Abstract:
:This article focuses on 3 concepts that continue to be investigated in the search for the holy grail of concussion-a valid diagnostic test. Imaging advances are discussed with optimism that functional MRI and diffusion tensor imaging may be available clinically. Biomarkers and the use of genetic tests are covered. Sideline accelerometer use may help steer discussions of head trauma risk once technology exists to accurately estimate acceleration of the brain. In the meantime, strategies including allowing athletes to be substituted out of games for an evaluation and video review in elite sports can improve recognition of sports-related concussion.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Kerr H,Bakken B,House Gdoi
10.1016/j.csm.2020.08.009subject
Has Abstractpub_date
2021-01-01 00:00:00pages
199-211issue
1eissn
0278-5919issn
1556-228Xpii
S0278-5919(20)30064-8journal_volume
40pub_type
杂志文章,评审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::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::The overall health benefits of cardiovascular exercise, such as running, are well established. However, it is also well established that in certain circumstances running can lead to overload injuries of muscle, tendon, and bone. In contrast, it has not been established that running leads to degeneration of articular c...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2010.03.006
更新日期:2010-07-01 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::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::Our understanding of the structure and function of the anterior cruciate ligament has progressed rapidly over the past decade. Arthroscope-assisted anterior cruciate ligament replacement is a new procedure that allows isometric placement of the anterior cruciate ligament graft. Postoperative rehabilitation is enhanced...
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::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::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::Athletes consistently recruit or transfer high levels of repetitive force through the spine. Proper force transmission from the legs to the hips and pelvis and through the trunk is vital. Hip and pelvis joint restrictions and muscle strength deficits coupled with poor endurance of the trunk muscle will lead to spinal ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2012.03.003
更新日期:2012-07-01 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::The early studies on IDET are very promising. IDET offers patients with chronic discogenic low back pain an option other than chronic pain [figure: see text] management or spinal fusion. Studies currently under way will help answer questions relative to mechanism of action, placebo effect, and biomechanical changes af...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(03)00064-4
更新日期:2002-01-01 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::The management of several types of shoulder fractures is presented. These infrequently occurring fractures are seen in a sports medicine practice. Basic principles of fracture care apply and are used in their treatment. Other fractures not discussed would be treated similarly. ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1990-01-01 00:00:00
abstract::Chest pain in the athlete may arise from any one of a number of diverse etiologies. Many of these entities are discussed using an organ system approach. The pathophysiology and clinical characteristics of these processes are described and imaging studies that may aid in establishing their diagnosis are discussed. ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1987-10-01 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::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::Overuse syndromes of the upper extremity in the athletic population are a common and often difficult problem for physician and patient alike. Optimal function of the upper extremity is tied intimately to success in many sporting activities. Correct diagnosis and proper care require a thorough knowledge of the pertinen...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1996-04-01 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 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::Electromagnetic interventions in general and those considering the musculoskeletal system in particular hold many obscurities. Several studies revealing positive effects of electromagnetic fields oppose those showing no beneficial effects. After a historical review and a discussion of basic details on electromagnetic ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2007.10.006
更新日期:2008-01-01 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::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::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::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::Athletic trainers, physical therapists, and team physicians have differing roles when providing care, yet often need to collaborate. Athletic trainers and physical therapists use a variety of therapeutic modalities and manual therapy techniques in conjunction with rehabilitation exercises to improve outcomes. Clinicia...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2019.06.006
更新日期:2019-10-01 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::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::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::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::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 durin...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2004.04.001
更新日期:2004-07-01 00:00:00