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, in order to be effective, requires considerable financial resources impractical for community-wide athletic programs. In young asymptomatic individuals, the prevalence of congenital heart disease is estimated at 0.5 per cent. Perhaps 1 per cent of these athletes has congenital lesions that could potentially result in sudden death and of these, only 10 per cent will, indeed, die suddenly. Identification of a group of 1000 athletes who have congenital cardiovascular disease of whom perhaps only one will die suddenly requires screening of 200,000 competitors. It is rather unlikely that any community would consider this type of undertaking economically feasible, especially considering that the most useful test for the younger age group, the echocardiogram, is also one of the most expensive. Noninvasive screening on an individual basis, in most instances, will identify those athletes at risk for sudden death if appropriate financial resources can be applied. History and physical examination, chest roentgenogram, 12-lead electrocardiogram, echocardiography, and exercise stress testing are useful tools in the recognition of those conditions associated with acute cardiac emergencies.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Frazier JE 2ndsubject
Has Abstractpub_date
1989-01-01 00:00:00pages
81-90issue
1eissn
0278-5919issn
1556-228Xjournal_volume
8pub_type
杂志文章,评审abstract::There is a distinct difference between ballet injuries and sports injuries in general, and the sports medicine physician needs to study the technique of dance and the specific injuries that it may produce in order to treat dancers effectively. In Australia, which is typical of other countries where ballet is performed...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1983-11-01 00:00:00
abstract::Stimulation of damaged sense receptors is essential to proper rehabilitation of the injured ankle. By performing exercises that induce movement and change tone and intra-articular pressure, especially in the weightbearing role, the ankle joint's periarticular structures are more likely to heal with functional strength...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1988-01-01 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::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::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::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::The healing response after tendon injury is defined by cell matrix adaptive capability. There are distinct macrotraumatic and microtraumatic injury patterns and a spectrum of pathologic responses from inflammation to tissue degeneration, as characterized by the tendinosis phenomenon. Epigenetic and genetic factors gov...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-07-01 00:00:00
abstract::Athletes, like other patients, will adhere to their treatment more readily if they believe the physician really understands their needs and cares about them as individuals. The guidelines provided in this article are intended to help the practitioner respond more effectively to each individual patient because effectiv...
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::A review of the available records indicates that there have been a substantial number of fatalities in primarily professional but also amateur boxers due to intracranial injuries sustained in the ring in comparison to the numbers of boxers at risk. The number of such fatalities has decreased steadily in recent years o...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70070-3
更新日期:1998-01-01 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::Rehabilitation after anterior cruciate ligament (ACL) reconstruction should consider control of postoperative pain and swelling, protection of the healing graft, restoration of full range of motion symmetric to the contralateral knee, strengthening of the muscles that stabilize the knee, hip, and trunk, enhancing neur...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2012.08.016
更新日期:2013-01-01 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::All ancient societies have been documented as having various aspects of gymnastics in their overall pattern of health and conditioning. In 700 BC the Athenians added gymnastics to Olympic competition; television coverage of gymnastics in the modern Olympics, combined with a heightened interest in physical fitness in g...
journal_title:Clinics in sports medicine
pub_type: 历史文章,杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::Optimization of treatment of the tennis player with an upper extremity overuse injury requires a thorough understanding and analysis of the biomechanical and physiologic stresses inherent in the game of tennis. Anatomic adaptations found in the upper extremity of elite tennis players provide the framework for evaluati...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::We have provided an overview of the athlete's heart, focusing on the young athlete. Primary caretakers of athletes should know the major causes of exercise-related cardiac complications and sudden cardiac death and look for these conditions during preparticipation evaluations. We strongly suggest that coaches and othe...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70050-8
更新日期:1997-10-01 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 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::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::Hip instability is uncommon because of the substantial conformity of the osseous femoral head and acetabulum. It can be defined as extraphysiologic hip motion that causes pain with or without the symptom of hip joint unsteadiness. The cause can be traumatic or atraumatic, and is related to both bony and soft tissue ab...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2010.12.008
更新日期:2011-04-01 00:00:00
abstract::The use of radiofrequency or laser to treat lax anterior cruciate ligaments is at its infancy. The imaging results of such treated ligaments using MRI are undocumented in the literature. This article reviews the basic science behind thermal treatment of ligaments and previously published and unpublished data on this t...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00021-2
更新日期:2002-10-01 00:00:00
abstract::Patellofemoral dysfunction is a common but not yet well-managed condition affecting a large number of athletes. It is important to perform a thorough evaluation of these athletes including soft-tissue imbalances and faulty movement patterns. It is also important to develop a comprehensive treatment plan that addresses...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1989-10-01 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::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::Providing adequate protection is a very important component of proper treatment of athletic injuries of the upper extremity. This article reviews the anatomic considerations involved in fabricating splints for various joints of the hand and wrist that will allow the athlete to compete as early as possible while preven...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1986-10-01 00:00:00
abstract::Osteochondritis dissecans (OCD) can affect both adults and children, however the imaging characteristics and significance of imaging findings can differ in the juvenile subset with open physes. Radiography and magnetic resonance imaging (MRI) are the primary modalities used to aid in diagnosis, to define a treatment p...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2013.12.002
更新日期:2014-04-01 00:00:00
abstract::The various causes of posterior and inferior heel pain in the athlete have been presented. Various examples of athletes who have had the various problems and discussed their outcome have been discussed. This article primarily has tried to educate the reader as to the different types of heel pain and has stressed the n...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1994-10-01 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::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::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::Understanding the results and statistics reported in original research remains a large challenge for many sports medicine practitioners and, in turn, may be among one of the biggest barriers to integrating research into sports medicine practice. The purpose of this article is to provide minimal essentials a sports med...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2018.03.004
更新日期:2018-07-01 00:00:00