and classifying injuries, magnetic resonance imaging (MRI) provides high levels of sensitivity and specificity for articular and soft-tissue injuries. Arthroscopic and minimally invasive treatment techn...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2013.03.007
更新日期:2013-07-01 00:00:00
abstract::For arthroscopy of the elbow to be safe and effective, the arthroscopist must develop a systematic and reproducible arthroscopic examination technique. We believe that the technique and the identification of anatomic structures described in this article provide a safe and reliable means of performing this procedure. A...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1986-10-01 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::Techniques for arthroscopic partial-thickness and full-thickness RTC repairs continue to advance. When selecting an RTC repair technique, it is important to identify the tear pattern and adhere to the fundamentals of tendon mobilization and footprint preparation. Partial RTC tears greater than 50% in thickness can be ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2012.07.002
更新日期:2012-10-01 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
abstract::Not only are athletes at risk for psychiatric illness, but they are at risk of suicide. In an effort to learn more about suicide in athletes and those connected to the sports arena, a review of the medical literature from 1960 to 2000 was conducted through Medline, and a review of the periodical literature from 1980 t...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2005.06.006
更新日期:2005-10-01 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::There is a proliferation of sports medicine physicians whose training is largely in the management of such athletically debilitating conditions as knee ligament and meniscus tears. Physicians with responsibility for the management of the full spectrum of sports-related conditions, including upper extremity injuries, m...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
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::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::The spine plays an essential role in the contribution toward athletic performance. As the central pillar of the body, the structures of the spine are susceptible to injury related with sports participation. This article identifies many of the most commonly seen sports-related injuries to the spine, and discusses pract...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2009.09.011
更新日期:2010-01-01 00:00:00
abstract::There is no doubt that the understanding of shoulder mechanics and pathology will continue to evolve. It is not appropriate to consider that all patients, especially young athletes, who have shoulder pain have "impingement." Rather, a careful evaluation will result in the correct diagnosis and the institution of the a...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1993-01-01 00:00:00
abstract::Concussion or mild traumatic brain injury (mTBI) is a condition that affects hundreds of thousands of patients worldwide. Understanding the pathophysiology of this disorder can help manage its acute and chronic repercussions. Immediately following mTBI, there are several metabolic, hemodynamic, structural, and electri...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2010.09.001
更新日期:2011-01-01 00:00:00
abstract::During the last few decades, the role of sports and physical activity has become more and more important in all modern communities. The risk of tendon injury has thus increased, and prevention has become important. Epidemiologic studies are important when planning prevention programs for tendon injuries. Because of in...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(03)00004-8
更新日期:2003-10-01 00:00:00
abstract::Cardiac magnetic resonance imaging and cardiac computed tomographic angiography have become important parts of the armamentarium for noninvasive diagnosis of cardiovascular disease. Emerging technologies have produced faster imaging, lower radiation dose, improved spatial and temporal resolution, as well as a wealth o...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2015.02.005
更新日期:2015-07-01 00:00:00
abstract::Ulnar collateral ligament injury in the overhead athlete typically presents as activity-related pain with loss of velocity and control. Treatment options range from nonoperative rehabilitation to ligament reconstruction. Surgical reconstruction is frequently required to allow the athlete to return to competition and m...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2016.05.004
更新日期:2016-10-01 00:00:00
abstract::Groin injuries in athletes are being recognized as one of the most difficult problems in sport. The symptoms associated with chronic groin injuries are often diffuse and uncharacteristic. These injuries usually constitute a major diagnostic and therapeutic challenge, the success of which depends on a correct diagnosis...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-10-01 00:00:00
abstract::Many types of spinal abnormalities can have an impact on an athlete’s ability to participate in sports. One of the challenges in the current era is distinguishing the clinically relevant lesions from the incidental. Almost without exception, a Chiarimal formation, significant syringomyelia or other cyst compressing th...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2012.03.008
更新日期:2012-07-01 00:00:00
abstract::The principles of rehabilitation after medial patellofemoral ligament reconstruction are similar to those guiding rehabilitation after other ligamentous reconstructions of the knee, such as anterior cruciate ligament (ACL). The key features are to address pain control, range of motion (ROM), quadriceps strengthening, ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2009.12.008
更新日期:2010-04-01 00:00:00