Showing papers in "Clinics in Sports Medicine in 2011"

TL;DR: The distinctive neuropathologic profile of the disorder lends promise for future research into its prevention, diagnosis, and treatment, including formal clinical or pathologic diagnostic criteria for CTE.

TL;DR: The factors that affect concussion rate are identified and improved techniques and rule changes can be improved to minimize the rate and severity of concussions in sports.

TL;DR: This review evaluates current studies from the bench to the bedside of mTBI and concludes that translational studies such as functional magnetic resonance imaging, magnetic resonance spectroscopy and diffusion tensor imaging prove to be effective clinical tools for both prognostic and treatment parameters.

TL;DR: Past studies defining the common mechanisms for mild traumatic brain injury are reviewed and efforts to convert the external input to the head (force, acceleration, and velocity) into estimates of motions and deformations of the brain that occur during mild traumatic head injury are summarized.

TL;DR: Assessment of neurocognitive function and balance can provide clinicians with an additional piece of the concussion puzzle, remove some of the guesswork in uncovering less obvious symptoms, and assist in determining readiness to return safely to participation.

TL;DR: Hip instability is uncommon because of the substantial conformity of the osseous femoral head and acetabulum, but gross instability caused by trauma or iatrogenic injury has been shown to improve with surgical correction of the underlying deficiency.

TL;DR: Improving coach and player education about proper concussion management, encouraging neck-strengthening exercises, and minimizing high-risk impacts may reduce concussions in sports.

TL;DR: The main medical therapies for the management of concussive brain injury are reviewed, which may include additional education, academic accommodations, physical therapy, cognitive rehabilitation, and medication.

TL;DR: The role of gender in the assessment and management of sport-related concussion is addressed, with women having a higher risk of sustaining a concussion and taking a longer time to recover than men.

TL;DR: The different phases of rehabilitation and the rehabilitation protocol are discussed, thinking that by following the restrictions set by the physician while performing early circumduction, using the minimal criteria to advance through each subsequent phase, and allowing patients to perform functional sport progressions throughout the rehabilitation athletes will be able to return to sport smoothly and effectively.

TL;DR: The effects of concussive brain injury on the life of a child are different from those of an adult and the aspects of SRC that are specific to the younger athletes are focused on.

TL;DR: The types and patterns of knee and anterior cruciate ligament (ACL) injuries for youth sports based upon recent research are reviewed based upon the extensive research of Comstock et al using data compiled from the National High School Sports-Related Injury Surveillance Study.

TL;DR: It is important to have a concussion protocol for high-risk sports, including a preseason and postinjury assessment, and an individualized yet comprehensive approach that includes evaluating symptoms, and a neurologic examination that includes cognitive function and balance testing.

TL;DR: In this article, the authors describe operative techniques to treat labral tears, including a method for labral reconstruction using the iliotibial band autograft, in a minimally invasive manner.

TL;DR: Despite its documented value, neuropsychological assessment should be one of several tools used as part of the concussion assessment/management process.

TL;DR: The exertional-sickling collapse syndrome in athletes with sickle cell trait is highlighted, including pathophysiology, new research on microcirculatory changes, clinical features, differential diagnosis, prevention, and treatment.

TL;DR: Methods using arthroscopic surgery for the treatment of chondral lesions of the hip caused by either injury or morphologic conflicts such as seen in femoroacetabular impingement are presented.

TL;DR: This article summarizes the current information and the present approach to this chronic lower abdomen and groin pain syndrome and discusses the cause, pathogenesis, diagnosis, and treatment of sports hernias.

TL;DR: Tibial eminence fracture, a bony avulsion of the anterior cruciate ligament (ACL) from its insertion on the intercondylar eminence, was first described by Poncet in 1875 and is known as tibial spine fractures.

TL;DR: Some of the newer techniques that are being used in the clinical assessment of patients following mild to moderate TBI are described, their use in the acute setting, and their potential role in long-term follow-up are explored.

TL;DR: The structure and function of the acetabular labrum, the diagnosis of labral injury through physical examination and imaging modalities, and the current treatment options, including labrectomy, labral repair, and reconstruction are discussed.

TL;DR: To elucidate the effect of concussion or mild traumatic brain injury and weigh in on a decision to retire, the treating physician needs to take into account the history, neurologic examination, brain imaging, and neuropsychological testing.

TL;DR: The rate of ACL injury in patients with open physes has recently been shown to approach the rate of tibial spine fractures and traumatic ACL disruption has also been described in children as young as 4 years of age.

TL;DR: Fatigue research using medications used to treat ADHD suggests that endurance performance and thermoregulation are affected in ways that may put athletes taking these medications at risk.

TL;DR: Endoscopic techniques for the treatment of the greater trochanteric pain syndrome with results that are at least comparable if not better than those reported for open procedures are encouraging.

TL;DR: A sample of selected studies of high-school and collegiate athletes is reviewed and the intermediate effects of concussive injuries are discussed, because no long-term empiric data are available with these populations of athletes.

TL;DR: This data indicates that female athletes are 4–6 times more likely to suffer an ACL injury than males in comparable sports and the development of injury prevention focused training protocols is a cause for concern.

TL;DR: This paper examines some of the key areas that are likely to be the focus of research in the next few years in the field of sports concussion.

TL;DR: Most concussion symptoms resolve within the first week after injury, but athletes with persistent symptoms may manifest subtle behavioral and cognitive changes that require further investigation.

TL;DR: The relationship between athletic-associated amenorrhea and endothelial dysfunction is investigated-a potential fourth component to the triad that is a concern for future cardiovascular risk, public health issues, and athletic performance.