{"title":"Popping Pimples or Bones? A Clinical Vignette of a Lacrosse Player on Isotretinoin with Multifocal Lower-Extremity Bone Stress Injuries.","authors":"Ella D'Amico, Allison Schroeder","doi":"10.1249/JSR.0000000000001109","DOIUrl":"10.1249/JSR.0000000000001109","url":null,"abstract":"Isotretinoin as a possible contributor to bone stress injury, as presented in a case report of a young lacrosse player.","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 10","pages":"358-360"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41118048","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":"Rehabilitation of Annular Pulley Injuries of the Fingers in Climbers: A Clinical Commentary.","authors":"Uzo Dimma Ehiogu, Volker Schöffl, Gareth Jones","doi":"10.1249/JSR.0000000000001107","DOIUrl":"10.1249/JSR.0000000000001107","url":null,"abstract":"<p><strong>Abstract: </strong>The annular pulley ligaments of the fingers are one of the most injured anatomical structures in those who participate in climbing. Despite this, there is a paucity of guidance clearly describing the rehabilitation and physical preparation parameters to return to sport following such injuries. The foundation of effective rehabilitation is the judicious application of progressive loading to increase the morphological and material properties of the damaged tissues. We maintain the optimal management of the climbing athlete after a traumatic annular flexor pulley system rupture should be grounded in the principles of strength and conditioning.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 10","pages":"345-352"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41110416","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}
Derek Stokes, Marc Heronemus, Malia Cali, Adele Meron, Scott R Laker
{"title":"Assessment of the Current State of Sports Coverage Participation, Training, and Confidence Ratings among Physical Medicine and Rehabilitation Residents and Residency Programs.","authors":"Derek Stokes, Marc Heronemus, Malia Cali, Adele Meron, Scott R Laker","doi":"10.1249/JSR.0000000000001110","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001110","url":null,"abstract":"<p><strong>Abstract: </strong>A significant proportion of physical medicine and rehabilitation residents are pursuing sports medicine-related fellowships and are recommended to participate in sports coverage during residency training. The purpose of this article is to assess the current state of sports coverage participation, training, and confidence ratings among physical medicine and rehabilitation residents and residency programs. Physical medicine and rehabilitation residents from Accreditation Council for Graduate Medical Education-accredited programs were invited to participate in a nationwide cross-sectional survey. A total of 90 resident responses from 43 programs were included. Residents from 91% of represented programs indicated that sports coverage opportunities were available. At least one resident from 63% of represented programs and 50% of responding residents reported sports coverage training during residency. Sports coverage confidence ratings were higher in 91% of topics among residents who received training. The results of this study indicate that sports coverage opportunities are common among physical medicine and rehabilitation residencies, and while sports coverage training is variable, a positive correlation with confidence ratings was identified.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 10","pages":"361-366"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41111494","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":"Ischiofemoral Impingement Due to an Undiagnosed Pelvic Avulsion Fracture.","authors":"Alec T Warren, Abubakar Ahmed, Altamash E Raja","doi":"10.1249/JSR.0000000000001108","DOIUrl":"10.1249/JSR.0000000000001108","url":null,"abstract":"<p><strong>Abstract: </strong>Ischial tuberosity (IT) avulsion fractures are an uncommon cause of injuries in athletes. In this case, a 26-year-old female suffering from posterior right hip pain for over a decade presented with debility and a decrease in athletic function. Notable history included a hamstring strain while sprinting in elementary school. Clinical examination suggested hamstring tendinopathy and ischiofemoral impingement (IFI). Magnetic resonance imaging (MRI) revealed a chronic, fragmented, IT apophyseal avulsion fracture with ischial bursitis and edema within the fragmented bone, suggesting the development of heterotopic ossification (HO). Diagnostic ultrasound revealed signs of IFI, not evident on MRI. Ultrasound-guided corticosteroid injection in her ischial bursa and ischiofemoral space provided complete relief. The patient was able to resume her activities of daily living and sports-related activities without pain. Although interventional treatments may provide temporary pain relief, a multimodal approach is required for the treatment of HO.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 10","pages":"353-357"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113680","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":"Web Alert.","authors":"William W Dexter, Emma Cronk","doi":"10.1249/JSR.0000000000001094","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001094","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 9","pages":"299-300"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10179528","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":"Vitamin D Supplements in Sports: A Long Run for a Short Jump.","authors":"E Randy Eichner","doi":"10.1249/JSR.0000000000001101","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001101","url":null,"abstract":"Recent Recommendations in Sports Two recent articles are examples. A study of elite ballet dancers recommends testing ferritin and vitamin D levels annually, noting that “a deficit in vitamin Dmay cause deterioration of iron status and increase the risk of anemia” (1). Most of the female dancers (68%), especially those on restricted diets, had low ferritin; this is no surprise. In contrast, vitamin D status was generally adequate. In any case, the notion that low vitamin D can cause iron deficiency anemia is wrong. The authors cite a meta-analysis of seven observational studies of low vitamin D and “anemia.” Two were U.S. studies; neither tied low vitamin D to iron deficiency anemia (2,3). Low vitamin D can “travel with” low ferritin, but one does not cause the other. The other recent article recommends VDS for endurance cyclists training intensely (4). It notes conflicting results in a narrative review, and cites one study, showing that VDS boost aerobic fitness in soccer players (5). But in that study, V̇O2 max rose 2.6% in those on VDS (P = 0.03) versus 2.2% in those not on VDS (P = 0.053). All told, weak support for recommending VDS to endurance cyclists. I will return to VDS for athletes. First, the track record for VDS in the practice of medicine.","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 9","pages":"297-298"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10188662","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}
Ryan Meyer, Laryssa Richards Loncar, Elyse Jensen, Altamash Raja, Brandon Tunis, Michael L Moreland, Justin Tunis
{"title":"The Role of Ultrasound in the Management of Ankle Sprains and a Clinically Relevant Geisinger Ankle Sprain Sports Ultrasound Protocol.","authors":"Ryan Meyer, Laryssa Richards Loncar, Elyse Jensen, Altamash Raja, Brandon Tunis, Michael L Moreland, Justin Tunis","doi":"10.1249/JSR.0000000000001105","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001105","url":null,"abstract":"<p><strong>Abstract: </strong>Ankle sprains are the most common lower extremity injury in physically active individuals. These injuries are classified as lateral, medial, and/or syndesmotic. Treatment may include functional rehabilitation, bracing, weight-bearing restriction, medications, injections, and surgery. While most sprains heal rapidly, permanent disability and pain may arise. Diagnostic ultrasound has been demonstrated to be accurate in diagnosing ligamentous injuries, but it is often excluded from management algorithms that rely on physical examination alone to diagnose significant injuries. This article proposes a comprehensive, evidence-based diagnostic ankle ultrasound protocol to implement in conjunction with thorough history and physical examination. We also review the current literature to describe where this protocol most improves diagnostic accuracy compared with physical examination alone.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 9","pages":"320-327"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195044","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}
Allison N Schroeder, Idris Amin, Brady J Bowen, Shelley S Callender, Megan Ferderber, Hamish A Kerr, Shawn F Phillips, Joshua M Romero, Lauren Rudolph, Kathryn Vidlock, Anna L Waterbrook, Ryan C Kruse
{"title":"Implementing a Sports Ultrasound Curriculum in Undergraduate Medical Education.","authors":"Allison N Schroeder, Idris Amin, Brady J Bowen, Shelley S Callender, Megan Ferderber, Hamish A Kerr, Shawn F Phillips, Joshua M Romero, Lauren Rudolph, Kathryn Vidlock, Anna L Waterbrook, Ryan C Kruse","doi":"10.1249/JSR.0000000000001099","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001099","url":null,"abstract":"<p><strong>Abstract: </strong>The utilization of sports ultrasound in the clinical practice of sports medicine physicians is growing rapidly. Simultaneously, ultrasound is being increasingly implemented as a teaching tool in undergraduate medical education. However, a sports ultrasound curriculum for medical students has not been previously described. In this article, we describe methods as well as barriers to implementing a sports ultrasound curriculum at the medical school level. Recommended content for the curriculum also is discussed. While educational goals and resources will vary among institutions, this article may serve as a general roadmap for the creation of a successful curriculum.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 9","pages":"328-335"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10188661","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}
Douglas J Casa, Michael R Szymanski, John F Jardine, Rebecca L Stearns, William M Adams, Christianne M Eason, Yuri Hosokawa, Robert A Huggins, Rebecca M Lopez, Brendon P McDermott, Kevin C Miller, Julie K Nolan, Riana R Pryor, Samantha E Scarneo-Miller, Lesley W Vandermark
{"title":"Letter on the 2023 ACSM Expert Consensus Statement on Exertional Heat Illness.","authors":"Douglas J Casa, Michael R Szymanski, John F Jardine, Rebecca L Stearns, William M Adams, Christianne M Eason, Yuri Hosokawa, Robert A Huggins, Rebecca M Lopez, Brendon P McDermott, Kevin C Miller, Julie K Nolan, Riana R Pryor, Samantha E Scarneo-Miller, Lesley W Vandermark","doi":"10.1249/JSR.0000000000001100","DOIUrl":"https://doi.org/10.1249/JSR.0000000000001100","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 9","pages":"336-337"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10188656","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":"Nutritional Strategies for Endurance Cyclists - Periodized Nutrition, Ketogenic Diets, and Other Considerations - ERRATUM.","authors":"","doi":"10.1249/JSR.0000000000001104","DOIUrl":"10.1249/JSR.0000000000001104","url":null,"abstract":"","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"22 9","pages":"340"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195040","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}