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 the spinal cord or nerve roots, tethered spinal cord, or spinal tumor should prompt referral to a neurosurgeon. However, tonsillar ectopia (descent of the cerebellum less than 5 mm beyond the foramen magnum) and small dilatations of the central canal, are very commonly seen and appear to represent normal anatomic variants that place athletes at no increased risk of spinal injury, and should not be considered a contraindication to play. The recommendations made in this article are largely based on consensus and experience, but as we gain more clinical experience to correlate with the increasingly sophisticated imaging findings, we hope that these recommendations can be refined further.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Proctor MR,Scott RMdoi
10.1016/j.csm.2012.03.008subject
Has Abstractpub_date
2012-07-01 00:00:00pages
521-33issue
3eissn
0278-5919issn
1556-228Xpii
S0278-5919(12)00024-5journal_volume
31pub_type
杂志文章,评审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：: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：: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：: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：: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：: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：: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：: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：: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：:Boxers are not immune from the abuse of drugs. This article outlines the history of drug taking in boxing and sport in general. The current criteria that constitute doping, and prohibited substances and methods in and out of competition, according to guidelines issued by the World Anti-Doping Agency, are listed. Drugs...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2009.06.005
更新日期：2009-10-01 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：:In the previous discussion, emphasis has been placed on the detection of cardiac disorders that might lead to sudden death. Cardiac crises result from congenital structural defects in athletes aged 35 years or younger, and from acquired diseases in older individuals. Detection implies preparticipation screening, which...
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：:Meniscus root tears biomechanically disrupt normal joint loading and lead to joint overload with the possible development of spontaneous osteonecrosis of the knee and early-onset osteoarthritis. Proper identification and treatment of meniscal root tears has been proven to restore joint loading and improve patient outc...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2019.08.009
更新日期：2020-01-01 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：:Although limited literature exists on medial epicondylitis of the elbow, this disorder is an injury affecting many athletes at every level, especially throwing athletes. Care must be taken in diagnosing medial epicondylitis to distinguish it from other possible pathologies of the medial elbow, which may exist concurre...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2004.04.011
更新日期：2004-10-01 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：: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：:Overuse injuries of the knee are abundant in basketball players. This article discusses the pathophysiology of overuse and the principles of treatment. The diagnosis and clinical management of jumper's knee, patellofemoral pain, and stress fractures are outlined with specific attention to rehabilitation techniques and...
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：:A high-velocity knee dislocation is a true orthopedic emergency. A high index of suspicion is necessary to identify reduced knee dislocations in multiple trauma patients. Coexisting injuries are common in patients with high-velocity knee dislocations. After an initial assessment, the knee joint should be reduced immed...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70218-0
更新日期：2000-07-01 00:00:00
abstract：:An increasing number of revision ACL reconstructions are being performed each year. Revision ACL surgery is challenging and cannot be approached in the same manner as primary ACL surgery. Successful revision ACL surgery requires a detailed history, a comprehensive physical examination, appropriate radiologic studies, ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70133-2
更新日期：1999-01-01 00:00:00
abstract：:The skin diseases observed in athletes are common dermatologic problems that are related specifically to the individual skin type, hereditary factors, age, sex, environment, and sporting activity. Early recognition and treatment of these skin diseases permit the athlete to continue participation without disability or ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1982-11-01 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：: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：:The practitioner need not be an expert in swimming but should understand the rudiments of the stroke and training techniques such patients are subjected to. This will aid in proper identification and analysis of the problem. The solution may require the resources of physician, therapist, coach, and parent as well as s...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1986-01-01 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：: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 is a brief overview of the elbow dislocations focusing on updates in treatment and rehabilitation protocols. The fight between obtaining elbow stability without leading to long-term elbow stiffness has been a continued focus in field of sports medicine. This article highlights advances made to help treat ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2020.02.009
更新日期：2020-07-01 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：: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：:Although conventional radiographs continue to be used as a primary method for the diagnosis of stress fractures, the limitations of radiography in early detection have been increasingly recognized. Advanced imaging techniques, including radionuclide methods, and more recently, MR imaging, have increasingly been employ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70022-3
更新日期：1997-04-01 00:00:00
