Ankle

By Greg Rubin
Diagnostic Posterior Tibial Nerve Block
Diagnostic posterior tibial nerve block can be done under ultrasound guidance and help diagnose tarsal tunnel syndrome.

By Greg Rubin
Evidence for a Lace Up Ankle Brace
Lace up ankle braces are commonly used to prevent inversion ankle injuries and sprains and may also be used to prevent recurrence of ankle…

By Greg Rubin
Return to Play Following Achilles Tendon Rupture
Achilles tendon ruptures are typically treated conservatively with a return to play in 6 months.

By Andrew Schleihauf
Subtalar Osteoarthritis
Subtalar osteoarthritis (STOA) is often secondary to chronic ankle sprains or trauma, which seriously affects the quality of life of patients.

By John Kiel
Case Report: Trimalleolar Fracture
Trimalleolar ankle fractures are 3-part ankle fractures which require surgical fixation.



By John Kiel
A Case of Septic Arthritis
Septic arthritis is characterized by a infectious process involving one or more joints who's treatment requires antibiotics and surgical intervention


By Greg Rubin
Review of the Sinus Tarsi Syndrome
The development of lateral hindfoot pain and instability after an ankle injury can be suggestive of the sinus tarsi syndrome.



By Greg Rubin
Plantar Plate Tear of the Lesser Toes
Plantar plate tears are a common cause of forefoot pain and can lead to a hammertoe deformity.



By Andrew Schleihauf
Os trigonum syndrome
Os trigonum syndrome, sometimes called posterior ankle impingement syndrome, is a potentially underrecognized cause of posterior ankle pain.


By John Kiel
Osteochondral Defect of the Talus
Osteochondral Defect of the Talus is one of the most common places to get an OCD and can sometimes be treated nonsurgically depending on…




By John Kiel
PRP and Achilles Tendinopathy
Achilles tendonitis or tendinopathy is a common cause of heel pain in patients that is treated with a variety of modalities. Does PRP help?




By Sports Medicine Review
Evidence Behind Corticosteroid Injections of the Foot and Ankle
Corticosteroid injections can be used for ankle arthritis, plantar fasciitis, Morton's neuroma, and tarsal tunnel syndrome among other foot and ankle problems.
Back



By
Special Tests for Sacroiliac Pain
The sacroiliac joint (SIJ) has been estimated to contribute to pain in as much as 38% of cases of lower back pain.


By
Axial Spondyloarthritis
Whenever dealing with athletes and back pain, providers should have awareness of inflammatory back pain (IBP) including spondyloarthritis.


By
Spondylolyisis and Spondylolisthesis
There is always confusion in the medical community in regards to spondylolysis and spondylolisthesis, although it is very likely to be seen in the…



By
Sacral Insufficiency Fractures
sacral insufficiency fractures introduction Sacral insufficiency fractures (SIFs) are often misdiagnosed or under diagnosed and may be the root of back or groin pain.…


By
Facet Joint Arthropathy
Facet arthropathy is a common cause of axial back pain of the cervical and lumbar spine.


By
Baastrup's Disease
Baastrup’s disease, also known as kissing spine syndrome and interspinous bursitis, results from adjacent spinous processes in the lumbar spine rubbing against each other…



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Important History and Physical Examination Pearls of Athletic Back Pain
Back pain affects up to 75% of athletes and physicians should be familiar with how to perform a detailed back examination.



By
A Review on Reading Lumbar X-rays
Lumbar xrays or radiographs can be used to help identify the cause of pain in patients presenting with back pain.
Cardiology


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Commotio Cordis in Athletes
Most spectators across the country witnessed a haunting scene on Sunday, January 1 that will be remembered for a very long time.



By
Channelopathies and their role in Sudden Cardiac Arrest
Channelopathies are alterations in ion channels that can lead to arrhythmias and sudden cardiac death in athletes.
Case Report




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Case Report: 5th Metatarsal Fracture
5th Metatarsal Fractures commonly occur in the foot and management depends on the location of the fracture.



By
Case Report: Trimalleolar Fracture
Trimalleolar ankle fractures are 3-part ankle fractures which require surgical fixation.



By
A Case of a Transverse Patella Fracture
A patient presents with a transverse patella fracture and you must determine if their extensor mechanism is intact?



By
A Case of Septic Arthritis
Septic arthritis is characterized by a infectious process involving one or more joints who's treatment requires antibiotics and surgical intervention
Chest



By
Pectoralis Major Tears
Tears of the pectoralis major occur can occur with weight lifting and may require surgery for full thickness tears.
Chronic



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Overview of Gout
Gout is the most common form of inflammatory arthritis and is caused by the presence of MSU crystals formed during prolonged hyperuricemia.



By
Plantar Fasciitis Review
Plantar fasciitis is a common source of heel pain that is due to degeneration of the plantar fascia insertion on the calcaneus.


By
Chronic Exertional Compartment Syndrome of the Lower Extremity
Chronic exertional compartment syndrome (CECS) is causes leg weakness and tingling during exercise in certain athletes such as running, sprinting and jumping sports.



By
Calcium Hydroxyapatite Deposition Disease
Calcium hydroxyapatite deposition disease, also known as CHDD, is a common cause of calcific tendonitis of the shoulder
Concussion


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Emerging Treatments in Concussion Management
Mild traumatic brain injury (mTBI), which includes sport-related concussion (SRC), is a significant public health problem with no proven effective intervention.


By
Emerging Treatment and Diagnostics for Concussion
There continues to be an evolving field in the diagnosis and management of persistent post concussive symptoms (PPCS).



By
Role of Vestibular Rehab in Concussion Management
Vestibular or balance deficits are commonly seen in the post concussive period and may require specific vestibular therapy.


By
Persistent Post-Concussive Symptoms: Pharmacology
Persistent Post-Concussive Symptoms, sometimes called post-concussive syndrome, lasts longer than the expected recovery time and is sometimes treated with medications.


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Persistent Post-concussive Symptoms (PPCS): Treatment strategies
Persistent Post-concussive Symptoms, or post concussive syndrome, is a concussion which lasts past the expected duration and has broad treatment options.


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Persistent Post-concussive Symptoms (PPCS): Imaging and Treatment Strategies
Treatment for Persistent Post-Concussive Symptoms (PPCS) includes treadmill therapy, vestibular and vision therapy and other collaborate care.


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Persistent Post-concussive Symptoms (PPCS): Introduction and Diagnosis (Part 1)
Persistent Post-concussive Symptoms (PCCS) represents persistent concussion symptoms which do not resolve in the expected time frame.


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The Conundrum of Return to Play after Moderate TBI
Return to play after a concussion represents a challenge for sports medicine physicians to safely return athletes to play following sports and recreation related…
Dermatology


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Herpes Gladiatorum in Athletes
Herpes Gladiatorum is a cutaneous infection with the herpes simplex virus seen in sports with lots of skin to skin contact, most commonly wrestling.
Elbow


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UCL Injuries in Quarterbacks
The elbow injury to Josh Allen is dominating headlines and we provide some insight and evaluate potential options and prognosis.


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Stress Ultrasound of the UCL
Dynamic ultrasound can assess for partial tears in the anterior band of the UCL.



By
Special Tests for the Elbow Exam
The physical exam of the elbow should include a series of special tests to help diagnose the cause of the patients elbow pain.



By
A Review of Cubital Tunnel Syndrome
Cubital Tunnel Syndrome is a compressive neuropathy of the ulnar nerve most commonly at the level of the cubital tunnel




By
Closed Reduction Techniques for Elbow Dislocations
Elbow dislocations are common among adult and child athletes. Physicians should be familiar with various reduction techniques.


By
Distal Biceps Tendon Tear
Acute distal biceps tendon tears are fairly uncommon elbow and upper arm injuries that mainly affect active males and typically require surgery.


By
Risk Factors for UCL Injury
The Ulnar Collateral Ligament (UCL) is at risk for injury among throwing athletes such as baseball and softball pitchers.



By
Quick Guide to Diagnostic Ultrasound of the Elbow
Diagnostic ultrasound of the elbow can be used to evaluate causes of elbow pain such as tennis elbow, golfers elbow and UCL injuries.



By
Triceps Tendon Injuries: An Uncommon Clinical Entity
Triceps tendon injuries, which can includes strain, tendinopathy, partial and complete tears, is a rare clinical phenomenon and cause of elbow pain.


By
Treatment Algorithm for Olecranon Bursitis
Olecranon bursitis is a common cause of elbow pain and swelling which can easily be treated with several nonsurgical therapies




By
Platelet Rich Plasma (PRP) and Lateral Epicondylitis
Platelet Rich Plasma (PRP) can be used to treat Lateral Epicondylitis or tennis elbow by injecting your healthy blood around the diseased tendon.
Environmental



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Marine Envenomations
Marine envenomations are an important consideration in water sports including swimming, diving, scuba, fishing, surfing, and wakeboarding.


By
Heat-Associated Conditions in the Athlete
Heat related illness (or conditions or hyperthermia) can lead to heat cramps, heat edema, heat syncope, heat exhaustion and rarely heat stroke.
Foot


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Diagnosing a Lisfranc Ligament Injury
A Lisfranc ligament injury should be considered in an athlete complaining of pain and tenderness along the midfoot.


By
Freiberg Infraction
Freiberg infraction, or Freiberg’s disease, is an osteonecrosis of the metatarsal head bone, which was firstly described in 1914.


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A Review of Bunionettes
A bunionette typically involves lateral forefoot pain and can be managed conservatively with a wide based shoe prior to considering surgical options.


By
Review of Plantar Fibromas
A plantar fibroma is typically a painless mass that can be felt or palpated within the plantar fascia.


By
Cuboid Stress Fractures
cuboid stress fractures introduction Though rare, an isolated cuboid stress fracture should be considered in a patient presenting with lateral foot pain. Overuse injuries…




By
Case Report: 5th Metatarsal Fracture
5th Metatarsal Fractures commonly occur in the foot and management depends on the location of the fracture.



By
Overview of Gout
Gout is the most common form of inflammatory arthritis and is caused by the presence of MSU crystals formed during prolonged hyperuricemia.


By
Review of Sesamoid Pain
Plantar surface forefoot pain is typically due to pain from the sesamoid bone.


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Common Toenail Injuries in Athletes
Athletes commonly endure injuries to their toenails and we will briefly review some of the most frequently encountered pathology.


By
Treatment Options for Plantar Fasciitis
Plantar Fasciitis is a common cause of medial arch foot pain and has a wide variety of treatment modalities that can be used.



By
Plantar Plate Tear of the Lesser Toes
Plantar plate tears are a common cause of forefoot pain and can lead to a hammertoe deformity.



By
Os trigonum syndrome
Os trigonum syndrome, sometimes called posterior ankle impingement syndrome, is a potentially underrecognized cause of posterior ankle pain.



By
Chopart Complex Injuries
Chopart Complex Injuries, referring to injuries of the Chopart joint, range from sprains and soft tissue injuries all the way to fracture-dislocations.



By
Iselin's Disease
iselin’s disease introduction Iselin disease is traction apophysitis of the fifth metatarsal base and clinically presents with tenderness and pain overlying the lateral aspect…




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Subungual Hematoma Management
Subungual hematomas occur on fingers and toes following trauma and are usually easily managed with trephination.



By
Management of Toe Fractures
Toe fractures represent one of the most commonly encountered fracture patterns in the clinical setting and can generally can be treated without surgery.


By
A Review of Navicular Stress Fractures
Navicular stress fractures are commonly encountered in athletes who participate in track and field, running and basketball.



By
Review on Peroneal Tendinopathy
Peroneal tendonitis is a common source of lateral ankle pain that can be typically be managed conservatively without surgery.


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Sports Injuries and Foot Orthotics: Prevention and Recovery
Foot orthotics are a modality that can be used to help with sport injury prevention and recovery of common foot injuries.


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Diagnosis of a Morton’s Neuroma
Morton's neuroma is a common cause of forefoot pain and can be found within the intermetatarsal space as a hypoechoic mass on ultrasound.



By
Plantar Fasciitis Review
Plantar fasciitis is a common source of heel pain that is due to degeneration of the plantar fascia insertion on the calcaneus.



By
Treatment of Achilles Tendon Rupture
The Achilles tendon is the largest tendon in the body and is made of a complex anatomical structure which are prone to rupture.



By
Fellow Level Foot and Ankle Exam Techniques
Foot and ankle exam techniques require lots of practice. We describe some of the more common ones you should include in your physical exam.


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A Review of Distal Fibula Fractures
Isolated distal fibula fractures account for up to 55-65% of all ankle fractures and can be classified using the Weber classification system.


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Etiologies of Midfoot Pain
Midfoot pain can be broken down as coming from the forefoot, midfoot or hindfoot and can be traumatic or atraumatic.




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Evidence Behind Corticosteroid Injections of the Foot and Ankle
Corticosteroid injections can be used for ankle arthritis, plantar fasciitis, Morton's neuroma, and tarsal tunnel syndrome among other foot and ankle problems.
General


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Incidence of Lower Extremity Injuries in the NFL on Grass versus Turf
Football fans and medical providers have likely noticed increased debate regarding injuries and playing surfaces.



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Review of Ganglion Cysts
Ganglion cysts are commonly found on the dorsum of the wrist and typically treated by aspiration or surgery.


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What's in a Sport Medicine Doctor’s Bag?
Sports medicine physicians have to be ready for anything whether they are covering a game, a mass participation event such as a marathon, or…




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Popliteal Artery Entrapment Syndrome
Popliteal artery entrapment syndrome (PAES) is an underreported condition affecting the lower extremities in active individuals.



By
Auricular Hematoma
Auricular hematoma introduction Auricular hematomas are a frequent complication of blunt force trauma to the external ear, often seen in contact sports such as…



By
Pectoralis Major Tears
Tears of the pectoralis major occur can occur with weight lifting and may require surgery for full thickness tears.



By
Morel-Lavallee lesions
The Morel-Lavallee lesion (MLL) is a somewhat uncommon injury encountered in sports medicine practice and delays can occur that cause unwanted outcomes.



By
Nasal Fractures
Nasal Fractures and other nasal injuries are common among athletes and sports medicine physicians should be familiar with diagnosis and management.




By
Iron Deficiency Anemia in Athletes
Iron Deficiency Anemia (IDA) is a spectrum of disease common in athletes, especially among females and those that participate in endurance sports.



By
A Brief Recap of Infectious Mononucleosis in Athletes
Mono, or infectious mononucleosis, sometimes referred to as ‘kissing disease’ is a viral triad of pharyngitis, fever and cervical lymphadenopathy caused by the epstein-barr…



By
A Review of Overtraining Syndrome (OTS)
Overtraining syndrome (OTS) refers to athletes who have a mismatch between their training program, recovery time and performance.



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COVID-19 and Sports Medicine Trends Today
Covid 19 (novel coronavirus) has implications for management of athletes, teams and leagues which we review in detail here.


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What are Osteoid Osteomas?
Osteoid osteomas consists of an area of abnormal osteoid surrounded by dense sclerotic bone tissue most commonly in the tibia or femur.


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Relative Energy Deficiency in Sport
Relative Energy Deficiency in Sport (REDS) is characterized by low energy availability or energy deficiency (ED), dysfunctional menstruation and decreased bone mineral density



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The Anti-Inflammatory Diet in Athletes
Athletes should consider the anti-inflammatory diet to help live a healthy lifestyle and potentially decrease systemic inflammation.



By
Marine Envenomations
Marine envenomations are an important consideration in water sports including swimming, diving, scuba, fishing, surfing, and wakeboarding.


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Exercise Induced Anaphylaxis: A Brief Review
Exercise-induced anaphylaxis (EIA) represents a rare presentation of a severe allergic reaction or anaphylaxis in athletes triggered be exercise.


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The Role and Relationship of Athletic Trainers in Sports Medicine Practice
Athletic Trainers play a key role in the care of athletes as part of the sports medicine team with a ride range of duties…



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Channelopathies and their role in Sudden Cardiac Arrest
Channelopathies are alterations in ion channels that can lead to arrhythmias and sudden cardiac death in athletes.


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Creating an Emergency Action Plan
All sports medicine teams should have an emergency action plan in the event of catastrophic injuries or cardiac arrest of athletes.


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Fragility Fractures: Nonpharmacologic Treatment
Fragility fractures are a type of atraumatic fracture in elderly patients who can sometimes be managed with nonsurgical treatment.


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Fragility Fractures: Introduction
Fragility fractures are a type of atraumatic fracture which occur in patients with brittle bones or osteoporosis, typically in older women.


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Preparing for the Certificate of Added Qualification in Sports Medicine
The Certificate of Added Qualification in Sports Medicine (CAQSM) is the board exam for physicians who complete a sports medicine fellowship.



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Increasing Throwing Velocity in Baseball Pitchers: What is the Cost?
Increased throwing velocity among baseball pitchers can lead to overuse injuries of your throwing shoulder and elbow.
Hand



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Diagnosing Hook of Hamate Fractures
Hook of the hamate fractures are one cause of ulnar sided wrist pain that sports medicine physicians should be familiar with.


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Review of the Anterior Interosseous Nerve Syndrome
Anterior Interosseous Nerve (AIN) syndrome most commonly presents as acute weakness of the thumb and pointer finger.


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Review of the Traumatic Boutonniere Deformity
Boutonniere deformities are typically caused by an acute injury to the central slip that leads to the characteristics boutonniere deformity.


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Review on Injury to the Sagittal Bands
Injury to the sagittal bands are common in Boxer's and can lead to subluxation and dislocation of the extensor tendon.


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Review of Boxer's Fracture
Fractures of the fifth metacarpal neck are called Boxer's fractures and typically managed non surgically.


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Carpal Tunnel Injections
Carpal tunnel Injections are one treatment modality used to treat patients with carpal tunnel syndrome (CTS).


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Review on Dupuytren's Contracture
Dupuytren’s contracture is a fibroproliferative disease that forms band like contractures in the palm of the hand leading to finger contractures.




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Subungual Hematoma Management
Subungual hematomas occur on fingers and toes following trauma and are usually easily managed with trephination.


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Sideline Management of PIP Dislocation
PIP dislocations are the most common dislocation of the hand and are typically reduced on the sideline and managed conservatively.



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Review of Distal Phalanx Fractures
Fractures of the distal phalanx can be divided in to the base, shaft, and tuft and are typically managed non-operatively.




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Diagnostic Wrist and Hand Ultrasound
Ultrasound is an excellent imaging technique to investigate a wide range of conditions affecting the hand and wrist.



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Trigger Finger Review
Trigger finger, a disease characterized by "locking" if your finger when flexed, is a benign condition that is commonly treated with a corticosteroid injection.


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The Uncommon Common Finger Injuries
Finger injuries in athletes include UCL injuries, also known as skier's or gamekeeper's thumb, as well as sprain, strains and dislocations.


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Scaphoid Fractures Diagnosis & Management
Scaphoid fractures are a commonly fractured carpal bone that requires splinting, evaluation by an orthopedist and occasionally surgery.


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A Review on CMC Joint Arthritis
Carpometacarpal (CMC) Joint Arthritis is a common cause of thumb and hand pain in elderly patients and related to overuse injuries.



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A Review on Reading Wrist X-rays
Wrist xrays or radiographs are commonly used by orthopedists to evaluate common causes of wrist pain and injuries and exclude fractures.


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Intersection Syndrome: A Review
Intersection syndrome is an uncommon overuse injury of the forearm due to a pathologic relationship between muscles on the back of the forearm.



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Evidence Behind the Non-Operative Management of Metacarpal Fractures
Metacarpal fractures, a common fracture of the hand, can often be managed without surgery by using appropriate reduction, splinting and bracing.



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Evidence Behind Injections on the Elbow, Wrist and Hand
Cortisone injections of the hand, wrist and elbow are common among patients treated by orthopedic and sports medicine physicians.
Hematology


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Foot-Strike Hemolysis
Running can lead to footstrike hemolysis of the red blood cells in the capillaries of the foot and lead to multiple alterations identified on…




By
Iron Deficiency Anemia in Athletes
Iron Deficiency Anemia (IDA) is a spectrum of disease common in athletes, especially among females and those that participate in endurance sports.
Hip


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Performing an Ischial Bursa Injection
Ischial bursitis which is characterized by buttocks pain with sitting can be injected under ultrasound guidance to avoid sciatic nerve injury.



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Performing a Piriformis Muscle Injection
Piriformis syndrome is entrapment of the sciatic nerve within the piriformis muscle and injections can help aid in diagnosis and treatment.


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Adductor Tears in Athletes
After the injury of Lane Johnson, this post will try to briefly describe the nature of adductor injuries, treatment and return to play.



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Special Tests for Physical Exam of the Hip
Physical examination of the hip can be aided by focused special tests to help determine the cause of the patients pain.



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Management of Posterior Hip Dislocations
osterior hip dislocations are frequently encountered in sports and sports medicine physicians should be familiar with management.




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Chronic Hamstring Tendinopathy Review
Chronic hamstring tendinopathy is a common cause of ishchial pain that can be treated with physical therapy and also PRP injections.



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Diagnostic Ultrasound of the Hip
Diagnostic ultrasound of the hip can be used in both adults and children to diagnose disorders of the hip.



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Sacral Insufficiency Fractures
sacral insufficiency fractures introduction Sacral insufficiency fractures (SIFs) are often misdiagnosed or under diagnosed and may be the root of back or groin pain.…



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Paper Review: Intra-articular Saline vs Corticosteroids vs PRP vs Hyaluronic Acid for Hip Osteoarthritis
Hip injections are a common treatment for hip osteoarthritis and can include corticosteroids (CS), platelet rich plasma (PRP) and hyaluronic acid (HA)



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A Quick Review of Meralgia Paresthetica
Meralgia paresthetica (MP), a neuropathy of the Lateral Femoral Cutaneous Nerve (LFCN), is an uncommon cause of neuropathic thigh pain.




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Fluoroscopy vs Ultrasound Guidance for Corticosteroid Injections of the Hip
Corticosteroid injections (CSI) are a treatment option for patients with mild-to-moderate hip osteoarthritis and other causes of hip pain.


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Avascular Necrosis of Hip: Treatment Options
Avascular Necrosis (AVN) of the hip is a form of degenerative joint disease which can be divided into operative and nonoperative management.


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Avascular Necrosis of the Femoral Head: Background, Diagnosis and Classification
AVN of the femoral head (AVNFH) is associated with impaired blood supply to the femoral head resulting in bone necrosis and collapse.


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Treatment Options For Greater Trochanteric Pain Syndrome
Greater Trochanteric Pain Syndrome, historically called trochanteric bursitis, is a chronic tendinopathy of the gluteus medius muscle causing hip pain.


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Femoroacetabular Impingement Syndrome
Femoroacetabular impingement (FAI) is a disease where there is abnormal bone contour of the hip joint, specifically the femur and or acetabulum.




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Evidence Behind Corticosteroid Injections of the Hip and Knee
Corticosteroid injections, sometimes called cortisone, can be used to treat hip and knee arthritis as well as other causes of hip and knee pain.
Infectious


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Recognizing and Treating Bacterial Folliculitis
Folliculitis is an infection of the hair follicle that is most commonly caused by staphylococcus aureus.



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A Brief Recap of Infectious Mononucleosis in Athletes
Mono, or infectious mononucleosis, sometimes referred to as ‘kissing disease’ is a viral triad of pharyngitis, fever and cervical lymphadenopathy caused by the epstein-barr…



By
COVID-19 and Sports Medicine Trends Today
Covid 19 (novel coronavirus) has implications for management of athletes, teams and leagues which we review in detail here.
Journal


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September 2021 Sports Medicine Journal Roundup
We review the September 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…


By
June 2021 Sports Medicine Journal Roundup
We review the June 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…


By
May 2021 Sports Medicine Journal Roundup
We review the May 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…


By
April 2021 Sports Medicine Journal Roundup
We review the April 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…


By
March 2021 Sports Medicine Journal Roundup
We review the March 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…


By
February 2021 Sports Medicine Journal Roundup
We review the February 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…


By
January 2021 Sports Medicine Journal Roundup
We review the January 2021 sports medicine and orthopedic journals all in one place. Get all of the sports medicine research for the month…


By
December 2020 Sports Medicine Journal Roundup
We review the December 2020 sports medicine and orthopedic journals all in one place. Get all of the sports medicine research for the month…


By
November 2020 Sports Medicine Journal Roundup
We review the November 2020 sports medicine and orthopedic journals all in one place. Get all of the sports medicine research for the month…


By
October 2020 Sports Medicine Journal Roundup
October 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (October 2020) Hagemans FJA, Jonkers FJ, van Dam MJJ, von Gerhardt AL,…


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September 2020 Sports Medicine Journal Roundup
September 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Sept 2020) Ciccotti MC, Hammoud S, Dodson CC, Cohen SB, Nazarian LN,…


By
August 2020 Sports Medicine Journal Roundup
August 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine August 2020 Kvist, J., Filbay, S., Andersson, C., Ardern, C. L., &…


By
July 2020 Sports Medicine Journal Roundup
July 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (July 2020) Kim, D. M., Shim, I. K., et al. A Combination…


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June 2020 Sports Medicine Journal Roundup
June 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (June 2020) Cvetanovich, G. L., Gowd, A. K., Frantz, T. L., Erickson,…


By
May 2020 Sports Medicine Journal Roundup
May 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (May 2020) Wong, C.-C., Yeh, Y.-Y., Yang, T.-L., Tsuang, Y.-H., & Chen,…


By
April 2020 Sports Medicine Journal Roundup
April 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (May 2020) Slagstad, I., Parkar, A. P., Strand, T., & Inderhaug, E.…


By
March 2020 Sports Medicine Journal Roundup
March 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Feb 2020) Hott, A., Brox, J. I., Pripp, A. H., et al.…


By
February 2020 Sports Medicine Journal Roundup
February 2020 Sports Medicine Journal Roundup THE AMERICAN JOURNAL OF SPORTS MEDICINE (FEB 2020) Hott, A., Brox, J. I., Pripp, A. H., et al.…


By
January 2020 Sports Medicine Journal Roundup
January 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Jan 2020) Leland, D. P., Bernard, C. D., et al. An Age-Based…


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December 2019 Sports Medicine Journal Roundup
December 2019 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Dec 2019) Lindanger, L., Strand, T., Mølster, A. O., Solheim, E., &…


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September 2019 Primary Care Sports Medicine Journal Roundup
September 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (August 2019, September 2019) Note: I accidently reviewed August so…


By
August 2019 Sports Medicine Journal Roundup
August 2019 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Aug 2019) Pfaller, A. Y., Brooks, M. A., Hetzel, S., & McGuine,…


By
July 2019 Sports Medicine Journal Roundup
July 2019 Sports Medicine Journal Roundup The American Journal of Sports Medicine (July 2019) Kunze, K. N., Beck, E. C., Nwachukwu, B. U., Ahn,…


By
June 2019 Primary Care Sports Medicine Journal Roundup
June 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (June 2019) Ekås, G. R., Laane, M. M., Larmo, A.,…


By
May 2019 Primary Care Sports Medicine Journal Roundup
May 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (May 2019) Loughran, G. J., Vulpis, C. T., Murphy, et…


By
April 2019 Sports Medicine Journal Roundup
April 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (April 2019) Gil, J. A., Gunaseelan, V., et al. (2019).…


By
March 2019 Sports Medicine Journal Roundup
March 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (March 2019) Webster, K. E., & Feller, J. A. (2019).…


By
February 2019 Sports Medicine Journal Roundup
February 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (Feb 2019) Lee, D. W., Kim, J. G., Cho, S.…


By
January 2019 Sports Medicine Journal Roundup
January 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (Jan 2019) Bohu, Y., Klouche, S., Herman, S.,et al. (2019).…


By
December 2018 Sports Medicine Journal Roundup
December 2018 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (Dec 2018) Lai, C. C. H., Feller, J. A., &…


By
November 2018 Sports Medicine Journal Roundup
November 2018 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (Nov 2018) Begly, J. P., Buckley, P. S., et al.…


By
October 2018 Sports Medicine Journal Roundup
October 2018 Primary Care Sports Medicine Journal Roundup American Journal of Sports Medicine (Oct 2018) Lecoq FA, Parienti JJ, et al; Société Française de…


By
September 2018 Sports Medicine Journal Roundup
September 2018 Primary Care Sports Medicine Journal Roundup American Journal of Sports Medicine (Sept 2018) Ishøi L, Thorborg K, et al. Return to Sport…


By
August 2018 Sports Medicine Journal Roundup
August 2018 – Primary Care Sports Medicine Journal Roundup American Journal of Sports Medicine (August 2018) Askenberger M, Bengtsson Moström E, et al. Operative…


By
July 2018 Sports Medicine Journal Roundup
July 2018 – Primary Care Sports Medicine Journal Roundup American Journal of Sports Medicine (July 2018) DeFroda SF, Goodman AD, Gil JA, et al.…
Knee


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Osteochondritis Dissecans of the Knee: Management
Management and treatment of osteochondritis dissecans of the knee remains a controversial topic for providers.


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Osteochondritis dissecans of the knee: Diagnosis and classification
Osteochondritis dissecans (OCD), sometimes called osteochondral defect, is conventionally defined as a focal idiopathic alteration of subchondral bone with risk of instability.


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Imaging After a Total Knee Arthroplasty
Standard radiographs can help identify complications after a total knee arthroplasty.


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Evidence behind bracing after ACL injury
Knee braces are commonly prescribed for many reasons after anterior cruciate ligament (ACL) reconstruction or injury.


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Persistent Osgood Schlatter Disease
Osgood Schlatter disease is typically a self limiting condition in adolescence but may cause pain with kneeling that lasts in too adulthood.


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Review of Meniscus Root Tears
Tearing of the meniscus roots can lead to articular cartilage damage and early knee osteoarthritis.



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Dextrose Prolotherapy for Knee Osteoarthritis
Dextrose prolotherapy is a promising treatment option for patients with knee osteoarthritis.



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A Case of a Transverse Patella Fracture
A patient presents with a transverse patella fracture and you must determine if their extensor mechanism is intact?




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Popliteal Artery Entrapment Syndrome
Popliteal artery entrapment syndrome (PAES) is an underreported condition affecting the lower extremities in active individuals.




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Adductor Canal Block for Knee Osteoarthritis
The Adductor Canal Block represents a novel ultrasound guided procedure for treating the symptoms of knee osteoarthritis.



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Ultrasound Guided IT Band Injection
Ultrasound guided injection of the IT band bursa at the lateral femoral condyle is a treatment for IT band syndrome.



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Nonoperative ACL management
Both operative and nonoperative treatments of an ACL injury continue to evolve due to improved understanding of the structure and function of the native…


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Sinding-Larsen-Johansson Syndrome
Sinding-Larsen-Johansson syndrome (SLJS) is a somewhat rare and overlooked cause of patellofemoral pain in adolescents.


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Lateral Collateral Ligament Injuries
The lateral collateral ligament (LCL) is the primary varus stabilizer of the knee and isolated injuries are somewhat uncommon.



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Popliteus Tendinopathy: A Poorly Understood Cause of Knee Pain
Popliteus tendinopathy is a cause of knee pain that is difficult to diagnose and poorly understood by orthopedic and sports medicine physicians.




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Paper Review: Progressive Tendon-loading Exercises Vs Eccentric Exercise Therapy in Patellar Tendinopathy
Patellar tendinopathy is treated with physical therapy. We compare a paper on progressive tendon loading exercises and eccentric exercise therapy.




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Stem Cell Treatment for Knee Osteoarthritis
Knee Osteoarthritis is a common cause of knee pain that can be treated with stem cell therapy among many other options.


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Recurrent Patellar Instability
Anterior knee pain due to recurrent patellar instability is one of the most common entities seen in a sports medicine practice.


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Prepatellar Bursitis
Prepatellar bursitis (PPB), sometimes termed ‘housemaid’s knee’ or ‘carpenter’s knee’, refers to inflammation of the bursa in the prepatellar soft tissue above the patella.



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Diagnosing Osteoarthritis with a Knee Radiograph
Knee osteoarthritis is one of the most common causes of knee pain and can easily be diagnosed with standard radiographs or xrays of the…



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A Quick Update on Knee Dislocations
Knee dislocations are a traumatic, catastrophic injury to the knee defined by loss of articulation between the femur and the tibia.


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Subchondral Insufficiency Fracture of the Knee
Spontaneous osteonecrosis of the knee (SONK), also called subchondral insufficiency fractures of the knee (SIFK), is a degenerative, often overlooked cause of knee pain.



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Extensor Tendon Injuries of the Knee
Extensor tendon injuries of the knee refers to an injury to either the quadriceps tendon, patella or the patellar tendon.


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ACL Prevention Program
ACL Injury Prevention Program Many ACL programs have been proposed and studied over the past 25 years and most have shown an overall decrease…



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ACL Prevention Programs: Can We Do More to Prevent this Catastrophic Injury?
Anterior Cruciate Ligament (ACL) injuries are the most common cause of knee surgery in athletes and a proper prevention program is critical.


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Treatment Options for Bakers Cyst
Bakers cysts represent an extrusion of synovial fluid into a false cavity in the back of the knee which can cause pain and arthritis.



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Evidence for Viscosupplementation for Knee Osteoarthritis
Hyaluronic acid (HA), aka viscosupplementation or rooster comb, is naturally found in synovial fluid and acts as a shock absorber for patients with knee…



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Stress Radiographs of the Knee
Stress radiographs of the knee can be used by physicians to evaluate patients with knee pain for ligamentous injuries or arthritis.



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Patellar Dislocation: Treatment Options
Patellar Dislocations are a fairly common cause of knee pain which can require reduction, physical therapy and sometimes surgery.



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Patellar Dislocation Introduction and Diagnosis
Patellar dislocation, or knee cap dislocation, can occur due to minor or no trauma and is usually treated with reduction and physical therapy




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Evidence Behind Corticosteroid Injections of the Hip and Knee
Corticosteroid injections, sometimes called cortisone, can be used to treat hip and knee arthritis as well as other causes of hip and knee pain.
Neck




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Special Tests for the Neck Exam
Sports medicine physicians and other members of the sports medicine team should be familiar with special tests for the neck.



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Management of Recurrent Stingers
Stingers are commonly seen in tackle football and involve unilateral arm weakness and sensory loss.


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Cervical Spine & Spinal Cord Injuries in Athletes
Cervical spine and spinal cord injuries (SCI) are uncommon in athletes but carry significant risk of morbidity and mortality as well as implications for…
Neuropathy



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A Review of Cubital Tunnel Syndrome
Cubital Tunnel Syndrome is a compressive neuropathy of the ulnar nerve most commonly at the level of the cubital tunnel



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A Quick Review of Meralgia Paresthetica
Meralgia paresthetica (MP), a neuropathy of the Lateral Femoral Cutaneous Nerve (LFCN), is an uncommon cause of neuropathic thigh pain.



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Parsonage Turner Syndrome
Parsonage-Turner syndrome (PTS) is an uncommon neurological disorder characterized by upper extremity pain and weakness.



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Neurogenic Thoracic Outlet Syndrome
Neurogenic Thoracic Outlet Syndrome (TOS) accounts for most cases of TOS and is characterized by neuropathy of the brachial plexus.


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Common Entrapment Neuropathies of the Lower Extremity
Entrapment neuropathies of the lower extremity include tarsal tunnel syndrome, baxter's neuropathy, jogger's foot and morton's neuroma.
Nutrition




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Iron Deficiency Anemia in Athletes
Iron Deficiency Anemia (IDA) is a spectrum of disease common in athletes, especially among females and those that participate in endurance sports.


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Evidence-based Macronutrient Nutritional Considerations in the Athlete
Basic guidelines regarding nutrition in terms of total caloric intake and division of diet into macronutrients which include predominantly carbohydrates, proteins, and fats



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The Anti-Inflammatory Diet in Athletes
Athletes should consider the anti-inflammatory diet to help live a healthy lifestyle and potentially decrease systemic inflammation.
Pharmacology


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Optimal Dosing of Acetaminophen (Tylenol) and Ibuprofen (Motrin)
Acetaminophen (Tylenol) and Ibuprofen (Motrin) are two of the most commonly prescribed medications in the world and sports medicine physicians should know how to…


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Emerging Treatments and Algorithm for Fragility Fractures
Despite a wide range of effective anti-osteoporosis medications and a growing elderly population, the proportion of patients receiving adequate secondary fracture prevention is falling.




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Stem Cell Treatment for Knee Osteoarthritis
Knee Osteoarthritis is a common cause of knee pain that can be treated with stem cell therapy among many other options.


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Oral Corticosteroids for Osteoarthritis
Oral corticosteroids represent a potential treatment option for osteoarthritis (OA) in select patients, although more research is needed.



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Evidence for Viscosupplementation for Knee Osteoarthritis
Hyaluronic acid (HA), aka viscosupplementation or rooster comb, is naturally found in synovial fluid and acts as a shock absorber for patients with knee…


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Fragility Fractures: Pharmacologic Treatment
Fragility fractures occur spontaneously without trauma in elderly patients and can sometimes be treated with certain medications.



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Managing Refractory Tendinopathy: Topical Glyceryl Trinitrate
Tendinopathy or tendonitis can sometimes be treated with topical topical nitroglycerin or glyceryl trinitrate (TGN)



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Is Ketorolac (Toradol) a Safe and Effective Intra-Articular Injection?
Ketorolac, or Toradol, is an NSAID which can be used to treat various conditions and can be injected into joints and bursa to treat…



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Evidence Based Recovery Part 4: Medications And Supplements
Recovery from physical activity, weight training, and sports injuries can be enhanced with certain medications and supplements.


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NSAIDS and Renal Complications
NSAIDS or non-steroidal anti-inflammatory drugs are the most commonly used class of drugs in the world and can affect your kidney or renal function.



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Frequency, Cartilage Loss and Common Complications of Corticosteroid Injections
Corticosteroid injections, sometimes called cortisone, are commonly used to treat joint disease but can negatively affect joint cartilage and have complications.


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NSAIDS and Gastrointestinal Complications
NSAIDS or non-steroidal anti-inflammatory drugs are the most commonly used class of drugs in the world and can affect your gastrointestinal tract and stomach.


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Introduction and Comparison of Corticosteroids
Corticosteroids, sometimes called cortisone, are commonly used by orthopedists and sports medicine physicians to treat joint pain.


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NSAIDS and Cardiovascular Risk
NSAIDS or non-steroidal anti-inflammatory drugs are the most commonly used class of drugs in the world and can affect your heart.
Physical Exam




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Special Tests for the Neck Exam
Sports medicine physicians and other members of the sports medicine team should be familiar with special tests for the neck.



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Special Tests for Physical Exam of the Hip
Physical examination of the hip can be aided by focused special tests to help determine the cause of the patients pain.



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Special Tests for Sacroiliac Pain
The sacroiliac joint (SIJ) has been estimated to contribute to pain in as much as 38% of cases of lower back pain.



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Special Tests for the Shoulder Exam
The shoulder exam can be challenging in patients and confidence in your special tests skills can help improve diagnostic accuracy.



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Special Tests for the Wrist Exam
The physical exam of the wrist should include a series of special tests to help diagnose the cause of the patients wrist pain.



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Special Tests for the Elbow Exam
The physical exam of the elbow should include a series of special tests to help diagnose the cause of the patients elbow pain.



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Important History and Physical Examination Pearls of Athletic Back Pain
Back pain affects up to 75% of athletes and physicians should be familiar with how to perform a detailed back examination.



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Fellow Level Foot and Ankle Exam Techniques
Foot and ankle exam techniques require lots of practice. We describe some of the more common ones you should include in your physical exam.
Physical Therapy




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Paper Review: Progressive Tendon-loading Exercises Vs Eccentric Exercise Therapy in Patellar Tendinopathy
Patellar tendinopathy is treated with physical therapy. We compare a paper on progressive tendon loading exercises and eccentric exercise therapy.


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Blood Flow Restriction Training
Blood Flow Restriction Training (BFRT), AKA Kaatsu, is a rehabilitation technique quickly gaining popularity among physicians and physical therapists for a variety of injuries.



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ACL Prevention Programs: Can We Do More to Prevent this Catastrophic Injury?
Anterior Cruciate Ligament (ACL) injuries are the most common cause of knee surgery in athletes and a proper prevention program is critical.



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Role of Vestibular Rehab in Concussion Management
Vestibular or balance deficits are commonly seen in the post concussive period and may require specific vestibular therapy.



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Managing Refractory Tendinopathy (Part 4): Extracorporeal Shock Wave Therapy
Shock Wave Therapy provides “shock waves” via mechanical, low energy sound waves to pathologic tissue to promote healing and reduce pain
Procedure



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Dextrose Prolotherapy for Knee Osteoarthritis
Dextrose prolotherapy is a promising treatment option for patients with knee osteoarthritis.



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Emerging Treatment Options for Chronic Exertional Compartment Syndrome
Chronic exertional compartment syndrome (CECS) is an underdiagnosed condition and emerging treatments show promising results.




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Adductor Canal Block for Knee Osteoarthritis
The Adductor Canal Block represents a novel ultrasound guided procedure for treating the symptoms of knee osteoarthritis.


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Timing of Intra-articular Injections Before Joint Replacement
It is important for a sports medicine or orthopedic physician to be aware of the data regarding timing of intra-articular injections and their risk…




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Diagnostic Wrist and Hand Ultrasound
Ultrasound is an excellent imaging technique to investigate a wide range of conditions affecting the hand and wrist.




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Capsular Distension for Adhesive Capsulitis
Adhesive capsulitis, often called frozen shoulder, is a disease where the shoulder becomes stiff and painful. There are a variety of treatment options including…




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Closed Reduction Techniques for Elbow Dislocations
Elbow dislocations are common among adult and child athletes. Physicians should be familiar with various reduction techniques.



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Percutaneous Ultrasound Guided Tenotomy Part 2: The Procedure
Percutaneous needle tenotomy is a treatment option for chronic tendinopathies which have not responded well to other treatments.



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Evidence for Ultrasonic Tenotomy for Tendinopathy
Percutaneous needle tenotomy, sometimes referred to as Tenex, uses ultrasonic vibration of a needle to remove the necrotic tissue found in tendinopathy.




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Fluoroscopy vs Ultrasound Guidance for Corticosteroid Injections of the Hip
Corticosteroid injections (CSI) are a treatment option for patients with mild-to-moderate hip osteoarthritis and other causes of hip pain.



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Injection Locations for Adhesive Capsulitis
Adhesive capsulitis or frozen shoulder is a common cause of shoulder pain which is frequently treated with corticosteroid injections.



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Review of Amniotic Fluid Injections
Amniotic stem cells can be used to to inject into joints to help repair chronic cartilage and tendon damage in patients.



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Managing Refractory Tendinopathy: What is Ultrasound Guided Galvanic Electrolysis?
Ultrasound guided galvanic electrolysis is a procedure which consists of ultrasound-guided needle insertion and the application of electricity to pathologic tissue.



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Managing Refractory Tendinopathy (Part 3): Dextrose Prolotherapy
Dextrose prolotherapy is a treatment used to musculoskeletal conditions including tendinopathies via injection of dextrose into the pathologic tissue.



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Managing Refractory Tendinopathy: Needle Tenotomy (Part 2)
Needle tenotomy is a treatment for tendonitis or tendinopathy that involves fenestrating the tendon repeatedly to promote healing



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Is Ketorolac (Toradol) a Safe and Effective Intra-Articular Injection?
Ketorolac, or Toradol, is an NSAID which can be used to treat various conditions and can be injected into joints and bursa to treat…


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A Review of Dextrose Prolotherapy and Clinically-based Evidence for Usage
Dextrose prolotherapy is a regenerative medicine procedure which involves injecting dextrose into pathologic tissues or tendons to promote healing.




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Evidence Behind Corticosteroid Injections of the Foot and Ankle
Corticosteroid injections can be used for ankle arthritis, plantar fasciitis, Morton's neuroma, and tarsal tunnel syndrome among other foot and ankle problems.