International SportMed Journal - Volume 8, Issue 4, 2007
Volume 8, Issue 4, 2007
Author Paul E. NiemuthSource: International SportMed Journal 8, pp 179 –192 (2007)More Less
Sports medicine practitioners have begun to realise that factors proximal to the site of the injury, such as hip muscle weakness, may play a role in lower extremity injury potential. The purpose of this review is to describe current theories and various levels of evidence supporting hip muscle strengthening and / or weakness and lower extremity athletic injuries. Studies describing normal running mechanics, as well as relationships between hip muscle weakness and lower extremity athletic injuries, are described. Some common examples of hip muscle testing, as well as strengthening and rehabilitation exercises, are displayed.
Source: International SportMed Journal 8, pp 193 –214 (2007)More Less
Objective: To provide an introduction to the various imaging modalities and image guided therapies pertinent to hip and groin injuries in sportsmen and women.
Data sources: MEDLINE search of imaging techniques for common pelvic and hip injuries.
Study selection and data extraction: The majority of the selected papers was from established radiology or sports science / orthopaedic journals and specifically related to sporting injuries.
Conclusions: Imaging can be a powerful tool in unravelling diagnostically challenging hip, groin and pelvic complaints in sportsmen and women but each investigation has to be targeted at answering a specific question to avoid missing important diagnoses and to prevent unnecessary treatment of "pathological" radiographic findings entirely unrelated to the patient's symptoms.
Source: International SportMed Journal 8, pp 215 –219 (2007)More Less
Compartment syndrome is a condition where high pressure within a muscle compartment reduces capillary blood perfusion below the level necessary for tissue viability. A variety of injuries and medical conditions may initiate acute compartment syndrome, including fractures, contusions, burns, bleeding disorders, post-ischemic swelling, and gunshot wounds. Exertional compartment syndrome is a well-recognised clinical entity, which can have an acute or chronic presentation, and is associated most often with unaccustomed exercise. This case report discusses a 15-year-old girl who for two years felt transitory pain in the right peroneal compartment when she played sport. After many days of horseback riding, she sustained a sudden increase of the antero-lateral leg pain. The pressure of her lateral leg compartment rose to 100mmHg. Emergent fasciotomy of the lateral compartment of the right leg was performed, and showed partially necrotic peroneal muscles. The reported case is unusual because the pathology was localised to the peroneal compartment only and left the 3 other loges unaffected. Only two other reported cases of exertional compartment syndrome from prolonged horseback riding has been found in the medical literature. The particular mechanism of the peroneal compartment as a result of horseback riding in children is also discussed.
Synovial osteochondromatosis of the elbow in a basketball player : a case study and brief review : case reportSource: International SportMed Journal 8, pp 220 –226 (2007)More Less
Synovial osteochondromatosis, also known as osteochondromatosis or synovial chondromatosis is an uncommon condition characterised by the gradual ossification of intra-articular cartilaginous structures affecting typically the large joints in young to middle-aged adults, mainly in men. In this case report, a 25-year-old basketball player presented with a 3-year history of gradual decrease in the range of movement of his right elbow and a mild palpable synovial thickening which was not accompanied by any localised inflammatory signs or pain. His main symptoms were monoarticular. X rays of the elbow showed numerous juxta-articular calcified / ossified bodies that had multiplied when compared to an X-ray taken two years previously. After an operation, this patient returned to basketball, although his performance did not return to its former level.