Derek C Stokes, Matthew J Mervis, Daniel M Cushman
{"title":"Exertional Leg Pain in Athletes.","authors":"Derek C Stokes, Matthew J Mervis, Daniel M Cushman","doi":"10.1249/JSR.0000000000001205","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001205","url":null,"abstract":"<p><strong>Abstract: </strong>Exertional leg pain is a relatively common condition that can negatively impact athletic performance and may pose a diagnostic and management challenge for the sports medicine physician. A comprehensive clinical evaluation is important to narrow the broad differential associated with exertional leg pain and focus the selection of the most appropriate diagnostic tests and treatment modalities in the care of these individuals. This article will provide an update on recent literature regarding the etiologies, pathophysiology, clinical presentation, workup/diagnosis, and treatment of exertional leg pain in athletes with a focus on vascular etiologies, chronic exertional compartment syndrome, and bone stress injury.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 11","pages":"369-375"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimizing Acute Static Stretching Protocols: Balancing Range of Motion and Strength Performance.","authors":"Ming Li, Youngsuk Kim, Sukwon Kim","doi":"10.1249/JSR.0000000000001204","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001204","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 11","pages":"363-365"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Making a Splash: A Closer Look at Early Specialization in Competitive Diving.","authors":"Annika Lenz, Brendan Provance, Aaron Provance","doi":"10.1249/JSR.0000000000001206","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001206","url":null,"abstract":"<p><strong>Abstract: </strong>This review article explores the multifaceted aspects of early specialization in diving, focusing on its implications for injury prevalence, performance, and mental health. It highlights the increasing trend of early specialization driven by ambitions for collegiate and Olympic success, despite recommendations advocating for diversification. Divers are at risk for acute and overuse injuries, particularly during high-velocity water entries; however, data on injury patterns, especially among elite divers and early specializers, remains scarce. Recent data suggest a correlation between early specialization and reduced rates of certain injuries among youth divers, but distinguishing between acute and overuse injuries is crucial. Additionally, early specialization may pose mental health risks, with divers facing pressures related to performance, body image, and parental expectations. This article underscores the need for tailored guidelines to mitigate injury risks and promote holistic well-being among youth divers, recognizing the complex interplay between physical and psychological factors in sports specialization.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 11","pages":"376-380"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aline Josiane Waclawovsky, Thiago Rozales Ramis, Frederico Diniz Lima, Felipe Barreto Schuch, Luiz Fernando Freire Royes
{"title":"Self-Reported Use of Prohibited Substances and Methods Among Athletes of the Brazilian Delegations.","authors":"Aline Josiane Waclawovsky, Thiago Rozales Ramis, Frederico Diniz Lima, Felipe Barreto Schuch, Luiz Fernando Freire Royes","doi":"10.1249/JSR.0000000000001208","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001208","url":null,"abstract":"<p><strong>Abstract: </strong>Use of prohibited substances and methods (doping) by elite athletes is a complex and multifactorial behavior. Understanding the factors associated with doping behavior is crucial to identifying potential intervention targets to reduce doping among this group. However, there are limited data on the prevalence and correlations of self-reported prohibited substance use among Brazilian Olympic athletes. We present data from a cross-sectional, self-reported online survey. Participants were elite Brazilian athletes who participated in the 2020 Olympic and Paralympic Games. A total of 209 athletes (52.6% females) from both Brazilian delegations were surveyed. The self-reported doping use of prohibited substances or methods was found to be 7.2%. Receiving a recommendation from a medical doctor, even knowing that the substance is prohibited, was associated with an increased risk of self-reported doping use (OR = 17.474; 95% CI = 4.664-65.470, P < 0.001). Nearly 1 in 10 athletes reported use in their careers. Medical recommendation to use substances was the only factor associated with an increased risk of doping among elite athletes.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 11","pages":"392-396"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dysuria in the Collegiate Athlete.","authors":"Tatum Khouri, Robert Kiningham","doi":"10.1249/JSR.0000000000001207","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001207","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 11","pages":"366-368"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"2023 Paper of the Year.","authors":"Shawn F Kane","doi":"10.1249/JSR.0000000000001202","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001202","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 11","pages":"359-360"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Football Continues Its Relentless Killing of Children.","authors":"E Randy Eichner","doi":"10.1249/JSR.0000000000001203","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001203","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 11","pages":"361-362"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rock Climbing-Related Injuries: A Clinical and Imaging Overview.","authors":"Paulo Miro, Emily Miro, Tiffany Ho, Melissa Feuerborn, Amanda Crawford, Volker Schöffl","doi":"10.1249/JSR.0000000000001209","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001209","url":null,"abstract":"<p><strong>Abstract: </strong>The rise in popularity of competitive and recreational rock climbing, particularly following its inclusion in the 2021 Summer Olympics, has led to a corresponding increase in rock climbing-related injuries. Due to the sport's unique biomechanical demands, it often presents injuries not commonly seen in other sports. Additionally, although some injuries align with those encountered in other sports, they manifest through distinctive climbing-related mechanisms unfamiliar to many clinicians. This paper delves into 10 prevalent injuries associated with the sport, exploring both sport-specific injuries and the unique mechanisms behind commonly encountered ones. Each injury receives a comprehensive overview, detailing its clinical presentation, evaluation, specific injury mechanisms with photographic and graphic illustrations, imaging representations, and treatment considerations. This paper aims to serve as a valuable reference for clinicians dealing with rock climbing-related injuries in clinical practice.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 11","pages":"381-391"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Figure Skating Musculoskeletal Injury: Evidence across Disciplines, Mechanisms, and Future Directions.","authors":"Aimee Madsen, Kathryn Alfonso, Heather K Vincent","doi":"10.1249/JSR.0000000000001198","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001198","url":null,"abstract":"<p><strong>Abstract: </strong>This review provides a synopsis of current injury patterns, potential mechanisms, and off-ice exercise prevention considerations as the sport of figure skating evolves. The lifetime prevalence of injury for all skaters is estimated to be 79.5%, with the most common sites being spine and lower extremity. Singles skaters more often develop chronic injuries compared to acute (68.9% vs 31.1%), whereas non-singles skaters more often experience acute injuries. Lower limb stress fracture prevalence ranges from 10% to 21.4% across disciplines. Emerging contributors include training volume, technical difficulty and repetition of complex elements (multirotational jumps, lifts, holds), extreme ranges of movement about the spine and hip, age and experience level, and functional capacity (dynamic strength, flexibility, balance, and neuromotor control). Prevention programs in competitive figure skaters may include monitoring of training volumes, emphasis on technique, appropriate boot fit, and strength and conditioning content to prepare for increasing neuromotor, balance, and power demands of the sport.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 10","pages":"332-339"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kevin P Hill, Kurt Kroenke, Erin B Wasserman, Christina Mack, Geoffrey S F Ling, Thom Mayer, Gary S Solomon, Allen Sills
{"title":"Pain Medication Data from the 2021 and 2022 National Football League Prescription Drug Monitoring Program.","authors":"Kevin P Hill, Kurt Kroenke, Erin B Wasserman, Christina Mack, Geoffrey S F Ling, Thom Mayer, Gary S Solomon, Allen Sills","doi":"10.1249/JSR.0000000000001200","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001200","url":null,"abstract":"<p><strong>Abstract: </strong>We report 2021 and 2022 prescription drug monitoring program data that include pain medication prescriptions, including over-the-counter medications, issued to NFL players by either club physicians or external medical providers and entered in the NFL electronic medical record. Of 3142 players who signed a contract with at least one NFL Club during the 2021 season, there were 14,903 prescriptions for pain medications issued to 2207 players. During the 2022 season, there were 14,880 prescription pain medications issued to 2189 players (out of a population of 3152). Notably, most pain medication prescriptions across the two seasons were for nonsteroidal anti-inflammatory agents (NSAIDs; 85.1%), whereas only 2.9% were for opioids. Despite the demanding physical nature of professional football and the need for pain management during a season, the prevalence of opioid prescriptions among NFL players appears to be similar to and, in some cases, potentially lower than previous U.S. population-based data.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"23 10","pages":"348-351"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}