Abstract:
:Metatarsal fractures represent a relatively common injury, especially in athletes. The pertinent anatomy, evaluation, diagnosis, classification, and treatment of acute and chronic (stress) metatarsal shaft fractures are discussed. Fractures of the proximal fifth metatarsal, which are unique and important injuries, are also discussed. Treatment remains relatively straightforward for the traumatic metatarsal injury, whereas traditional stress fractures typically heal with decreased activity. The problematic proximal fifth metatarsal fracture (Jones fracture) frequently requires surgical intervention in patients who want to avoid non-weight-bearing cast immobilization. The authors' current treatment for this fracture includes the option of intramedullary fixation versus cast immobilization.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Fetzer GB,Wright RWdoi
10.1016/j.csm.2005.08.014subject
Has Abstractpub_date
2006-01-01 00:00:00pages
139-50, xissue
1eissn
0278-5919issn
1556-228Xpii
S0278-5919(05)00080-3journal_volume
25pub_type
杂志文章,评审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::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...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70268-4
更新日期:2001-07-01 00:00:00
abstract::The war against substance abuse continues in today's society and the sports world often seems to be in the middle of all the attention, especially among the media. New recreational drugs arrive on the scene from time to time, much like GHB, but the predominant substances of abuse continue to be marijuana, cocaine, and...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70079-x
更新日期:1998-04-01 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::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::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::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::There have been a growing number of participants in high school and collegiate athletics in recent years, placing ever-increasing demands on the sports medicine team. Building a winning sports medicine team is equally as important to the success of an athletic organization as fielding talented athletes. Acquisition of...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2006.12.003
更新日期:2007-04-01 00:00:00
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::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::Female athletes have an increased incidence of ACL rupture. The cause of this increased injury rate is unclear, but it is most likely from a complex interplay between multiple variables. The relative risk of incurring an ACL injury is still low. The increased risk of ACL injury in women compared with men should not di...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70204-0
更新日期:2000-04-01 00:00:00
abstract::This article provides practitioners with meal plan samples at four calorie levels as a guide for planning athletes' food choices. Many good and practical publications are available for trainers and dietitians who assist athletes in their nutritional plans. The two primary needs of people with increased physical activi...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70177-0
更新日期:1999-07-01 00:00:00
abstract::Ankle inversion injuries are the most common traumatic injuries in dancers. Ankle stability is integral to normal mobilization and to minimizing the risk for ankle sprain. The ability of the dynamic and static stabilizers of the ankle joint to maintain their structural integrity is a major component of the normal gait...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2007.12.006
更新日期:2008-04-01 00:00:00
abstract::Concussion is one of the most hotly debated topics in sports medicine today. Research surrounding concussion has experienced significant growth recently, especially in the areas of incidence, assessment, and recovery. However, there is limited research on the most effective rehabilitation approaches for this injury. T...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2014.12.005
更新日期:2015-04-01 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::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::Ankle injuries occur frequently in an athletic population. Understanding the anatomy, biomechanics, pathomechanics, differential diagnosis, and special pediatric considerations allows an accurate diagnosis. Treatment with a nonoperative aggressive goal-oriented therapy program has been successful at the United States ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 00:00:00
abstract::With increasing numbers of professional, collegiate, and high school athletes developing low back pain, isokinetic back testing could prove to be a way of preventing the development of severe problems and extended stays on injured lists. Isokinetic testing provides an advantage over other testing procedures by more cl...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1993-07-01 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
abstract::The understanding and treatment of the young athlete's knee has improved and continues to do so as arthroscopy and good long-term follow-up studies guide the process. In the management of epiphyseal fractures about the knee the presence of associated ligament injury and the high likelihood of a growth plate injury is ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1988-07-01 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::Rehabilitation of the lower extremities has fallen into two basic categories known as open and closed kinetic chain activities. Closed kinetic chain exercises are functional exercises specific to sport movement patterns. Exercises performed with a variety of equipment may be classified as closed kinetic chain. Program...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::The long head of the biceps has garnered increased attention and interest due to the high prevalence of pain that can be a primary condition or occur secondary to shoulder dysfunction. The successful treatment of biceps tendinopathy is dependent on an accurate diagnosis and recognizing all causative factors. The treat...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2015.08.012
更新日期:2016-01-01 00:00:00
abstract::In addition to the physical aspects of athletic injury, there are psychological aspects to consider. These are important during all phases of injury management: the acute injury, the rehabilitative process, and the return-to-play progression. Emotional disturbances are often associated with mild traumatic brain injury...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00100-x
更新日期:2003-07-01 00:00:00
abstract::Soccer players have a high risk of soft-tissue injuries to their legs. Fractures of the tibia and fibula represent a serious potential injury; despite this, the incidence of these fractures in soccer players is unknown. Shin guards have become the only protective devices that are required by international and collegia...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/s0278-5919(05)70117-4
更新日期:1998-10-01 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::Evaluation of injured-knee laxity is essential for treatment selection, clinical follow-up, and research. Interest in rotatory knee laxity increased with implementation of anatomic anterior cruciate ligament reconstruction. The pivot shift test represents a link between static testing with 1° of freedom and dynamic te...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2012.08.005
更新日期:2013-01-01 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::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::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