Abstract:
:This article provides a review of current important issues in the management of athletes who have sustained a concussion during athletic competition. Recent research in the area of concussion management is reviewed with specific reference to the side line evaluation of concussion and the follow-up of the athlete during the recovery period. The use of neuropsychological testing in sports is also reviewed. A systematic protocol for the management of sports related concussion is presented.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Lovell M,Collins M,Bradley Jdoi
10.1016/j.csm.2004.04.001subject
Has Abstractpub_date
2004-07-01 00:00:00pages
421-41, ixissue
3eissn
0278-5919issn
1556-228Xpii
S0278591904000341journal_volume
23pub_type
杂志文章,评审abstract::Traumatic CNS injury is one of the most important health issues in our society and is a risk to all athletes, both in competitive and recreational sports. Our understanding of the pathophysiology has improved tremendously in the last 20 years. This progress has led to the identification of several possible treatments ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00107-2
更新日期:2003-07-01 00:00:00
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 th...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00098-4
更新日期:2003-04-01 00:00:00
abstract::Most sports-related peripheral neuropathies occurring from the elbow distally are compressive in nature. These result from overuse or overload principles superimposed on normal or variant anatomy. Tensile injury occurs less often and is usually associated with the extremes of the throwing motion, i.e., cocking and fol...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 00:00:00
abstract::Careful patient selection, accurate surgical technique, and careful postoperative rehabilitation are all equally important to success in lateral release surgery. Whether the surgery is performed by open or arthroscopic technique, one must release all layers of the retinaculum, spare the vastus lateralis, extend the re...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70006-5
更新日期:1997-01-01 00:00:00
abstract::Osteochondritis dissecans is a rare orthopaedic disorder of unknown etiology. Advances in CT and MRI scanning have increased our knowledge of the disorder, but arthroscopy remains the principle means of monitoring its progress. Arthroscopic surgery has displaced traditional arthrotomy in many instances and is useful i...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 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::This article addresses the prevalence of various hand and wrist injuries in a variety of sports. Multiple resources and references have been utilized to draw a perception of the types of injuries and the sports with which they are most commonly associated. It is hoped that this article will give the physician a greate...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70092-2
更新日期:1998-07-01 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::Tennis is becoming increasingly popular, especially with young athletes. Despite recent advances in epidemiologic research of tennis injuries, there still is a need for more injury research in all of the racquet sports. The data that does exist show that the young athlete is susceptible to injury in these different sp...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70237-4
更新日期:2000-10-01 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::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::Knowledge from traditional neuroanatomical techniques coupled with more recent advances in functional neuroimaging and molecular genetics have led to a better understanding of how structure relates to function of many biological rhythms. In this article we review the current state of knowledge of the functional neuroa...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2004.12.008
更新日期:2005-04-01 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::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::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::The valued techniques and types of plain roentgenograms of the cervical spine and the lumbar spine in athletic injuries are discussed. A considerable number of injury types exist, as well as a large number of various roentgenographic views that the physician may order. In approaching the athlete with an injured spine,...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1986-04-01 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::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::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::As noted through the work of Fairbank, total meniscectomy is not a benign operation. Cox et al found that meniscectomies in canine knees lead to gross and microscopic degenerative changes. They also noted that partial meniscectomies lead to less severe degenerative changes. They believed that there was a direct relati...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1990-07-01 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::Golf interest is on the increase, resulting in a corresponding increase in golf-related tendon injuries. Injuries are best avoided by a good strength and flexibility program, proper warm-up exercises, and good stroke mechanics. Treatment is directed toward restoring the integrity of the muscle/tendon unit at the elbow...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1996-01-01 00:00:00
abstract::Most studies have found lower bone mass among women with exercise-induced oligomenorrhea compared with eumenorrheic control women and athletes. These findings have important implications regarding increased risk of both stress fractures and premature osteoporosis. Active and athletic women should be encouraged to keep...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1994-04-01 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::Diagnostic imaging plays a key role in the evaluation of adult hip pain. Cornerstone to the initial assessment of hip pain is the plain radiograph. The need for secondary imaging of the hip and choice of imaging modality depends on the clinical presentation, results of the plain radiograph series, and clinical questio...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70278-7
更新日期:2001-10-01 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::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::Ulnar-sided wrist pain is a common problem in athletes that can be challenging owing to its frequent combination of overuse in conjunction with acute injury. Repetitive pronosupination, wrist flexion and extension, as well as radial and ulnar deviation can predispose the athlete to injury of ulnar structures. Careful ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2019.12.008
更新日期:2020-04-01 00:00:00
abstract::The graft-bone attachment site is the weak link in anterior cruciate ligament (ACL) reconstruction surgery because healing is slow and often incomplete. Each of the many graft options for ACL reconstruction surgery has different healing characteristics and potential. Autografts that allow bone-to-bone healing offer th...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2007.06.007
更新日期:2007-10-01 00:00:00
abstract::The rehabilitation of an athletic injury may represent the greatest challenge of an athlete's career. The challenge to the sports medicine professional is to provide the most up to date and best care possible. Prehabilitation is one part of that care. Management of the acute injury, conditioning the athlete, and preve...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1985-07-01 00:00:00